自拟益气宁血汤治疗子宫腺肌病所致月经过多（气虚血瘀证）的临床观察

发布时间：2018-05-01 18:20

本文选题：益气宁血汤 + 子宫腺肌病　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:观察自拟益气宁血汤治疗子宫腺肌病所致月经过多(气虚血瘀证)的临床疗效,评价该方的有效性和安全性,为临床治疗此类病证提供一种新的理论基础和临床依据。方法:筛选出临床符合本病证标准患者72例,采用随机双盲法对照试验,分为治疗组和对照组。治疗组:服用自拟益气宁血汤治疗,于经期第4天开始服药,水煎,取汁300ml,每日一剂,早晚温服,连服7天。对照组:服用八珍颗粒,于经期第4天开始服药,每袋3.5g,每次1袋,开水冲服,每日2次,连服7天。以上两组患者服用中药期间均不加服其它药物,连续服药3个疗程(三个月经周期)后停药,观察患者服药前后症状改善情况,并随访1个月,观察病情有无减轻、复发或加重,行疗效评定。结果:治疗组与对照组各36例患者,经过治疗后,自拟益气宁血汤治疗组:痊愈10例,显效12例,有效11例,总有效率91.67%;八珍颗粒对照组:痊愈4例,显效7例,有效12例,总有效率63.89%,两组间总有效率的对比有显著差异性(P0.05),即在疗效上治疗组明显优于对照组。结论:本课题通过临床观察对比分析,自拟益气宁血汤治疗子宫腺肌病所致月经过多(气虚血瘀证)临床疗效显著,明显优于对照组八珍颗粒,且未见明显不良反应,故可在临床治疗此病上作进一步推广应用。
[Abstract]:Objective: to observe the clinical efficacy of Yiqi Ningxue decoction (YQNXD) in treating menorrhagia (qi deficiency and blood stasis syndrome) caused by uterine adenomyosis, and to evaluate the efficacy and safety of the prescription, and to provide a new theoretical basis and clinical basis for clinical treatment of this kind of disease. Methods: a total of 72 patients were selected and divided into treatment group and control group. Treatment group: take self-made Yiqi Ningxue decoction, on the 4th day of menstrual period, start taking medicine, decoction, juice 300 ml, one dose daily, morning and evening warm, take for 7 days. Control group: Bazhen granules were taken on the 4th day of menstrual period, 3. 5 g per bag, 1 bag per bag, boiled water, 2 times a day for 7 days. During the period of taking traditional Chinese medicine, the patients in the above two groups did not take other drugs and stopped taking medicine for three consecutive courses (three menstrual cycles). The symptoms of the patients before and after taking the medicine were observed, and the patients were followed up for 1 month to see if the condition had been alleviated. Recurrence or aggravation were evaluated. Results: after treatment, 10 cases were cured, 12 cases were effective, 11 cases were effective and the total effective rate was 91.67% in the treatment group and the control group: 4 cases were cured, 7 cases were effective, 12 cases were effective. The total effective rate was 63.89. There was significant difference in the total effective rate between the two groups (P 0.05), that is, the curative effect of the treatment group was obviously better than that of the control group. Conclusion: the clinical effect of Yiqi Ningxue decoction in treating menstruation caused by uterine adenomyosis (Qi deficiency and blood stasis syndrome) was significantly better than that of Bazhen granule in the control group, and there was no obvious adverse reaction. Therefore, it can be further popularized and applied in clinical treatment of this disease.
【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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