自拟补肾调经汤治疗肾虚型月经后期的临床观察

发布时间：2018-08-18 08:38

【摘要】：目的:探讨月经后期病因及病理变化,研究观察补肾调经汤辅以西药治疗肾虚型月经后期的临床疗效,为中西医结合治疗月经后期提供一种新的基础和科学依据。方法:选取2013年12月~2014年10月在长春中医药大学附属医院妇科门诊就医,适合选择准则的60例月经后期的病患,中医辨证以肾虚为主;分为观察组和对照组,口服中药汤剂补肾调经汤联合黄体酮口服为观察组;对照组服用西药补佳乐,辅以黄体酮口服.两疗程,观察疗效,对比观察组与对照组的月经情况以及伴随症状。结果:补肾调经汤治疗肾虚型月经后期能得到良好的治疗效果,能明显的改善月经后期的情况。经统计学分析,所有患者在临床症状及实验室指标方面都有了程度不一的减轻和变化。对照组的总有效率低于治疗组93.3%的总有效率,差异明显。两组在治疗前一般资料及临床资料分析无统计学差异(P〉0.05),经治后,治疗组患者月经症候、肾虚症候及中医症候积分较对照组有明显改善;临床用药过程中未出现药物不良反应。结论:补肾调经汤结合西药治疗月经后期的疗效是可靠的,可以扬长避短,减少单纯西医激素治疗的副作用,可以作为西医临床应用于月经稀发有效方案。
[Abstract]:Objective: to investigate the etiology and pathological changes of late menstrual period and observe the clinical effect of Bushen Tiaojing decoction combined with western medicine in the treatment of late menstrual period of kidney deficiency type so as to provide a new basis and scientific basis for the treatment of late menstrual period with integrated Chinese and western medicine. Methods: from December 2013 to October 2014, 60 patients with kidney deficiency were selected from gynecological outpatient department of Changchun University of traditional Chinese Medicine (Changchun University of traditional Chinese Medicine) and were divided into observation group and control group. Oral Chinese medicine decoction Bushen Tiaojing decoction combined with progesterone as the observation group, the control group took western medicine Bujialao, supplemented with progesterone oral. After two courses of treatment, the curative effect was observed, and the menstrual status and associated symptoms were compared between the observation group and the control group. Results: Bushen Tiaojing decoction can get good therapeutic effect in late menstrual period of kidney deficiency type, and can obviously improve the situation of late menstrual period. By statistical analysis, all patients in clinical symptoms and laboratory indicators have varying degrees of relief and change. The total effective rate in the control group was lower than that in the treatment group (93. 3%). There was no significant difference in general data and clinical data between the two groups before treatment (P > 0.05). After treatment, the symptoms of menstruation, kidney deficiency and TCM symptoms in the treatment group were significantly improved than those in the control group. There was no adverse drug reaction in the course of clinical medication. Conclusion: the curative effect of Bushen Tiaojing decoction combined with western medicine in the treatment of late menstrual period is reliable and can be used as an effective regimen of western medicine in the treatment of menorrhagia.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R711.51

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