逍遥散加减治疗肝郁脾虚型月经过少的临床观察

发布时间：2018-05-18 18:18

本文选题：月经过少 + 肝郁脾虚　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过运用中药逍遥散加减治疗肝郁脾虚型月经过少,观察该方法对肝郁脾虚型月经过少患者的临床疗效。方法:根据病例纳入标准,选择2016年4月-2017年4月间于黑龙江中医药大学附属第二医院妇科一门诊就诊的60例女性患者,使用方药逍遥散加减进行口服治疗,自月经干净开始服药,连续服用至月经来潮,以其服用的一个月经周期作为一个疗程,连续服用三个月经周期。观察这些患者用药前及用药后记录的月经情况和中医症状变化情况,以及治疗前后血FSH、LH、E2、PRL值和子宫内膜厚度的变化情况。结果:综合治疗结果:临床观察60例患者,其中痊愈15例,显效32例,有效12例,无效1例,总有效率达98.33%,临床治疗效果显著。治疗前后月经量比较具有统计学意义(P0.05),月经量少症状明显改善。各项中医症状治疗前后比较,具有统计学意义(p0.05),临床观察治疗效果满意,中医症状改善明显。治疗前后的血FSH、LH、E2、PRL值无明显差异(p0.05)。治疗后的子宫内膜厚度较治疗前升高,有显著性差异(p0.05)。结论:逍遥散加减治疗肝郁脾虚型月经过少临床治疗疗效显著。能够有效的改善月经过少症状以及中医临床症状,治疗过程安全可靠,无副作用。
[Abstract]:Objective: to observe the clinical effect of Xiaoyao Powder (XY) in treating menorrhagia of liver stagnation and spleen deficiency type. Methods: according to the criteria of case inclusion, 60 female patients from April 2016 to April 2017 in the gynecological outpatient clinic of the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine were selected for oral treatment with the addition or subtraction of Xiaoyao Powder. Start taking medicine from menstruation clean, take continuously to menstruation come, take its one menstrual cycle as a course of treatment, take 3 menstrual cycles continuously. To observe the changes of menstruation and TCM symptoms before and after treatment, and the changes of PRL value and endometrial thickness before and after treatment. Results: there were 60 cases of clinical observation, of which 15 cases were cured, 32 cases were effective, 12 cases were effective, 1 case was ineffective, the total effective rate was 98.33%, and the clinical treatment effect was remarkable. The menstrual volume before and after treatment was statistically significant (P 0.05), and the symptoms with less menstrual volume were significantly improved. The symptoms of TCM were compared before and after treatment, with statistical significance p0.05, clinical observation and treatment results were satisfactory, the improvement of TCM symptoms was obvious. There was no significant difference in PRL between the two groups before and after treatment (P 0.05). The endometrial thickness after treatment was significantly higher than that before treatment (P 0.05). Conclusion: the effect of Xiaoyao Powder on the treatment of excessive menstruation due to liver depression and spleen deficiency is significant. Can effectively improve the symptoms of menstruation and clinical symptoms of traditional Chinese medicine, the treatment process is safe and reliable, no side effects.
【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】：R271.111

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