调经止血汤加减治疗气虚型月经过多的临床观察

发布时间：2018-03-05 00:35

本文选题：调经止血汤　切入点：白柏胶囊　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察调经止血汤加减及白柏胶囊治疗气虚型月经过多的临床疗效及疗效差异性。方法:入组患者选择2014年6月至2015年9月于长春中医大学附属医院妇科门诊就诊的患者,从中选择符合纳入标准的70名患者,随机分入治疗组和对照组,每组各35人,治疗组给予口服调经止血汤加减治疗,对照组给予口服白柏胶囊治疗。均于月经第一天始服,每个月经周期连服7日,共观察3个月经周期。服用临床观察药物期间不可同时服用其他有止血作用或可能影响凝血功能的药物,密切观察每位患者治疗过程中的经量变化,比较治疗前后症状积分的变化,并将治疗组和对照组的临床疗效进行分析评价。结果:治疗组35例患者中痊愈6人,显效16人,有效11人,无效2人,痊愈率17.14%,显效率45.71%,有效率31.42%,无效率5.71%,总有效率为94.3%,治疗效果显著。比较治疗前后症状积分,具有统计学意义(P0.05)。对照组35例患者中痊愈3人,显效10人,有效15人,无效7人,痊愈率8.57%,显效率28.57%,有效率42.86%,无效率20.00%,总有效率为80.0%,治疗效果显著。比较治疗前后症状积分,具有统计学意义(P0.05)。将治疗组与对照组的临床疗效进行对比的结果为:治疗组的疗效优于对照组。结论:通过对70例气虚型月经过多患者的观察,得出结论:调经止血汤和白柏胶囊均能有效减少月经量(MBL),止血疗效可靠。但调经止血汤疗效明显优于白柏胶囊,值得进一步研究和推广。
[Abstract]:Objective: to observe the clinical curative effect and curative effect difference of Tiaojing Zhixue decoction and Baibai capsule in treating menorrhagia of qi deficiency type. Methods: the patients in the group were selected from June 2014 to September 2015 in the department of gynecology clinic of the affiliated hospital of Changchun University of traditional Chinese Medicine. 70 patients who met the inclusion criteria were randomly divided into the treatment group and the control group, 35 in each group. The treatment group was treated with oral Tiaojing Zhixue decoction, and the control group was treated with Baibai capsule. All of them were taken on the first day of menstruation. Take each menstrual cycle continuously on 7th, observe a total of 3 menstrual cycles. While taking the clinical observation medicine, do not take other drugs that have the function of hemostasis or may affect the coagulation function at the same time, closely observe each patient's menstrual volume change during the course of treatment, The changes of symptom score before and after treatment were compared, and the clinical efficacy of the treatment group and the control group were analyzed and evaluated. Results: in the treatment group, 6 patients were cured, 16 patients were significantly effective, 11 patients were effective, and 2 patients were ineffective. The cure rate was 17.14, the markedly effective rate was 45.71, the effective rate was 31.42, the total effective rate was 5.71, the total effective rate was 94.33.Compared with the symptom score before and after treatment, it had statistical significance (P 0.05). In the control group, 3 patients were cured, 10 patients were significantly effective, 15 patients were effective, and 7 patients were ineffective. The cure rate was 8.57, the effective rate was 28.57, the effective rate was 42.86, the inefficiency was 20.00, the total effective rate was 80.0, the therapeutic effect was remarkable. The results of comparison between the treatment group and the control group are as follows: the curative effect of the treatment group is better than that of the control group. Conclusion: both Tiaojing Zhixue decoction and Baibai capsule can effectively reduce the menstrual volume of MBL, but the curative effect of Tiaojing Zhixue decoction is obviously better than that of Baibai capsule, which is worthy of further study and popularization.
【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】：2016
【分类号】：R271.11

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