中国中药杂志

2012, v.37(01) 115-119

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益气养阴法治疗无排卵型功血106例临床分析
Clinical analysis of 106 cases on effect of supplementing qi and nourishing yin recipe in treating anovulatory dysfunctional uterine bleeding

马堃;范晓迪;
MA Kun,FAN Xiaodi(China Academy of Chinese Medical Sciences,Beijing 100700,China)

摘要(Abstract):

目的:观察单纯女性激素和单纯益气养阴中药加减方治疗功血的临床疗效观察。方法:中医治疗采用益气养阴中药加减方(党参,生黄芪,五味子,白芍,女贞子,旱莲草,阿胶珠,乌贼骨等)。西医治疗醋酸甲羟孕酮(安宫黄体酮)。结果:经过3个月经周期治疗,中药治疗组痊愈率为43.42%,显效率为27.63%,有效率为18.42%,无效率为10.53%,总有效率89.47%。对照组痊愈率为23.00%,显效率为47.00%,有效率20.00%,无效率为10.00%,总有效率90%。在总有效率方面统计学比较无显著性差异。中药治疗组在证候(症状体征)方面优于对照组有显著性差异(P<0.05)。治疗组和对照组Hb,PLT,PT,APTT比较无显著性差异。青春期功血患者和围绝经期功血患者治疗组和对照组的FSH,LH,E2,P比较无显著性差异。结论:中药治疗组治愈率高,症状改善明显,治疗效果好,疗效巩固且无不良反应。
Objective: To observe the clinical treatment of supplementing qi and nourishing yin recipe and progestogen.Method: One group was treated using traditional Chinese medicine decoction,which was made of Danshen,Shenghuangqi,Wuweizi,Baishao,Nvzhenzi,Hanliancao and Wuzeigu,and the other group was medroxyprogesterone acetate(depogeston).Result: After 3 menstrual cycles of treatment,the recovery rate of the treatment group was 43.42%,with 27.63% of marked effectiveness,18.42% of positive effects,and 10.53% of inefficiency.The total effective rate was 89.47%.The recovery rate of the control group was 23%,with 47% of marked effectiveness,20% of positive effects,and 10% of inefficiency.The total effective rate was 90.00%.With statistically comparison,there was no obvious difference.The treatment group was higher than the control group on the Chinese symptom,the two groups were significantly different(P<0.05).The treatment group and the control group was no obvious difference on Hb,PLT,PT,APTT.The treatment group and the control group was no obvious difference on FSH,LH,E2,P.Conclusion: Traditional Chinese medicine decoction should be recommended for its better therapeutic efficacy and stable clinical effects such as high recovery rate,significant improvement of symptom and no side effect and no adverse reaction.

关键词(KeyWords): 功能性子宫出血;益气养阴中药;醋酸甲羟孕酮
dysfunctional uterine bleeding;supplementing qi and nourishing yin recipe;medroxyprogesterone acetate

Abstract:

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基金项目(Foundation): 国家中医药管理局科研项目(04-05LP49)

作者(Author): 马堃;范晓迪;
MA Kun,FAN Xiaodi(China Academy of Chinese Medical Sciences,Beijing 100700,China)

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