台湾原发性痛经患者的中医处方模式：大规模横断面调查。

The traditional Chinese medicine prescription pattern of patients with primary dysmenorrhea in Taiwan: a large-scale cross sectional survey.

机构信息

Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan.

Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan; Department of Chinese Medicine, Taipei City Hospital, Yangming Branch, Taipei 111, Taiwan.

出版信息

J Ethnopharmacol. 2014 Mar 14;152(2):314-9. doi: 10.1016/j.jep.2014.01.002. Epub 2014 Jan 10.

DOI:10.1016/j.jep.2014.01.002

PMID:24417866

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Traditional Chinese medicine (TCM), when given for symptom relief, has gained widespread popularity among women with primary dysmenorrhea (PD). The aim of this study was to analyze the utilization of TCM among PD women in Taiwan.

METHODS

The use, service frequency and Chinese herbal products prescribed for PD women were evaluated using a cross sectional survey of 23,118 beneficiaries who were recruited from the National Health Insurance Research Database. The logistic regression method was employed to estimate the odds ratios (ORs) for utilization of TCM.

RESULTS

Overall, 53.4% (N=12,349) of PD women utilized TCM and 92.2% of them sought TCM with the intention of treating their menstruation-related pain symptoms. PD women who do not take prescription painkillers (aOR=35.75, 95% CI:33.20-38.49) were more likely to seek TCM treatment than those who took pain medication (aOR=1.00). There were a total of 213,249 TCM visits due to PD, of which more than 99% were treated with Chinese herbal products (CHPs). Dang-gui-shao-yao-san (Tangkuei and Peony Powder) was the most frequently prescribed formula for treating PD.

CONCLUSION

Primary dysmenorrhea women tended to use Chinese herbal products to deal with pain-related symptoms, rather than use acupuncture. Dang-gui-shao-yao-san, which containing both sedative and anti-inflammatory agents, is the most commonly prescribed Chinese herbal formula for the treatment of PD. A well designed, double-blind, randomized, placebo-controlled study to further evaluate the efficacy of Dang-gui-shao-yao-san as a treatment women with primary dysmenorrhea is warranted.

摘要

民族药理学相关性

在缓解症状方面，传统中药（TCM）在原发性痛经（PD）女性中广受欢迎。本研究旨在分析 TCM 在台湾 PD 女性中的应用情况。

方法

采用横断面调查方法，从国家健康保险研究数据库中招募了 23118 名受益人的数据，评估了 PD 女性对 TCM 的使用、服务频率和开处的中草药产品。采用逻辑回归方法估计 TCM 利用率的优势比（OR）。

结果

总体而言，53.4%（N=12349）的 PD 女性使用了 TCM，其中 92.2%的人寻求 TCM 治疗与经期相关的疼痛症状。与服用处方止痛药的女性相比（aOR=1.00），不服用止痛药的 PD 女性更倾向于寻求 TCM 治疗（aOR=35.75，95%CI：33.20-38.49）。共有 213249 次 TCM 就诊是由于 PD，其中超过 99%的就诊是用中草药（CHPs）治疗的。当归芍药散（当归芍药散）是治疗 PD 最常开的方剂。