还经煎治疗肾精不足证卵巢早衰临床研究
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R711.75

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Clinical Study on Haijing Jian for Premature Ovarian Failure with Kidney Essence Insufficiency Syndrome
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    摘要:

    目的:观察还经煎治疗肾精不足证卵巢早衰(POF) 的临床疗效。方法:将100 例患者按随机数字表法分为2 组,各50 例。2 组均给予复方戊酸雌二醇片、黄体酮软胶囊治疗,对照组加用六味地黄丸口服;观察组加用还经煎内服,疗程均为3 个月。评估2 组治疗前后月经情况评分、临床症状Kupperman 评分(KI) 和肾精不足中医证候评分,检测2 组治疗前后血清雌二醇(E2) 和卵泡刺激素(FSH) 水平,并统计2 组临床疗效。结果:2 组临床疗效比较经秩和检验,差异有统计学意义(P<0.05),观察组疗效优于对照组。治疗后2 组患者月经评分、KI 评分、肾精不足证评分均较治疗前显著下降(P<0.01);且观察组上述各项评分均低于对照组(P<0.01)。治疗后2 组患者E2 水平明显升高(P<0.01),FSH 明显降低(P<0.01);且观察组两项指标改善较对照组更显著(P<0.01)。结论:在激素替代疗法的基础上,加用还经煎内服可改善POF 患者的月经情况,减轻临床症状和中医证候,改善血清性激素水平,疗效优于六味地黄丸治疗。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Haijing jian for premature ovarian failure(POF) with the kidney essence insufficiency syndrome. Methods: A total of 100 cases of patients were divided into two groups according to the random number table method, 50 cases in each group. Both groups were given compound estradiol valerate tablets and progesterone soft capsules; the control group was additionally given the oral administration of Liuwei Dihuang pills; the observation group was additionally given the oral administration of Haijing jian. Both groups were treated for three months. In the two groups, scores of menstruation, scores of Kupperman Index(KI) of clinical symptoms and the Chinese medicine syndrome scores of the kidney essence insufficiency before and after treatment were evaluated. In the two groups, the levels of estrogen(E2) and follicle stimulating hormone(FSH) in serum before and after treatment were tested. The clinical effect in the two groups was counted. Results:When compared the clinical effect between the two groups,the difference being significant(P<0.05). The curative effect in the observation group was better than that in the control group. After treatment, the scores of menstruation, KI and the kidney essence insufficiency syndrome in the two groups were significantly decreased when compared with those before treatment(P<0.01);the above each score in the observation group was lower than that in the control group(P<0.01). After treatment,the E2 levels in the two groups were significantly increased (P<0.01),and the FSH levels were significantly decreased(P<0.01);the improvement of the two indexes in the observation group was more significant than that in the control group(P<0.01). Conclusion:Based on hormone replacement therapy,the additional oral administration of Haijing jian can improve menstruation of POF patients and the levels of sex hormones,relieve clinical symptoms and Chinese medicine syndrome,whose curative effect is better than that of Liuwei Dihuang pills.

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何晓霞.还经煎治疗肾精不足证卵巢早衰临床研究[J].新中医,2020,52(20):102-104

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  • 在线发布日期: 2020-10-19
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