【摘要】：目的運(yùn)用王氏崩漏1號方對血瘀型崩漏患者進(jìn)行治療,通過臨床的實際應(yīng)用觀察其在崩漏出血期的止血效果及對中醫(yī)證候的改善情況,為臨床應(yīng)用提供理論支持和科學(xué)依據(jù)。方法將符合診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)、排除標(biāo)準(zhǔn)的120例血瘀型崩漏患者,采用隨機(jī)單盲法分為治療組60例(給予王氏崩漏1號方治療),對照組60例(給予逐瘀止血湯治療)。2組均采取在出血期用藥的方法,3天為一個治療周期,治療3個周期,觀察兩組患者止血療效,治療前后臨床中醫(yī)證候的改善,總體療效,子宮內(nèi)膜厚度的變化,記錄相關(guān)數(shù)據(jù)并進(jìn)行統(tǒng)計分析。兩組通過自身治療前后的對照及組間比較綜合評定臨床療效。結(jié)果1.兩組患者的一般資料及治療前基線病情方面,兩組組間比較(P0.05),具有可比性。2.止血療效方面治療組有效率為93.3%,對照組有效率為81.67%,王氏崩漏1號方止血效果優(yōu)于對照組(P0.05)。3.中醫(yī)臨床證候改善方面兩組患者治療后中醫(yī)證候均有改善(P0.01);王氏崩漏1號方對崩漏患者中醫(yī)證候的改善更顯著,明顯優(yōu)于對照組(P0.05)。4.子宮內(nèi)膜厚度兩組患者治療后均可降低子宮內(nèi)膜厚度(P0.01),但治療組明顯優(yōu)于對照組(P0.05)。5.總體療效評價方面治療組治療后有效率為96.67%,對照組治療后總有效率81.67%,治療組總體療效明顯優(yōu)于對照組(P0.05)。6.兩組患者在治療期間均未出現(xiàn)任何不良反應(yīng)。結(jié)論王氏崩漏1號方治療血瘀型崩漏安全有效,止血效果、臨床總體效果顯著,且明顯優(yōu)于對照組,能有效改善臨床中醫(yī)證候,降低子宮內(nèi)膜的厚度,值得臨床運(yùn)用和推廣。
[Abstract]:Methods 120 patients with blood stasis type insipidus were included in the diagnostic criteria and excluded from the criteria. The hemostatic effect, the improvement of TCM syndrome, the total curative effect and the change of endometrial thickness before and after treatment were observed, and the relevant data were recorded and analyzed statistically. The clinical efficacy was evaluated by comparison and comparison between the two groups before and after self-treatment. Result 1. The general data of the two groups and baseline condition before treatment, the comparison between the two groups (P0.05), comparable. 2. The effective rate of hemostatic effect was 93.3in treatment group and 81.67m in control group. The hemostatic effect of Wang's inside-out No. 1 prescription was better than that of control group (P0.05) .3. Endometrial thickness in both groups after treatment can reduce endometrial thickness (P0.01), but the treatment group was significantly better than the control group (P0.05). 5. The total effective rate of the treatment group was 96.67 and the total effective rate of the control group was 81.67. The overall efficacy of the treatment group was significantly better than that of the control group (P0.05). There were no adverse reactions during treatment in both groups.
【學(xué)位授予單位】：山西中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R271.12

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