自拟妇安汤中药熏洗治疗外阴营养不良（肝郁脾虚证）的临床观察

发布时间：2018-04-20 14:36

本文选题：外阴营养不良 + 病因病机分析　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:观察自拟妇安汤中药熏洗治疗肝郁脾虚证外阴营养不良的临床疗效。阐述本病的病因病机以及发病机理,为中医外治法治疗外阴营养不良提供科学的依据。方法:本研究在规定时间(2014年12月至2015年12月)选取72例外阴营养不良(肝郁脾虚证)的患者,皆就诊于长春中医药大学附属医院妇科门诊。并随机将此72例患者分为治疗组36例和对照组36例进行规范化临床观察。治疗组用自拟妇安汤每日1剂加水2000ml左右,煎煮至水沸后20分钟,用无菌纱布过滤后将药汤倒入浴盆,趁热熏洗阴部,待温度适中后浸洗患处,每次15~30分钟。对照组36例采用天津药业集团有限公司,国药准字H12020638,醋酸曲安奈德软膏,外阴涂擦用药。两组均于月经净三天后用药,早晚各一次,15天为1疗程,连续用药3个疗程停药观察疗效,并随访3个月。观察治疗组和对照组的患者的症状和体征的变化并运用统计学方法判断其临床疗效,对各项参数指标的变化和疗效的相关性进行统计学分析。结果:治疗组:痊愈10例,痊愈率36.1%;显效12例,显效率33.3%;有效11例,有效率33.3%;无效1例,无效率2.8%,总有效率达97.2%。对照组:痊愈3例,痊愈率8.3%;显效10例,显效率27.8%;有效13例,有效率36.1%;无效10例,无效率27.8%,总有效率达72.2%,两组总疗程比较,差异有显著意义(P0.05),说明治疗组治疗外阴营养不良疗效明显优于对照组。结论:采用中药熏洗治疗外阴营养不良的方法绿色有效、安全可靠。实验证明,治疗组治疗外阴营养不良(肝郁脾虚证)的效果要明显优于对照组。
[Abstract]:Objective: to observe the clinical effect of fumigation and washing of Fuan decoction on vulvar dystrophy due to liver stagnation and spleen deficiency. The etiology, pathogenesis and pathogenesis of this disease are expounded, which provides a scientific basis for the treatment of vulvar dystrophy by external treatment of traditional Chinese medicine. Methods: from December 2014 to December 2015, 72 patients with yin malnutrition (liver stagnation and spleen deficiency syndrome) were enrolled in the gynecological clinic of Changchun University of traditional Chinese Medicine (Changchun University of traditional Chinese Medicine). The 72 patients were randomly divided into treatment group (36 cases) and control group (36 cases) for standardized clinical observation. In the treatment group, 1 dose of Fuan decoction was added with 2000ml or so daily, boiled until boiling for 20 minutes, filtered with sterile gauze, then poured into the bath tub, fumigated and washed the pubic part while hot, soaking the affected place at moderate temperature, 1530 minutes each time. 36 cases of control group were treated with Tianjin Pharmaceutical Group Co., Ltd., H12020638, triamcinolone acetonide acetate ointment, vulva smear. The two groups were treated after 3 days of menstruation, 15 days a day in the morning and evening for a course of treatment. The curative effect was observed after 3 consecutive courses of treatment and followed up for 3 months. The changes of symptoms and signs of the patients in the treatment group and the control group were observed and the clinical efficacy was evaluated by statistical method. The change of the parameters and the correlation of the curative effect were analyzed statistically. Results: in the treatment group, 10 cases were cured, the cure rate was 36.1%, 12 cases were markedly effective, the effective rate was 33.3%, 11 cases were effective, the effective rate was 33.3%; one case was ineffective, the ineffective rate was 2.8%, and the total effective rate was 97.2%. In the control group, 3 cases were cured, the cure rate was 8.3%; the remarkable effect was 10 cases, the effective rate was 27.881; the effective rate was 13 cases, the effective rate was 36.1%; the ineffective 10 cases, the inefficiency was 27.828%, the total effective rate was 72.2%; the total effective rate was 72.2%; the total effective rate was 72.2%, and the total effective rate was 72.2%. The difference was significant (P 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. Conclusion: the traditional Chinese medicine fumigation is effective, safe and reliable in the treatment of vulvar dystrophy. Experimental results show that the treatment group is superior to the control group in the treatment of vulvar dystrophy (liver stagnation and spleen deficiency syndrome).
【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】：R271.9

【相似文献】