过期饮加减治疗月经后期（气滞血瘀证）的临床观察

发布时间：2018-03-29 03:24

本文选题：月经后期　切入点：气滞血瘀型　出处：《长春中医药大学》2016年硕士论文

【摘要】：目的:本课题对治疗组过期饮与对照组经前舒颗粒治疗气滞血瘀型月经后期各36例的临床疗效进行观察,对过期饮治疗气滞血瘀型月经后期的机制及效果进行评价,为月经后期的中医药治疗提供新的临床经验。方法:本课题拟观察病例60例,防止病例脱落,增加观察病例20%,所以共观察病例72例,治疗组为36例,对照组为36例,两组病例患者均为2015年1月至2016年1月至长春中医药大学附属医院妇科门诊或疗区就诊的患者并符合月经后期诊断和纳入标准的患者。治疗组给予过期饮免煎颗粒加减口服治疗,对照组给予经前舒颗粒口服治疗。两组均于月经干净后开始服药,每付药日一付分2次口服,温开水冲服300ml,连续服用28天停药,待月经干净后继续服用,连服3个月经周期,服用临床观察药物的同时禁止服用其他药物。将两组患者治疗前后主症及次症计分比较,评价其临床疗效。结果:经统计学分析,两组病例患者的年龄构成及分布、病程及治疗前症状体症等方面均无显著差异,即无统计学意义,故具有可比性。治疗组为运用过期饮加减口服治疗的36例患者,其中痊愈14例,显效12例,有效8例,无效2例,总有效率达94.5%。对照组为应用经前舒颗粒口服治疗的36例患者,其中痊愈8例,显效8例,有效16例,无效4例,总有效率为88.9%。经相关统计检验、分析,两组患者治疗前后各项症状积分比较,均有统计学意义(P0.05)。将两组患者疗效进行比较,治疗组疗效明显优于对照组。结论:本课题通过对72例气滞血瘀型月经后期患者的临床观察,能够得出结论,过期饮与经前舒颗粒都能够较好的治疗气滞血瘀型月经后期,并能显著改善伴随症状。但过期饮的治疗效果明显优于经前舒颗粒,过期饮无不良反应,可作为临床上对气滞血瘀型月经后期治疗的有效方剂,具有进一步研究及临床推广运用的价值。
[Abstract]:Objective: to observe the clinical effect of the treatment group and the control group on the late menstrual period of qi stagnation and blood stasis type, and to evaluate the mechanism and effect of the expired drink in treating the late menstrual period of qi stagnation and blood stasis type. To provide new clinical experience for the treatment of late menstrual period with traditional Chinese medicine. Methods: 60 cases were observed, 60 cases were prevented from falling off, and 20 cases were observed. So 72 cases were observed, 36 cases in treatment group and 36 cases in control group. The two groups of patients were from January 2015 to January 2016 to the department of gynecology clinic or treatment area of Changchun University of traditional Chinese Medicine, and met the criteria of late menstrual diagnosis and inclusion. The treatment group was given expired drink without decoction. Granulocyte plus or minus oral therapy, The control group was given oral treatment of Jingqianshu granule. The two groups began to take medicine after menstruation was clean. Each drug was given orally twice a day, warm boiled water was taken by 300ml, stopped taking medicine for 28 days, after menstruation was clean, they continued to take it for 3 menstrual cycles. The clinical efficacy was evaluated by comparing the scores of major symptoms and secondary symptoms before and after treatment. Results: by statistical analysis, the age composition and distribution of patients in the two groups were analyzed. There was no significant difference in the course of disease and symptom body disease before treatment, that is, there was no statistical significance, so it was comparable. In the treatment group, there were 14 cases of recovery, 12 cases of remarkable effect and 8 cases of effective effect. The control group consisted of 36 patients who were treated with Qianshu granules orally, among which 8 cases were cured, 8 cases were effective, 16 cases were effective, 4 cases were ineffective. The total effective rate was 88.9g. The scores of symptoms before and after treatment in the two groups were statistically significant (P 0.05). The curative effects of the two groups were compared. Conclusion: through the clinical observation of 72 cases of late menstrual period of qi stagnation and blood stasis type, we can draw the conclusion that both expired drink and Jingqian Shu granule can better treat the late menstrual period of qi stagnation and blood stasis type. But the therapeutic effect of expired drink is better than Jingqianshu granule, and there is no adverse effect of expired drink. It can be used as an effective prescription for the treatment of late menstrual period of qi stagnation and blood stasis type, and can be used as an effective prescription for the treatment of late menstrual period of qi stagnation and blood stasis type. It has the value of further research and clinical application.
【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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