固冲汤加减治疗月经过多（脾气虚证）出血期的临床观察

发布时间：2019-05-15 23:52

【摘要】：目的:本课题采用固冲汤加减治疗脾气虚型有排卵的月经过多,以观察其临床疗效。并对此法进行疗效评价,为本法在临床应用及推广提供理论依据。研究方法:本课题收集自2015年3月-2017年3月于黑龙江中医药大学附属第二医院妇科门诊就诊的患者。选择符合纳入标准的排卵型月经过多(脾气虚证)的患者共64例,按就诊先后顺序随机分成二组,即治疗组32例,对照组32例。治疗组给予中药固冲汤加减治疗;对照组采用目前临床应用的宫血停治疗。观察治疗前后月经出血量的变化、中医证候改善情况及停药后3个月随访情况,综合评价两种治疗方法的疗效。结果:1.两组患者疗后的中医证候积分较疗前均有极显著性差异(P0.01);两组疗后对比有极显著性差异(P0.01);治疗组中医证候疗效总有效率93.33%,对照组总有效率73.33%,两组比较具有极显著性差异(P0.01)。2.两组患者疗后的月经失血评分较疗前均有改善,具有极显著性差异(P0.01);疗后治疗组在减少月经量方面优于对照组(P0.05);治疗组改善月经失血方面总有效率90%,对照组76.67%,两组比较差异有极显著统计学意义(P0.01)。3.两组疗后主症积分较治疗前明显降低,有非常显著性差异(P0.01);两组疗后相比有显著性差异(P0.01)。4.停药3个月后针对两组治愈率患者随访,治疗组复发率28.6%,对照组复发率33%。结论:1.治疗组与对照组在改善经量过多方面,均有明显优势,而治疗组固冲汤加减的疗效较对照组更明显。2.治疗组在改善经量、经色、经质、神疲乏力等方面比对照组更具明显优势。3.中药汤剂固冲汤加减对脾气虚型月经过多的疗效更确切,且远期治疗效果明显优于对照组,为中医治疗月经过多提供更有力的依据。
[Abstract]:Objective: to observe the clinical effect of Guchong decoction in the treatment of ovulatory menstruation with spleen qi deficiency. The curative effect of this method was evaluated to provide theoretical basis for clinical application and popularization of this method. Methods: from March 2015 to March 2017, the patients were collected from the gynecological clinic of the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. A total of 64 patients with ovulatory excess menstruation (spleen qi deficiency syndrome) were randomly divided into two groups according to the order of treatment: treatment group (n = 32) and control group (n = 32). The treatment group was treated with Guchong decoction, while the control group was treated with Gongxuetuan. The changes of menstrual bleeding before and after treatment, the improvement of TCM syndromes and the follow-up of 3 months after withdrawal were observed, and the curative effects of the two methods were comprehensively evaluated. Result: 1. The scores of TCM syndromes in the two groups after treatment were significantly different from those before treatment (P 0.01), and there was significant difference between the two groups after treatment (P 0.01). The total effective rate of TCM syndrome in the treatment group was 93.33%, and that in the control group was 73.33%. There was a significant difference between the two groups (P 0.01). The menstrual blood loss score of the two groups after treatment was improved compared with that before treatment, and there was significant difference (P 0.01), and the treatment group was superior to the control group in reducing menstrual volume after treatment (P 0.05). The total effective rate of improving menstrual blood loss was 90% in the treatment group and 76.67% in the control group. There was significant difference between the two groups (P 0.01). After treatment, the score of main symptoms in the two groups was significantly lower than that before treatment (P 0.01), and there was significant difference between the two groups after treatment (P 0.01). After 3 months of withdrawal, the cure rate of the two groups was followed up. The recurrence rate was 28.6% in the treatment group and 33% in the control group. Conclusion: 1. The treatment group and the control group had obvious advantages in improving menstrual volume, and the curative effect of Guchong decoction in the treatment group was more obvious than that in the control group. 2. The treatment group has more obvious advantages than the control group in improving menstrual volume, menstrual color, menstrual quality, fatigue and so on. The addition and subtraction of traditional Chinese medicine decoction Guchong decoction is more accurate in the treatment of menstruation with deficiency of spleen qi, and the long-term treatment effect is obviously better than that in the control group, which provides a more powerful basis for the treatment of menorrhea with traditional Chinese medicine.
【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】：2017
【分类号】：R271.111

【相似文献】