加味寿胎丸治疗肾气虚型黄体功能不全功血的临床探究.pdfVIP

提 要 目的：观察加味寿胎丸治疗黄体功能不全功血的临床疗效并初步探讨其作用机 理。方法：将 60 例黄体功能不全功血的患者随机分为加味寿胎丸组（治疗组）和安 宫黄体酮组（对照组）各 30 例，观察两组治疗前后中医证候积分、月经周期、肾虚 症状、基础体温、血清孕酮（P）、黄体生成素（LH）变化。结果：在临床总疗效方面， 治疗组总有效率为90%，对照组总有效率为70％，两组比较有显著性差异 （P＜0.05）， 治疗组明显优于对照组；在月经周期改善方面，两组治疗前后比较，有极显著性差异 （P＜0.01），治疗后两组比较，无显著性差异（P＞0.05）。在肾虚症状疗效方面，治 疗组治疗前后比较有极显著性差异（P＜0.01），对照组治疗前后比较，无显著性差异 （P＞0.05），治疗后两组比较，有极显著性差异（P＜0.01）。在基础体温、高温相持 续天数方面，两组治疗前后比较有极显著性差异（P＜0.01），治疗后两组比较，无显 著性差异（P＞0.05）。两组治疗前后血清孕酮水平比较，有极显著性差异（P＜0.01）， 治疗后两组比较，无显著性差异（P＞0.05）。治疗组治疗前后黄体生成素比较，有极 显著性差异（P＜0.01），对照组治疗前后黄体生成素比较，无显著性差异（P＞0.05）； 治疗后两组比较，有显著性差异，且治疗组优于对照组（P＜0.05）。结论：加味寿胎 丸能够有效地改善黄体功能不全功血患者的临床症状，改善基础体温，调节体内激素 水平，是治疗黄体功能不全功血的有效方药。 关键词 黄体功能不全功血；加味寿胎丸；基础体温 Clinical study of jia wei shou tai pills in Treating uterine bleeding of luteal phase with Kidney Deficiency Speciality: Gynecology of TCM Author: Ying Yanjun Tutor: Professor Liu Jingjun Abstract Objectives: 1. To observe the clinical efficacy of Jia wei shou tai pills on patients suffering from uterine bleeding due to luteal phase deficiency, and try to probe its mechanism. 2. To confer the efficacy of Jia wei shou tai Pills in the treatment of advanced menstruation due to luteal phase deficiency. Methodology: 60 patients of disfunctional uterine bleeding due to luteal phase deficiency were randomly divided into two groups, Jia wei shou tai Pills group, controlled by Medroxy Progesterone Acetate Group. Traditional Chinese Medicine symptom scor, Kidney symptoms, primary body temperature, serum P, LH changes were compared with two groups. Results: the overall effective ratio of the treatment and controlled group are respectively 90% and 70%, which is significantly different (P0.05). Treatment gr