埋线联合右归丸治疗肾虚型卵巢功能减退的临床观察

发布时间：2018-07-08 13:01

本文选题：埋线联合右归丸 + 肾虚型　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的和意义：通过观察埋线联合右归丸治疗肾虚型卵巢功能减退,以评估其临床疗效及月经情况、中医症状积分及卵泡刺激素(FSH)水平的影响,并研究其疗效相关性。方法：本研究共纳入60例卵巢功能减退患者,按简单随机化方法随机分为埋线联合右归丸组和埋线组,每组30例,所有患者均来自南京市中医院针灸科及妇科2015年02月至2016年02月门诊患者,通过埋线联合右归丸干预治疗,治疗3个月后,观察患者疾病疗效、治疗前后月经变化、中医症状积分变化及治疗前后FSH水平的变化。结果：1埋线联合右归丸组均可以改善患者的临床症状,总显效率为53.57%,总有效率为92.86%,埋线组临床总显效率为21.43%,总有效率为85.71%,埋线联合右归丸组总显效率及总有效率均高于埋线组。2两组经治疗后均可以改善患者的月经情况,埋线联合右归丸组总显效率为57.14%,总有效率为92.86%,埋线组总显效率为25%,总有效率为78.57%;埋线联合右归丸组总显效率及总有效率均高于埋线组。3两组治疗后中医症状积分均较治疗前下降,治疗前后比较差异具有显著性(P0.05),两组治疗后比较差异具有显著性(P0.05),埋线联合右归丸组改善患者中医症状积分优于埋线组。4两组治疗均可以降低FSH水平,两组治疗前后比较差异具有显著性(P0.05),两组治疗后比较,差异不具有显著性(P0.05)。两组治疗均可以调节内分泌水平,改善卵巢功能。结论和意义：埋线联合右归丸治疗DOR可以改善患者的临床症状,且埋线联合右归丸组优于埋线组,可以调理患者月经情况,降低FSH水平。疗效确切,是临床上一种便于广泛推广应用治疗卵巢功能减退的安全、有效的方法。
[Abstract]:Objective and significance: to observe the effect of thread embedding combined with Yougui pill on ovarian dysfunction of kidney deficiency type, to evaluate its clinical efficacy and menstrual status, to evaluate the effects of TCM symptom score and follicle stimulating hormone (FSH) level, and to study the correlation of its curative effect. Methods: a total of 60 patients with ovarian dysfunction were randomly divided into two groups (30 cases in each group). All the patients were from the Department of Acupuncture and moxibustion of Nanjing traditional Chinese Medicine Hospital and the outpatient department of gynecology from February 2015 to February 2016. After 3 months of treatment, the patients were observed the curative effect of the disease and the menstrual changes before and after treatment. Changes of TCM symptom score and FSH level before and after treatment. Results the clinical symptoms of the patients were improved in both the group treated with 1: 1 and combined with Yougui pills. The total effective rate was 53.57, the total effective rate was 92.86, the total effective rate of the embedding group was 21.43 and the total effective rate was 85.71. The total effective rate and the total effective rate of the embedding combined with Yougui Pill group were higher than those of the latter two groups. The total effective rate was 57.14, the total effective rate was 92.86, the total effective rate was 25 and the total effective rate was 78.57.The total effective rate and the total effective rate of the group were higher than those of the group of embedding thread and the total effective rate after the treatment of the two groups. 3. The total effective rate and the total effective rate of the group were higher than those of the group of 3 after the treatment of the embedding thread, and the total effective rate of the group was 78.57. All of them were lower than before treatment. The difference before and after treatment was significant (P0.05), the difference between the two groups after treatment was significant (P0.05). The improvement of TCM symptom score in the group of embedding thread with Yougui pills was better than that in the group of embedding thread (P 0.05), and the level of FSH was decreased in both groups. There were significant differences between the two groups before and after treatment (P0.05), the two groups after treatment, the difference was not significant (P0.05). Both groups can regulate endocrine level and improve ovarian function. Conclusion: the treatment of DOR with catgut embedding combined with right Gui Pill can improve the clinical symptoms of the patients, and the treatment group is superior to the embedding group, which can regulate the menstrual status of the patients and reduce the level of FSH. It is a safe and effective method for the treatment of ovarian dysfunction.
【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】：R271.9

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