疏肝益肾通瘀方联合疏肝补肾针刺法治疗肝郁肾虚型月经后期临床研究
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R271.11+5

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全国基层名老中医药专家传承工作室建设项目(国中医药人教发函〔2021〕44号)


Clinical Study on Shugan Yishen Tongyu Prescription Combined with Acupuncture Method of Soothing Liver and Tonifying Kidney for Delayed Menstruation of Liver Depression and Kidney Deficiency Type
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    摘要:

    目的:观察疏肝益肾通瘀方联合疏肝补肾针刺法治疗肝郁肾虚型月经后期临床疗效及其安全性。 方法:选取98 例月经后期肝郁肾虚型患者,按随机数字表法分为对照组47 例及观察组51 例。对照组进行现 代医学常规治疗(戊酸雌二醇片、地屈孕酮片),观察组在常规治疗基础上加用疏肝益肾通瘀方联合疏肝补肾 针刺法治疗。比较2 组临床疗效、排卵率及不良反应发生情况,比较2 组治疗前后中医证候积分、性激素水平 [雌二醇(E2)、黄体生成素(LH)、血清促卵泡生成素(FSH)]、子宫内膜厚度的变化。结果:观察组临床疗 效总有效率为96.08%,对照组总有效率为82.98%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组 经期错后、经量少、小腹胀痛、乳房胀痛中医证候积分均较治疗前下降(P<0.05),观察组上述4 项中医证 候积分均低于对照组(P<0.05)。治疗后,对照组排卵率为72.34%,观察组排卵率为92.16%,2 组排卵率比 较,差异有统计学意义(P<0.05)。治疗后,2 组性激素E2、LH、FSH 水平均较治疗前上升(P<0.05),观察 组上述3 项水平均高于对照组(P<0.05)。治疗后,2 组子宫内膜厚度均较治疗前增加(P<0.05),观察组子 宫内膜厚度大于对照组(P<0.05)。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:疏肝益 肾通瘀方联合疏肝补肾针刺法治疗肝郁肾虚型月经后期临床疗效显著,可缓解患者症状,改善性激素水平,提 升排卵率,安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect and safety of Shugan Yishen Tongyu Prescription combined with acupuncture method of soothing liver and tonifying kidney for delayed menstruation (liver depression and kidney deficiency type). Methods:A total of 98 cases of patients with delayed menstruation (liver depression and kidney deficiency type) were selected and divided into the control group and the observation group according to the random number table method, with 47 and 51 cases in each group respectively. The control group was given routine treatment of modern medicine (Estradiol Valerate Tablets,Dydrogesterone Tablets),and the observation group was additionally treated with Shugan Yishen Tongyu Prescription combined with acupuncture method of soothing liver and tonifying kidney based on routine treatment. The clinical effects,ovulation rates and adverse reactions were compared between the two groups,and the changes in traditional Chinese medicine (TCM) syndrome scores,sex hormone levels [estradiol (E2), luteinizing hormone (LH), serum follicle stimulating hormone (FSH)] and endometrial thickness were compared before and after treatment between the two groups. Results:The total effective rate was 96.08% in the observation group and 82.98% in the control group,the difference being significant (P<0.05). After treatment, the scores of TCM syndromes including irregular menstruation, scanty menstruation, distending pain in lower abdomen, and distending pain in breast in the two groups were decreased when compared with those before treatment (P<0.05),and the above scores in the observation group were lower than those in the control group (P<0.05). After treatment,the ovulation rate was 72.34% in the control group and 92.16% in the observation group,the difference being significant (P<0.05). After treatment,the levels of sex hormones including E2,LH and FSH in the two groups were increased when compared with those before treatment (P<0.05),and the above three levels in the observation group were higher than those in the control group (P<0.05). After treatment,endometrial thickness in the two groups was increased when compared with that before treatment (P<0.05), and endometrial thickness in the observation group was higher than that in the control group (P<0.05). There was no significant difference being found in the comparison of the incidence of adverse reactions between the two groups (P>0.05). Conclusion:Shugan Yishen Tongyu Prescription combined with acupuncture method of soothing liver and tonifying kidney for delayed menstruation (liver depression and kidney deficiency type) has a significant clinical effect, which can improve symptoms and sex hormone levels, and increase ovulation rates with high safety.

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贾梦丽,张蕊,娄政驰,马国靖,郑伟,程刚,闫喜凤,甄静.疏肝益肾通瘀方联合疏肝补肾针刺法治疗肝郁肾虚型月经后期临床研究[J].新中医,2024,56(3):68-72

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  • 在线发布日期: 2024-02-23
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