本文選題：暖宮逐瘀丸　切入點：原發(fā)性痛經　出處：《安徽中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的科研部分:探討暖宮逐瘀丸對原發(fā)性痛經寒凝血瘀證的臨床療效及安全性。導師經驗總結部分:全面地總結趙榮勝老師治療月經病的學術思想和臨床經驗。方法科研部分:將我院2012年8月~2015年8月婦科門診符合納入標準的70例原發(fā)性痛經(寒凝血瘀證)患者作為研究對象,隨機分為治療組和對照組,每組35例,對照組予以桂枝茯苓膠囊治療,治療組予以暖宮逐瘀丸治療,連續(xù)治療3個月經周期后比較,觀察兩組患者臨床療效、疼痛緩解情況、凝血功能相關指標變化及不良反應發(fā)生率指標。導師經驗總結部分:跟師抄方、查房、導師指導學習等。結果科研部分:治療結束后,治療組總有效率(91.4%)明顯高于對照組(71.4%),而其不良反應發(fā)生率為5.7%,明顯低于對照組11.4%,比較差異具有統計學意義(P0.05);兩組患者痛經程度較前均有減輕,而治療組疼痛緩解更明顯,其凝血功能相關指標改善也更顯著,比較差異具有統計學意義(P0.05)。導師經驗總結部分:全面地總結了趙榮勝老師治療月經病的學術思想和臨床經驗。并根據近50年臨床經驗總結治療月經病的經驗方組成、功用、主治及方解。結論科研部分:暖宮逐瘀丸治療寒血瘀證原發(fā)性痛經療效確切,可減輕患者痛經疼痛程度,有效改善凝血功能,降低不良反應發(fā)生率,值得臨床應用。導師經驗總結部分:通過總結趙榮勝老師治療月經病的學術思想和臨床經驗,使導師經驗得以傳承。
[Abstract]:Objective to explore the clinical efficacy and safety of warm Gong Zhuyu Pill in the treatment of primary dysmenorrhea with cold coagulation and blood stasis. Methods in the part of scientific research, 70 patients with primary dysmenorrhea (cold coagulation and blood stasis syndrome) who met the standard of gynecological outpatient from August 2012 to August 2015 were selected as the research objects. They were randomly divided into treatment group and control group, 35 cases in each group. The control group was treated with Guizhi Fuling capsule, and the treatment group was treated with warm Gong Zhuyu pills. After 3 consecutive menstrual cycles, the clinical efficacy and pain relief of the two groups were observed. The related indexes of coagulation function and the incidence index of adverse reactions. The part of tutor's experience summary: follow the teacher to copy the prescription, the rounds, the tutor instruction study and so on. Results the scientific research part: after the treatment, The total effective rate of the treatment group (91.4) was significantly higher than that of the control group (71.4%), while the incidence of adverse reactions was 5.70.It was significantly lower than that of the control group (11.4%), and the difference was statistically significant (P0.050.The degree of dysmenorrhea in the two groups was less than before, and the pain relief in the treatment group was more obvious. The improvement of coagulation function related indexes was also more significant. The difference is statistically significant (P 0.05). The teacher's experience in the treatment of menstrual diseases is summarized in the following parts: the academic thoughts and clinical experiences of teacher Zhao Rongsheng in the treatment of menstrual diseases are summarized in an all-round way, and the components and functions of the prescription for treating menstrual diseases are summarized according to the clinical experience of the past 50 years. Conclusion: warm Gong Zhuyu Pill is effective in treating primary dysmenorrhea of cold and blood stasis syndrome, which can reduce the degree of dysmenorrhea pain, improve coagulation function and reduce the incidence of adverse reactions. It is worthy of clinical application. The tutor experience is summarized in the part of teacher Zhao Rongsheng's academic thought and clinical experience in the treatment of menstrual disease, so that the tutor experience can be passed on.
【學位授予單位】：安徽中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R249;R271.113

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