本文選題：青春期崩漏 + 脾虛�。� 參考：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過觀察固本止崩湯加味結(jié)合耳穴對(duì)青春期脾虛型崩漏的臨床療效,并與固本止崩湯加味的治療相比較。探析提高青春期崩漏療效的途徑和方法,為青春期崩漏患者提供有效、方便、安全的治療方法。方法：選取2014年9月至2015年12月到常州市中醫(yī)院婦科門診就診,診斷標(biāo)準(zhǔn)符合脾虛型青春期崩漏的50例患者,予隨機(jī)分為兩組,對(duì)照組和治療組各25人,其中治療組予固本止崩湯加味結(jié)合耳穴貼壓治療,對(duì)照組予固本止崩湯加味治療,共治療3個(gè)療程。觀察并記錄兩組患者治療前后癥候的變化及血紅蛋白(HB)、凝血酶原時(shí)間(PT)、活化部分凝血酶時(shí)間(APTT)的改變。結(jié)果：1、組內(nèi)比較,兩組患者經(jīng)治療癥狀均有改善(P0.05),但治療組在改善出血量、經(jīng)色經(jīng)質(zhì)、便溏的癥狀上效果顯著(P0.01)。組間比較,在改善出血量、經(jīng)色經(jīng)質(zhì)、神疲乏力、納呆、便溏及面色恍白的癥狀上有差異(P0.05),在四肢不溫癥狀的改善上有顯著的差異(P0.01)。2、治療后,治療組的總有效率為88%,對(duì)照組的總有效率為80%,無統(tǒng)計(jì)學(xué)的差異(P0.05),兩組療效相當(dāng)。3、組內(nèi)比較,經(jīng)治療,兩組患者治療后血紅蛋白(HB)均升高,凝血酶原時(shí)間(PT)、活化部分凝血酶時(shí)間(APTT)均降低,組間相比,無統(tǒng)計(jì)學(xué)意義(P0.05)。4、兩組在起效時(shí)間上相比較有差異(P0.05),說明治療組起效比較快。結(jié)論：兩組治療后,臨床癥候均有改善,但在改善癥候、起效時(shí)間上固本止崩湯加味結(jié)合耳穴效果更突出。
[Abstract]:Objective: to observe the clinical effect of Guben Zhibong decoction combined with auricular acupoint in treating puberty spleen deficiency type insipidus and compare it with Guben Zhibong decoction. To explore the ways and methods to improve the curative effect of adolescent insipidus and to provide effective, convenient and safe treatment for adolescent patients. Methods: from September 2014 to December 2015, 50 patients who were admitted to the gynecological clinic of Changzhou traditional Chinese Medicine Hospital and diagnosed according to the criteria of spleen deficiency were randomly divided into two groups: control group and treatment group. The treatment group was treated with Guben Zhibong decoction combined with auricular point pressing, while the control group was treated with Guben Zhibong decoction for 3 courses of treatment. To observe and record the changes of symptoms before and after treatment as well as the changes of hemoglobin, prothrombin time (PTT), activated partial thrombin time (APTT). Results compared with the control group, the symptoms of the two groups were improved (P 0.05), but the effect of the treatment group in improving the amount of bleeding, the color and the quality of stool was better than that in the control group (P 0.01). Compared between the groups, there were significant differences in the improvement of bleeding volume, color and quality, fatigue, stupidity, loose stools and white complexion (P0.05N), and significant differences in the improvement of the symptoms of hyperthermia in the limbs (P0.01J. 2). After treatment, there was a significant difference between the two groups in the improvement of the symptoms of hyperthermia. The total effective rate was 88g in the treatment group and 80 in the control group. There was no significant difference between the two groups (P 0.05). The prothrombin time (PTT) and activated partial thrombin time (APTT) decreased, but there was no significant difference between the two groups in the onset time (P 0.05). Conclusion: after treatment, the clinical symptoms of both groups were improved, but in improving symptoms and effective time, the effect of Gubenzhuangtang combined with auricular acupoint was more prominent.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R271.12

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