夏桂成“7数律”指导下的“调周新法”治疗青春期PCOS的疗效研究

发布时间：2017-12-30 19:20

本文关键词：夏桂成“7数律”指导下的“调周新法”治疗青春期PCOS的疗效研究　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:研究夏桂成"7数律"指导下的"调周新法"治疗青春期PCOS的临床疗效,寻求方便患者的创新型中医临床服务模式。方法:选取肾虚型青春期PCOS患者60例,随机分为2组,试验组29例予"7数律"指导下的"调周新法"治疗,对照组31例予传统的调周法治疗,以3个月为一个疗程,最多者治疗3个疗程。观察每个疗程前、后两组患者的一般情况、月经周期、基础体温、性激素水平、胰岛素抵抗相关指标、妇科B超等的变化情况,评价调周新法的疗效。统计总疗程中两组患者来院就诊次数,评价调周新法的优势之处。观察数据用SPSS21.0统计分析软件处理,计量数据用平均数±方差(X±S),进行t检验,计数资料用卡方检验等分析。结果:调周新法能够缩短肾虚型青春期PCOS患者的月经周期,有效恢复双相体温,降低血中睾酮、促黄体生成素、空腹胰岛素,改善痤疮、多毛症状,改善卵巢形态,综合疗效显著。与传统调周法疗效比较,虽无显著差异,但能减少患者就诊次数,减少就医成本。结论:调周新法能有效改善青春期PCOS患者的月经周期,改善患者内分泌紊乱的状态,综合疗效显著,不差于传统调周法,无明显副作用,同时减少患者就医成本,减轻医疗负担,提高患者依从性,是一种方便患者的创新型中医临床服务模式。
[Abstract]:Objective: To study the clinical effect of Xia Guicheng's "7 laws" under the guidance of "Tiaozhou new" treatment of adolescent PCOS, innovative service model for convenient TCM clinical patients. Methods: 60 cases of patients with kidney deficiency in adolescent PCOS, were randomly divided into 2 groups, experimental group 29 cases were treated with "7 law" under the guidance of "the week" treatment, to control the traditional Tiaozhou therapy group of 31 cases, with 3 months as a course of treatment, up to 3 course of treatment. Observe before each treatment, in general, two groups of patients after the menstrual cycle, basal body temperature, hormone level and insulin resistance index change, gynecological B the curative effect evaluation of Tiaozhou law. The total course in statistics of two groups of patients to the hospital, the number of evaluation Tiaozhou advantages. The observation data processing software with SPSS21.0 statistical analysis, average variance measurement data (X + S), t test, count data using chi Square Test analysis. Results: the week can shorten the patients with kidney deficiency in adolescent PCOS menstrual cycle, effectively restore the dual phase temperature, lower blood testosterone, luteinizing hormone, fasting insulin, improve acne, hirsutism symptoms, improve the ovarian morphology, comprehensive curative effect. Compared with the traditional effects of Tiaozhou, although there is no significant difference. But can reduce patient visits, reduce the medical cost. Conclusion: Tiaozhou method can effectively improve the menstrual cycle in adolescent PCOS patients, improve endocrine disorders, comprehensive curative effect, no difference from the traditional Tiaozhou method, no significant side effects, while reducing the cost of medical treatment of patients, reduce the medical burden, improve patient compliance that is the innovative Chinese medicine clinical service mode convenient for patients.

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

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