固本止崩汤结合耳穴治疗青春期脾虚型崩漏的临床疗效观察

发布时间：2018-06-11 18:12

本文选题：青春期崩漏 + 脾虚　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：通过观察固本止崩汤加味结合耳穴对青春期脾虚型崩漏的临床疗效,并与固本止崩汤加味的治疗相比较。探析提高青春期崩漏疗效的途径和方法,为青春期崩漏患者提供有效、方便、安全的治疗方法。方法：选取2014年9月至2015年12月到常州市中医院妇科门诊就诊,诊断标准符合脾虚型青春期崩漏的50例患者,予随机分为两组,对照组和治疗组各25人,其中治疗组予固本止崩汤加味结合耳穴贴压治疗,对照组予固本止崩汤加味治疗,共治疗3个疗程。观察并记录两组患者治疗前后症候的变化及血红蛋白(HB)、凝血酶原时间(PT)、活化部分凝血酶时间(APTT)的改变。结果：1、组内比较,两组患者经治疗症状均有改善(P0.05),但治疗组在改善出血量、经色经质、便溏的症状上效果显著(P0.01)。组间比较,在改善出血量、经色经质、神疲乏力、纳呆、便溏及面色恍白的症状上有差异(P0.05),在四肢不温症状的改善上有显著的差异(P0.01)。2、治疗后,治疗组的总有效率为88%,对照组的总有效率为80%,无统计学的差异(P0.05),两组疗效相当。3、组内比较,经治疗,两组患者治疗后血红蛋白(HB)均升高,凝血酶原时间(PT)、活化部分凝血酶时间(APTT)均降低,组间相比,无统计学意义(P0.05)。4、两组在起效时间上相比较有差异(P0.05),说明治疗组起效比较快。结论：两组治疗后,临床症候均有改善,但在改善症候、起效时间上固本止崩汤加味结合耳穴效果更突出。
[Abstract]:Objective: to observe the clinical effect of Guben Zhibong decoction combined with auricular acupoint in treating puberty spleen deficiency type insipidus and compare it with Guben Zhibong decoction. To explore the ways and methods to improve the curative effect of adolescent insipidus and to provide effective, convenient and safe treatment for adolescent patients. Methods: from September 2014 to December 2015, 50 patients who were admitted to the gynecological clinic of Changzhou traditional Chinese Medicine Hospital and diagnosed according to the criteria of spleen deficiency were randomly divided into two groups: control group and treatment group. The treatment group was treated with Guben Zhibong decoction combined with auricular point pressing, while the control group was treated with Guben Zhibong decoction for 3 courses of treatment. To observe and record the changes of symptoms before and after treatment as well as the changes of hemoglobin, prothrombin time (PTT), activated partial thrombin time (APTT). Results compared with the control group, the symptoms of the two groups were improved (P 0.05), but the effect of the treatment group in improving the amount of bleeding, the color and the quality of stool was better than that in the control group (P 0.01). Compared between the groups, there were significant differences in the improvement of bleeding volume, color and quality, fatigue, stupidity, loose stools and white complexion (P0.05N), and significant differences in the improvement of the symptoms of hyperthermia in the limbs (P0.01J. 2). After treatment, there was a significant difference between the two groups in the improvement of the symptoms of hyperthermia. The total effective rate was 88g in the treatment group and 80 in the control group. There was no significant difference between the two groups (P 0.05). The prothrombin time (PTT) and activated partial thrombin time (APTT) decreased, but there was no significant difference between the two groups in the onset time (P 0.05). Conclusion: after treatment, the clinical symptoms of both groups were improved, but in improving symptoms and effective time, the effect of Gubenzhuangtang combined with auricular acupoint was more prominent.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.12

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