【摘要】 目的 观察铜锤疗法联合中药内服缓解子宫内膜异位症痛经的临床效果。方法 选取2023年1-8月在广东省中医院芳村医院妇科门诊就诊的71例子宫内膜异位症痛经患者，按照就诊时间分为对照组32例和观察组39例。对照组予常规护理及口服中药汤剂，观察组在对照组的基础上增加铜锤疗法，从月经结束后第3天开始，每3天1次，避开月经期，持续3个月。结果 观察组32例、对照组31例患者完成本研究。干预后，观察组经期腹痛视觉模拟评分、子宫内膜异位症患者生存质量评分、痛经症状评分显著低于对照组，观察组治疗疗效显著优于对照组(均P<0.05)。两组干预后6个月复发率差异无统计学意义(P>0.05)。结论 铜锤疗法联合中药内服有利于缓解子宫内膜异位症患者痛经症状，提高临床疗效，提升患者生活质量。更多还原

【Abstract】 Objective To observe the clinical effect of copper hammer therapy combined with traditional Chinese herbal medicine on alleviating dysmenorrhea caused by endometriosis. Methods A total of 71 endometriosis patients with dysmenorrhea visiting the gynecology outpatient department of Fangcun Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine from January to August 2023 were selected and divided into a control group of 32 cases and an intervention group of 39 cases chronologically. The control group received routine care and traditional Chinese herbal medicine decoction, while the intervention group additionally received copper hammer therapy, starting from the third day after menstruation, q3d, avoiding the menstrual period and lasting 3 months. Results Thirty-two patients in the intervention group and 31 patients in the control group completed the study. After the intervention, the Visual Analogue Scale score assessing menstrual abdominal pain, the quality of life score for endometriosis patients, and the dysmenorrhea symptom score in the intervention group were significantly lower than those of the control group, and the treatment efficacy of the intervention group was significantly better than that of the control group(all P<0.05). There was no statistically significant difference in recurrence rate between the two groups during the 6 months after the intervention(P>0.05). Conclusion The combination of copper hammer therapy and oral administration of traditional Chinese herbal medicine is beneficial for alleviating dysmenorrhea symptoms in endometriosis patients, improving clinical efficacy, and enhancing patients′ quality of life.更多还原