补肾疏肝法治疗肾虚肝郁型崩漏的临床疗效分析  

An analysis of treating uterine bleeding of the Shenxu Ganyu type by the Bushen Shugan therapy

作　　者：姚荔香 Yao Lixiang

机构地区：[1]三明市尤溪县城东社区卫生服务中心,福建三明365100

出　　处：《中医临床研究》2020年第4期124-126,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察补肾疏肝法治疗肾虚肝郁型崩漏的临床疗效。方法:选取2016年1月-2018年1月某中医医院妇科门诊就治的70例肾虚肝郁型崩漏患者,按照随机数字表法分为观察组和对照组,各35例。对照组采用地屈孕酮片治疗,观察组采用六味地黄汤合逍遥散合剂治疗。观察两组患者临床治疗效果、中医证候积分和治疗半年后的复发情况。结果:观察组患者治疗总有效率高于对照组(P<0.05),观察组复发率低于对照组(P<0.05),观察组出血控制时间和出血停止时间低于对照组(P<0.05),两组各项中医证候积分均低于治疗前(P<0.05),且观察组各项中医证候积分明显低于对照组(P<0.05)。结论:六味地黄汤合逍遥散合剂能有效治疗肾虚肝郁型的崩漏,改善中医证候,复发率低,值得借鉴。Objective:To observe the clinical efficacy of the Bushen Shugan therapy(补肾疏肝法)on uterine bleeding of the Shenxu Ganyu type(肾虚肝郁型).Methods:From January 2016 to January 2018,70 patients were divided into the observation group and control group,35 cases in each.The control group was treated with didroxyprogesterone tablets,and the observation group was treated with the Liuwei Dihuang decoction(六味地黄汤)and Xiaoyao San(逍遥散).Results:The total efficiency in the observation group was higher than the control group(P<0.05),and the recurrence rate in the observation group was lower than the control group(P<0.05).The bleeding control time and bleeding stop time in the observation group were shorter than those in the control group(P<0.05).The TCM symptom scores in two groups were lower than before treatment(P<0.05),and those in the observation group were significantly lower than the control group(P<0.05).Conclusion:The Liuwei Dihuang decoction and Xiaoyao San were effective on uterine bleeding of the Shenxu Ganyu type,improved the symptoms,with a low recurrence rate.

关 键 词：崩漏 六味地黄汤合逍遥散合剂 地屈孕酮片 中医证候积分 

分 类 号：R271.12[医药卫生—中医妇科学]