理气活血法治疗气滞血瘀型子宫腺肌症的临床观察

发布时间：2018-01-02 23:34

本文关键词：理气活血法治疗气滞血瘀型子宫腺肌症的临床观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:采用理气活血法治疗子宫腺肌症(气滞血瘀型),观察治疗前后患者临床症状及体征的变化,评价理气活血法治疗本病的临床疗效及安全性,为临床治疗此病提供理论依据和有效的方法。方法:选用符合本研究标准的子宫腺肌症患者32例,其中脱落2例,给予理气活血法治疗3个月经周期,采取自身前后对照方法,观察治疗前后患者临床总疗效、中医症候改善情况、痛经程度、血清CA125、子宫体积等变化,进行统计学分析,评估疗效。结果:通过本研究治疗的30例患者,痊愈0例,显效9例,有效13例,无效8例,总有效率为73.33%;中医症候改善情况:明显改善9例,部分改善13例,无改善8例,总改善率73.33%;痛经程度变化情况:4个无效,16个有效,8个显效,2个病愈,有效率可达86.67%;血清CA125水平从治疗前的30例阳性降到治疗后9例阳性。患者治疗后中医症候积分、痛经积分、血清CA125水平均较治疗前明显降低,差异具有统计学意义(P0.05),而用药前后测量病人子宫体积无明显变化(P0.05),无统计学意义。结论:1、理气活血法能有效改善气滞血瘀型子宫腺肌症患者的临床症状,其中对患者痛经程度的改善尤为显著。2、理气活血法能降低气滞血瘀型子宫腺肌症患者的血清CA125水平。
[Abstract]:Objective: using the method of regulating qi and activating blood in the treatment of adenomyosis (blood stasis type), the change of clinical symptoms and signs of patients were observed before and after treatment, the clinical efficacy and safety evaluation method of regulating qi and activating blood in the treatment of this disease, and provide a theoretical basis and effective method for the clinical treatment of the disease. Methods: 32 patients with adenomyosis were in accordance with the the standard of this research, which give off 2 cases, Qi and activating blood circulation in treating for 3 menstrual cycles, adopt self contrast method before and after treatment were observed in patients with clinical total curative effect, TCM symptoms to improve the situation, the degree of dysmenorrhea, serum CA125, uterine volume changes, statistical analysis, evaluation of curative effect. Results: in 30 cases the study on the treatment of patients, 0 cases were cured, 9 cases markedly effective, 13 cases effective, 8 cases ineffective, the total effective rate was 73.33%; the improvement of TCM syndromes: 9 cases significantly improved, some improvement in 13 cases, no improvement in 8 cases, the total improvement rate was 73.33%; The change of the degree of dysmenorrhea: 4 invalid, 16 effective, 8 effective, 2 recovered, efficiency up to 86.67%; the level of serum CA125 from 30 cases of positive drop before treatment to 9 cases after treatment. Positive patients after treatment of TCM syndrome integral, dysmenorrhea score, serum CA125 levels were significantly lower than that before treatment. The difference was statistically significant (P0.05), and measure the patient before and after treatment of uterine volume (P0.05), no significant change was not statistically significant. Conclusion: 1, regulating qi and activating blood circulation method can effectively improve the clinical symptoms of patients with qi stagnation and blood stasis type of uterine adenomyosis, the degree of dysmenorrhea to patients with significant improvement of.2, regulating qi and activating blood can reduce the level of serum CA125 in patients with blood stasis type of adenomyosis.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R271.9

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