益肾化瘀方治疗肾虚血瘀型多囊卵巢综合征的临床研究  

Clinical Research of Kidney Huayu in Treatment of Kidney Blood Polycystic Ovary Syndrome

作　　者：刘玉兰[1] 李娜 暴宏伶[1] 徐鸿雁[1] 龙森[1] 高慧[1] LIU Yulan(The Affiliated Hospital of Chengde Medical College,Hebei Chengde 067000,China)

机构地区：[1]承德医学院附属医院中医科,河北承德067000 [2]河北省承德市中医院,河北承德067000

出　　处：《河北医学》2018年第6期1035-1039,共5页Hebei Medicine

基　　金：河北省承德市科学技术研究与发展计划项目;(编号:201422038)

摘　　要：目的:探讨益肾化瘀方治疗肾虚血瘀型多囊卵巢综合征的临床疗效。方法:选取我院120例肾虚血瘀型多囊卵巢综合征患者,按就诊顺序治疗组和对照组,每组60例,治疗组自月经第5天开始予益肾化瘀方,每日一剂,早晚各一次,连服21d,对照组予达英-35口服,于月经第5天起开始服用,每日一片,连服21d,停药等月经第5天起重复用药,两组均治疗三个月经周期,比较两组治疗后月经情况、中医证候改善情况、基础体温、血清性激素的变化情况。结果:治疗组总有效率为86.67%,对照组总有效率为68.33%,差异均有统计学意义(P<0.05);两组经过治疗后LH、T水平较治疗前降低,差异均有统计学意义(P<0.05),FSH、E2水平均较治疗前升高,差异有统计学意义(P<0.05);两组治疗后比较T、E2及LH/FSH比值差异均有统计学意义(P<0.05);经过治疗后治疗组基础体温复常率为68.33%,对照组治疗后复常率为36.67%(P<0.05);两组治疗后在改善月经周期、头晕耳鸣、腰膝酸痛、性欲减退等方面差异具有统计学意义(P<0.05);治疗后中医症候疗效治疗组总有效率为78.33%(47例)、对照组总有效率为55.00%(33例)(P<0.05)。结论:本研究以补肾化瘀、活血调经为大法,使机体达到阴阳平衡,气血流畅,脏腑功能协调,能明显改善患者的临床症状及中医证候,值得临床推广。Objective： To investigate the clinical efficacy of Kidney Huayu in treatment of Kidney Blood Polycystic Ovary Syndrome. Methods： 120 cases with Kidney Blood Polycystic Ovary Syndrome were selected from our hospital,they were divided into the treatment group and the control group according to treatment order,60 cases in each group,the treatment group were given kidney circulation soup since the first five days of menstruation,one potion every day,each time at morning and evening,even served 21 days,the control group were given diane-35 oral,since the first five days of the menstrual,one piece every day,even served21 days,menstruation,TCM syndrome improve the situation,changes in basal body temperature,serum sex hormones of two groups were compared. Results： Total efficiency of the treatment group was 86.67%,total efficiency of the control group was 68.33%,the difference was statistically significant（ P〈0.05）; LH,T,after treatment of two groups were reduced compared with before treatment,the differences were statistically significant（ P〈0.05）,FSH,E2 were increased compared with before treatment,the differences were statistically significant（ P〈0.05）,T,E2 and LH/FSH ratio after treatment of two groups had statistically significant（ P0.05）; BBT recovery rate after treatment of the treatment group was 68. 33%,recovery rate of the control group was 36.67%（ P〈0.05）; Menstrual cycle,dizziness,tinnitus,waist and knee pain,loss of libido,etc of two groups were statistically significant（ P〈0. 05）; Total efficiency of TCM symptoms of the treatment group was 78. 33%（ 47 cases）,total efficiency of the control group was 55. 00%（ 33 cases）（ P〈0. 05）.Conclusion： In this study,the method of invigorating kidney and removing stasis and activating blood circulation is a great method to make the body achieve the balance of yin and Yang,the flow of Qi and blood,and the coordination of the function of the viscera. It can obviously improve the clinical symptoms and TCM Syndromes of

关 键 词：益肾化瘀方 肾虚血瘀 多囊卵巢综合征 

分 类 号：R271.9[医药卫生—中西医结合]