调经止崩汤治疗肾阴虚型青春期功能失调性子宫出血的临床观察

发布时间：2018-04-06 01:34

本文选题：肾阴虚型青春期功血　切入点：调经止崩汤　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过观察调经止崩汤治疗肾阴虚型青春期功能失调性子宫出血的临床疗效观察,探讨其作用机理,为治疗本病提供一种安全有效的止血调经之方剂。方法:选择符合标准的肾阴虚型青春期功能失调性子宫出血病例60例,治疗组和对照组各30例,治疗组口服调经止崩汤,对照组口服妇科养血颗粒,治疗三个月后,观察治疗前后中医证候的改善、调整月经的疗效及阴道止血时间和血红蛋白的变化,并随访一年内功血复发情况。结果:调经止崩汤对肾阴虚型青春期功能失调性子宫出血患者疗效显著,总有效率为96.7%,对照组总有效率为76.7%。两组治疗前后的中医证候改善情况、调经效果、近期止血效果及血红蛋白改善情况,治疗组皆优于对照组,二者相比较均具有显著差异(P＜0.05);患者一年内功血的复发方面,治疗组好于对照组。结论:调经止崩汤对肾阴虚型青春期功能失调性子宫出血患者有良好的临床疗效,有显著的止血调经效果,同时能够明显改善肾阴虚型青春期功能失调性子宫出血患者的中医证候及贫血状况。
[Abstract]:Objective: to observe the clinical curative effect of Tiaojing Zhibong decoction (TJZD) in treating pubertal dysfunctional uterine hemorrhage of kidney-yin deficiency type, and to explore its mechanism, and to provide a safe and effective prescription for hemostasis and menstruation.Methods: sixty cases of pubertal dysfunctional uterine hemorrhage of kidney yin deficiency type, 30 cases in treatment group and 30 cases in control group, were selected. The treatment group was treated with Tiaojing Zhibong decoction and the control group was treated with gynecological nourishing blood granule for three months.To observe the improvement of TCM syndromes before and after treatment, to adjust the curative effect of menstruation, to change the time of vaginal hemostasis and hemoglobin, and to follow up for one year.Results: the total effective rate of Tiaojing Zhibong decoction was 96.70.The total effective rate was 76.775 in the control group.The improvement of TCM syndromes, the effect of regulating menstruation, the recent hemostatic effect and the improvement of hemoglobin in the two groups were better than those in the control group (P < 0.05).The treatment group was better than the control group.Conclusion: Tiaojing Zhibong decoction has a good clinical effect on the pubertal dysfunctional uterine hemorrhage of kidney yin deficiency type, and has a remarkable effect on hemostasis and menstrual regulation.At the same time, it can obviously improve the syndrome of TCM and anemia in pubertal dysfunctional uterine hemorrhage of kidney yin deficiency type.
【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】：R271.9

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