益肾疏肝方治疗肾虚血瘀型卵巢巧克力囊肿的临床观察

发布时间：2018-04-30 21:15

本文选题：卵巢巧克力囊肿 + 肾虚血瘀型　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：观察益肾疏肝方治疗。肾虚血瘀型卵巢巧克力样囊肿的临床疗效,并初步探讨其作用机理,为其临床应用提供科学依据。方法：将2014年03月至2015年6月于黑龙江中医药大学附属第一医院妇科门诊收集的符合中医肾虚血瘀型诊断标准的32例肾虚血瘀型卵巢巧克力样囊肿患者,给予口服益肾疏肝方治疗3个月。观察记录患者治疗前后卵巢囊肿最大径线、血清CA125水平、临床症状、体征改善情况,治疗结束3个月后予以复查。结果：通过口服益肾疏肝方治疗的30例患者,痊愈1例,显效8例,有效9例,无效12例,总有效率为60%；中医症候改善情况：明显改善9例,部分改善9例,无改善12例,总改善率60%。患者治疗后下腹包块、痛经、性交痛、痛引腰骶、月经异常、头晕耳鸣、腰膝酸软、性欲减退等中医症候分别明显好转,P(0.01,具有明显统计学意义；患者治疗后临床症状、血清CA125水平、卵巢囊肿最大径线均较治疗前明显降低,差异具有统计学意义(P(0.05)。结论：1益肾疏肝方能明显改善肾虚血瘀型卵巢巧克力囊肿患者的临床症状。2益肾疏肝方能缩减肾虚血瘀型卵巢巧克力囊肿患者巧囊包块。3益肾疏肝方能降低肾虚血瘀型卵巢巧克力囊肿患者的血清CA125水平。
[Abstract]:Objective: to observe the treatment of Yishen Shugan recipe. The clinical effect and mechanism of chocolate cyst of ovary with kidney deficiency and blood stasis were discussed, which provided scientific basis for its clinical application. Methods: from March 2014 to June 2015, 32 cases of ovarian chocolate cysts of kidney deficiency and blood stasis type were collected from gynecological outpatient clinic of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The treatment was given orally for 3 months. The maximum diameter, serum CA125 level, clinical symptoms and signs of ovarian cyst before and after treatment were observed and recorded. Results: among the 30 patients treated with Yishen Shugan decoction, 1 case was cured, 8 cases were effective, 9 cases were effective, 12 cases were ineffective, the total effective rate was 60%, the improvement of TCM symptoms was obvious in 9 cases, partial improvement in 9 cases, no improvement in 12 cases. The total improvement rate is 60%. After treatment, TCM symptoms such as lower abdominal mass, dysmenorrhea, pain induced by lumbosacral pain, abnormal menstruation, dizziness and tinnitus, sore waist and knee, decreased sexual desire and other TCM symptoms were significantly improved. The level of serum CA125 and the maximum diameter of ovarian cyst were significantly lower than those before treatment, and the difference was statistically significant. Conclusion the clinical symptoms of Chocolate cyst of ovary caused by kidney deficiency and blood stasis can be obviously improved by using the decoction of supplementing kidney and dispersing liver. 2. 2. 2. The prescription of tonifying kidney and dispersing liver can reduce the size of capsule in patients with chocolate cyst of ovary with deficiency of kidney and blood stasis. 3. 3. Tonifying kidney and soothing liver can reduce deficiency of kidney Serum CA125 levels in patients with ovarian chocolate cyst with blood stasis.
【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】：2016
【分类号】：R271.9

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