摘要
目的探讨中医治疗女性月经不调的临床效果。方法选取2017年1月至2018年10月就诊于平原县中医院的80例育龄期月经不调患者,随机分为观察组和对照组,每组40例。对照组实施常规西医治疗,观察组实施中医辨证治疗,持续治疗3个疗程。疗程结束,观察并比较两组患者的临床疗效、月经周期状况、中医证候积分和血清性激素水平。结果观察组的总有效率显著高于对照组,差异有统计学意义(97.50%vs.85.00%,P<0.05)。治疗前,两组月经周期状况比较,差异无统计学意义(P>0.05);治疗后,观察组的月经周期大于对照组,差异有统计学意义(P<0.05)。治疗前,两组中医证候积分比较,差异均无统计学意义(P>0.05);治疗后,观察组患者的腰骶酸痛、神疲乏力、少气懒言、五心烦热的中医证候积分均低于本组治疗前和同期对照组,差异均有统计学意义(P<0.05)。治疗前,两组血清性激素水平比较比较,差异均无统计学意义(P>0.05);治疗后,观察组的黄体生成激素(LH)、卵泡生成激素(FSH)、雌二醇(E2)均较治疗前显著降低,且观察组各血清性激素水平均低于对照组,差异均有统计学意义(P<0.05)。结论采取中医辨证治疗月经不调疗效显著,不仅能够有效地调整患者月经周期正常,显著改善患者症状,还可有效降低患者的血清性激素水平。
Objective To explore the clinical effect of Chinese medicine(CM)on menstrual irregularity in women.Methods Eighty patients with irregular menstruation during the childbearing age admitted to Pingyuan County Hospital of Traditional Chinese Medicine from January 2017 to October 2018 were enrolled.The patients were divided into the observation group and control group by a random number table method,40 cases in each group.The control group was treated with conventional Western medicine,and the observation group was treated with CM syndrome differentiation.The short-term efficacy,long-term menstrual cycle status,CM syndrome scores,serum sex hormone levels,and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was obviously higher than that of the control group(97.50%vs.85.00%,P<0.05).Before treatment,there was no significant difference in the long-term menstrual cycle between the two groups(P>0.05).After treatment,the menstrual cycle of the observation group was greater than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the scores of CM syndrome between the two groups(P>0.05).After treatment,the CM syndrome scores of lumbosacral pain,fatigue,laziness,and feverish sensation over the five centers in both groups were lower than before treatment,and those scores in the observation group were all lower than in the control group(all P<0.05).Before treatment,there was no significant difference in the serum sex hormone levels between the two groups(P>0.05).After treatment,the serum levels of LH,FSH and E2 of the observation group were all significantly decreased,and the levels of serum hormones in the observation group were lower than the control group(P<0.05).Conclusion The CM treatment is effective in treating patients with gynecological irregular menstruation.
作者
孙晓红
SUN Xiaohong(Pingyuan County Hospital of Traditional Chinese Medicine,Dezhou,Shandong Province 253100,China)
出处
《大医生》
2019年第5期87-88,93,共3页
Doctor
关键词
中医
妇科
月经不调
临床疗效
Chinese medicine
gynecology
irregular menstruation
clinical effect
