补肾活血法配合耳穴贴压治疗肾虚血瘀型PCOS之月经后期的临床研究

发布时间：2017-12-28 07:35

本文关键词：补肾活血法配合耳穴贴压治疗肾虚血瘀型PCOS之月经后期的临床研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察补肾活血法配合耳穴贴压治疗肾虚血瘀型PCOS导致的月经后期的临床疗效,探讨其改善月经、排卵的机理。方法:将符合纳入标准的60例患者分为对照组与治疗组,治疗组(30例)给予补肾活血中药配合耳穴贴压治疗,对照组给予红花如意丸、复方玄驹胶囊治疗。治疗一个周期后,观察分析治疗前、后中医临床证候的变化,观察血清LH(黄体生成素)、FSH(卵泡刺激素)、E2(雌二醇)、T(睾酮)、CRP(C反应蛋白)的含量变化及LH/FSH的比值变化。结果:综合疗效治疗组有效率为80%,高于对照组的63.3%,有显著性差异(P0.05)。中医证候疗效治疗组总有效率为83.3%,高于对照组的70%,有显著性差异(P0.05)。治疗后两组患者中医证候积分明显降低,组内比较有显著性差异(P0.01),治疗后组间比较有显著性差异(P0.05)。查血所示各项值两组均有改善,治疗组与对照组组间比较LH、FSH、E2、T、CRP、LH/FSH治疗组改善明显,组间比较有显著性差异(P0.05)。结论:补肾活血法配合耳穴贴压对于肾虚血瘀型多囊卵巢综合征导致的月经后期有良好的治疗效果,可明显改善患者的中医临床症状和体征,整体上改善机体的内分泌紊乱,调节内分泌环境,调节月经、促进排卵,是临床治疗的有效方法。
[Abstract]:Objective: To observe the clinical effect of tonifying kidney and activating blood circulation and auricular point sticking therapy on the menstrual period caused by kidney deficiency and blood stasis type PCOS, and to explore its mechanism of improving menstruation and ovulation. Methods: 60 patients who met the inclusion criteria were divided into the control group and the treatment group. The treatment group (30 cases) was given Bushen Huoxue traditional Chinese medicine plus auricular point sticking therapy, while the control group was given safflower Ruyi pills and compound Xuan Ju capsules. After a period of treatment, the changes of TCM syndromes before and after treatment were observed and analyzed. The changes of serum LH (luteinizing hormone), FSH (follicle stimulating hormone), E2 (estradiol), T (Gao Tong) and CRP (C reactive protein) and the ratio of LH/FSH were observed. Results: the effective rate of the integrated therapeutic group was 80%, which was higher than that of the control group (63.3%), and there was a significant difference (P0.05). The total effective rate of TCM syndrome treatment group was 83.3%, which was higher than that of the control group (70%), and there was significant difference (P0.05). After treatment, the scores of TCM syndromes in the two groups were significantly lower than those in the group (P0.01), and there was a significant difference between the groups after treatment (P0.05). The test shows the value of the two groups were improved, the treatment group and the control groups LH, FSH, E2, T, CRP, LH/FSH of the treatment group improved significantly, there were significant difference between two groups (P0.05). Conclusion: Bushen Huoxue combined with auricular plaster for polycystic ovarian syndrome caused by menstruation has a good therapeutic effect, can significantly improve the patient's clinical symptoms and signs, improve endocrine disorder overall, regulating endocrine environment, regulating menstruation, promoting ovulation, is an effective method for clinical treatment.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.9

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