Tahoonian-Golkhatmy Fahimeh, Abedian Zahra, Emami Seyed-Ahmad, Esmaily Habibollah
School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Pharmacognosy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2019 Jul-Aug;24(4):301-305. doi: 10.4103/ijnmr.IJNMR_99_18.
Primary dysmenorrhea is the most common complaint of women. Imbalance secretion of prostaglandin from the endometrium during menstruation cycle is effective in primary dysmenorrhea and menstrual bleeding. The aim of this study was to compare rosemary capsule and mefenamic acid on menstrual bleeding and primary dysmenorrhea.
This randomized double-blinded study was conducted on 82 students with primary dysmenorrhea in the Islamic Azad University of Mashhad in 2016. Participants had moderate dysmenorrhea and normal menstrual bleeding. No intervention was carried out at the two cycles. During the next two cycles, participants were randomly divided into two groups (rosemary and mefenamic acid(. Participants in the intervention group received 250 mg rosemary capsules and the control group received 250 mg mefenamic acid capsules in the first 3 days of menstruation. The visual analogue scale (VAS) was used to determine the severity of pain and Hingham chart to determine the amount of bleeding in menstruation. Independent -tests, Mann--Whitney were used for statistical analysis. < 0.05 was considered statistically significant.
Pain intensity score standard deviation (SD) before and after intervention for rosemary group were 40.39 (11.41) and 23.57 (12.78) ( = 9.90, < 0.001). For the control group, they were 46.75 (13.32) and 28.29 (17.21) ( = 9.10, < 0.001). Menstrual bleeding score (SD) before and after intervention for rosemary group were 55.21 (21.32) and 46.30 (24.16) ( = 2.60, = 0.01). For the control group, they were 51.05 (23.87) and 43.43 (29.47) ( = 2.10, = 0.01). There was no statistically significant difference between the pain severity and menstrual bleeding score SD in these two groups.
Rosemary capsules reduce the menstrual bleeding and primary dysmenorrhea the same as mefenamic acid capsules.
原发性痛经是女性最常见的主诉。月经周期中子宫内膜前列腺素分泌失衡在原发性痛经和月经出血中起作用。本研究的目的是比较迷迭香胶囊和甲芬那酸对月经出血和原发性痛经的影响。
2016年在马什哈德伊斯兰阿扎德大学对82名原发性痛经学生进行了这项随机双盲研究。参与者有中度痛经且月经出血正常。在前两个周期未进行干预。在接下来的两个周期,参与者被随机分为两组(迷迭香组和甲芬那酸组)。干预组参与者在月经的前3天服用250毫克迷迭香胶囊,对照组服用250毫克甲芬那酸胶囊。使用视觉模拟量表(VAS)确定疼痛严重程度,使用欣厄姆图表确定月经出血量。采用独立样本t检验、曼-惠特尼检验进行统计分析。P<0.05被认为具有统计学意义。
迷迭香组干预前后疼痛强度评分标准差(SD)分别为40.39(11.41)和23.57(12.78)(t = 9.90,P<0.001)。对照组分别为46.75(13.32)和28.29(17.21)(t = 9.10,P<0.001)。迷迭香组干预前后月经出血评分(SD)分别为55.21(21.32)和46.30(24.16)(t = 2.60,P = 0.01)。对照组分别为51.05(23.87)和43.43(29.47)(t = 2.10,P = 0.01)。两组在疼痛严重程度和月经出血评分标准差方面无统计学显著差异。
迷迭香胶囊在减少月经出血和原发性痛经方面与甲芬那酸胶囊效果相同。