定经汤加减联合裸花紫珠分散片治疗肝郁肾虚型经间期出血临床观察
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Clinical Observation on Modified Dingjing Tang Combined with Luohuazizhu Dispersible Tablets for Intermenstrual Bleeding of Liver Depression and Kidney Deficiency Type
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    摘要:

    目的:观察定经汤加减联合裸花紫珠分散片治疗肝郁肾虚型经间期出血的临床疗效。方法:选取本院治疗的142例肝郁肾虚型经间期出血患者,按照随机数字表法分为对照组和观察组各71例。对照组采用裸花紫珠分散片治疗,观察组在对照组基础上加用定经汤加减治疗。对比分析2组临床疗效,观察2组治疗前后中医证候及血清黄体生成素(LH)、雌二醇(E2)含量、子宫内膜厚度的变化。结果:观察组治疗总有效率87.32%,对照组治疗总有效率60.56%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组中医证候评分比较,差异无统计学意义(P>0.05)。治疗后,观察组中医证候评分较治疗前降低,且低于同期对照组,差异均有统计学意义(P<0.05);对照组中医证候评分与治疗前比较,差异无统计学意义(P>0.05)。治疗前后2组子宫内膜厚度及血清LH、E2含量均无明显变化,差异均无统计学意义(P>0.05)。结论:定经汤加减联合裸花紫珠分散片治疗肝郁肾虚型经间期出血疗效显著,可明显改善患者的中医证候。

    Abstract:

    Objective:To observe the clinical effect of modified Dingjing tang combined with Luohuazizhu dispersible tablets for intermenstrual bleeding of liver depression and kidney deficiency type.Methods:Selected 142 cases of patients with intermenstrual bleeding of liver depression and kidney deficiency type admitted in our hospital,and divided them into the control group and the observation group according to the random number table method,71 cases in each group.The control group was treated with Luohuazizhu dispersible tablets,and the observation group was additionally treated with modified Dingjing tang based on the treatment of the control group.Compared and analyzed the clinical effect,and observed the changes in Chinese medicine syndromes,contents of luteinizing hormone(LH)and estradiol(E2)in serum as well as the endometrial thickness before and after treatment in the two groups.Results:The total effective rate was 87.32%in the observation group and 60.56%in the control group,the difference being significant(P<0.05).There was no significant difference being found in the comparison of the score of Chinese medicine syndromes between the two groups before treatment(P>0.05).After treatment,the score of Chinese medicine syndromes in the observation group was decreased when compared with that before treatment,lower than that after treatment in the control group,and the difference was statistically significant(P<0.05).Compared the score of Chinese medicine syndromes in the control group before and after treatment,there was no significant difference(P>0.05).No obvious changes in endometrial thickness and contents of LH and E2in serum before and after treatment were found,there being no significance in differences(P>0.05).Conclusion:The therapy of modified Dingjing tang combined with Luohuazizhu dispersible tablets has significant therapeutic effect in treating intermenstrual bleeding of liver depression and kidney deficiency type,which can obviously improve the Chinese medicine syndromes of patients.

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卢珺.定经汤加减联合裸花紫珠分散片治疗肝郁肾虚型经间期出血临床观察[J].新中医,2018,50(12):134-136

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  • 在线发布日期: 2018-12-09
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