补阳益气止崩汤治疗脾肾阳虚型崩漏的临床观察

发布时间：2018-03-22 07:34

本文选题：韩氏验方　切入点：补阳益气止崩汤　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨韩氏验方"补阳益气止崩汤"加减治疗脾肾阳虚型崩漏的作用机理,进行临床分析求证,明确补阳益气止崩汤对脾肾阳虚型崩漏的止血效果,证实其有效性,推广于临床,解除崩漏患者之病痛,发扬韩氏验方,使其有效和广泛的应用于临床。方法:通过纳入和排除标准,收集2015年6月--2016年12月黑龙江中医药大学附属第一医院妇科门诊的脾肾阳虚型崩漏患者33例,脱落3例,应用补阳益气止崩汤加减治疗3个月,通过自身前后对照,观察患者的止血情况、临床症状治疗前治疗后的改善情况、性腺激素(E2、P)指标治疗前后的改变,运用统计学软件SPSS17.0对数据进行统计分析。结果:临床疗效与患者年龄的关系:P0.05,提示患者的年龄与临床疗效之间没有显著差异,无统计学意义,说明补阳益气止崩汤对不同年龄段脾肾阳虚型崩漏均有良好的疗效。主要症状、次要症状前后症状积分评分结果P0.05,提示有统计学意义,证明补阳益气止崩汤对对临床症状的改善有显著作用。治疗后E2值和P值均有明显的升高,说明补阳益气止崩汤对脾肾阳虚型崩漏患者卵泡发育及排卵功能有明显的改善和恢复作用。根据治疗前后临床总疗效评价,30例患者中治愈8例,显效13例,有效5例,临床总有效率是86.7%。结论:临床研究结果证实,补阳益气止崩汤治疗脾肾阳虚型崩漏临床效果显著,止血效果显著,止血所用时间短,且临床症状改善明显,能够通过改善患者的血清雌二醇和孕酮值发挥其作用机理,且无毒副作用。
[Abstract]:Objective: to explore the effect mechanism of Han's prescription "Buyang Yiqi Zhibong decoction" in treating the type of spleen and kidney yang deficiency, to make clinical analysis and proof, to make clear the hemostatic effect of Buyang Yiqi Zhibong decoction on spleen and kidney yang deficiency type collapse, and to confirm its effectiveness. Popularize in the clinic, relieve the pain of the patients with insipidus, carry forward the Han's prescription to make it effective and widely used in the clinic. Methods: by including and excluding the standard, From June 2015 to December 2016, 33 patients with spleen and kidney yang deficiency type were collected from gynecological outpatient department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The hemostasis, the improvement of clinical symptoms before and after treatment, the changes of gonadal hormone E2P before and after treatment were observed. The statistical software SPSS17.0 was used to analyze the data. Results: the relationship between clinical effect and patient's age was: P0.05, indicating that there was no significant difference between age and clinical effect, and there was no statistical significance. The results showed that Buyang Yiqi Zhibong decoction had a good curative effect on the type of spleen and kidney yang deficiency in different age groups (P 0.05), which indicated that the score of symptom score before and after the main symptoms and secondary symptoms (P0.05) indicated that there was statistical significance. It was proved that Buyang Yiqi Zhibong decoction had a significant effect on the improvement of clinical symptoms, the E _ 2 value and P value were significantly increased after treatment. The results showed that Buyang Yiqi Zhibong decoction could obviously improve and restore follicle development and ovulation function in patients with spleen and kidney yang deficiency. According to the total clinical curative effect before and after treatment, 8 cases were cured, 13 cases were effective, 5 cases were effective. Conclusion: the clinical study shows that the clinical effect of Buyang Yiqi Zhibong decoction is remarkable, the hemostatic effect is remarkable, the time of hemostasis is short, and the clinical symptoms are improved obviously. It can improve the serum estradiol and progesterone levels in patients with 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】：R271.12

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