本文選題：月經(jīng)后期　切入點(diǎn)：氣滯血瘀型　出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本課題對(duì)治療組過(guò)期飲與對(duì)照組經(jīng)前舒顆粒治療氣滯血瘀型月經(jīng)后期各36例的臨床療效進(jìn)行觀察,對(duì)過(guò)期飲治療氣滯血瘀型月經(jīng)后期的機(jī)制及效果進(jìn)行評(píng)價(jià),為月經(jīng)后期的中醫(yī)藥治療提供新的臨床經(jīng)驗(yàn)。方法:本課題擬觀察病例60例,防止病例脫落,增加觀察病例20%,所以共觀察病例72例,治療組為36例,對(duì)照組為36例,兩組病例患者均為2015年1月至2016年1月至長(zhǎng)春中醫(yī)藥大學(xué)附屬醫(yī)院婦科門(mén)診或療區(qū)就診的患者并符合月經(jīng)后期診斷和納入標(biāo)準(zhǔn)的患者。治療組給予過(guò)期飲免煎顆粒加減口服治療,對(duì)照組給予經(jīng)前舒顆粒口服治療。兩組均于月經(jīng)干凈后開(kāi)始服藥,每付藥日一付分2次口服,溫開(kāi)水沖服300ml,連續(xù)服用28天停藥,待月經(jīng)干凈后繼續(xù)服用,連服3個(gè)月經(jīng)周期,服用臨床觀察藥物的同時(shí)禁止服用其他藥物。將兩組患者治療前后主癥及次癥計(jì)分比較,評(píng)價(jià)其臨床療效。結(jié)果:經(jīng)統(tǒng)計(jì)學(xué)分析,兩組病例患者的年齡構(gòu)成及分布、病程及治療前癥狀體癥等方面均無(wú)顯著差異,即無(wú)統(tǒng)計(jì)學(xué)意義,故具有可比性。治療組為運(yùn)用過(guò)期飲加減口服治療的36例患者,其中痊愈14例,顯效12例,有效8例,無(wú)效2例,總有效率達(dá)94.5%。對(duì)照組為應(yīng)用經(jīng)前舒顆�？诜委煹�36例患者,其中痊愈8例,顯效8例,有效16例,無(wú)效4例,總有效率為88.9%。經(jīng)相關(guān)統(tǒng)計(jì)檢驗(yàn)、分析,兩組患者治療前后各項(xiàng)癥狀積分比較,均有統(tǒng)計(jì)學(xué)意義(P0.05)。將兩組患者療效進(jìn)行比較,治療組療效明顯優(yōu)于對(duì)照組。結(jié)論:本課題通過(guò)對(duì)72例氣滯血瘀型月經(jīng)后期患者的臨床觀察,能夠得出結(jié)論,過(guò)期飲與經(jīng)前舒顆粒都能夠較好的治療氣滯血瘀型月經(jīng)后期,并能顯著改善伴隨癥狀。但過(guò)期飲的治療效果明顯優(yōu)于經(jīng)前舒顆粒,過(guò)期飲無(wú)不良反應(yīng),可作為臨床上對(duì)氣滯血瘀型月經(jīng)后期治療的有效方劑,具有進(jìn)一步研究及臨床推廣運(yùn)用的價(jià)值。
[Abstract]:Objective: to observe the clinical effect of the treatment group and the control group on the late menstrual period of qi stagnation and blood stasis type, and to evaluate the mechanism and effect of the expired drink in treating the late menstrual period of qi stagnation and blood stasis type. To provide new clinical experience for the treatment of late menstrual period with traditional Chinese medicine. Methods: 60 cases were observed, 60 cases were prevented from falling off, and 20 cases were observed. So 72 cases were observed, 36 cases in treatment group and 36 cases in control group. The two groups of patients were from January 2015 to January 2016 to the department of gynecology clinic or treatment area of Changchun University of traditional Chinese Medicine, and met the criteria of late menstrual diagnosis and inclusion. The treatment group was given expired drink without decoction. Granulocyte plus or minus oral therapy, The control group was given oral treatment of Jingqianshu granule. The two groups began to take medicine after menstruation was clean. Each drug was given orally twice a day, warm boiled water was taken by 300ml, stopped taking medicine for 28 days, after menstruation was clean, they continued to take it for 3 menstrual cycles. The clinical efficacy was evaluated by comparing the scores of major symptoms and secondary symptoms before and after treatment. Results: by statistical analysis, the age composition and distribution of patients in the two groups were analyzed. There was no significant difference in the course of disease and symptom body disease before treatment, that is, there was no statistical significance, so it was comparable. In the treatment group, there were 14 cases of recovery, 12 cases of remarkable effect and 8 cases of effective effect. The control group consisted of 36 patients who were treated with Qianshu granules orally, among which 8 cases were cured, 8 cases were effective, 16 cases were effective, 4 cases were ineffective. The total effective rate was 88.9g. The scores of symptoms before and after treatment in the two groups were statistically significant (P 0.05). The curative effects of the two groups were compared. Conclusion: through the clinical observation of 72 cases of late menstrual period of qi stagnation and blood stasis type, we can draw the conclusion that both expired drink and Jingqian Shu granule can better treat the late menstrual period of qi stagnation and blood stasis type. But the therapeutic effect of expired drink is better than Jingqianshu granule, and there is no adverse effect of expired drink. It can be used as an effective prescription for the treatment of late menstrual period of qi stagnation and blood stasis type, and can be used as an effective prescription for the treatment of late menstrual period of qi stagnation and blood stasis type. It has the value of further research and clinical application.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R271.11

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