滋肾调肝汤对围绝经期综合征患者生存质量影响的临床探究.pdfVIP

提 要 目的：本研究是将生存质量量表引入中医治疗围绝经期综合征疗效评价体系中， 探讨滋肾调肝汤治疗肾阴虚型围绝经期综合征，对围绝经期综合征患者生存质量的影 响。以期对中医治疗围绝经期综合征及提高患者生存质量，作出有益的探索。方法： 1.对符合纳入标准的肾阴虚型围绝经期综合征患者 64 例，以中药滋肾调肝汤治疗， 每日1剂。2.在治疗前后对患者进行围绝经期生存质量量表测评打分，将两次分数进 行统计处理，作自身前后对照研究；同时监测治疗前后血清 E 及 FSH 水平变化。结 2 果：经过8周的滋肾调肝汤治疗，患者生存质量量表总分及四个维度积分均下降明显， 较治疗前有非常显著改善(P0.01)，尤其是血管舒缩症状，说明经治疗后患者的生存 质量显著提高；治疗后E2 水平明显升高，FSH水平明显降低，治疗前后比较有显著性 差异（P0.05）。结论：滋肾调肝汤能显著改善围绝经期妇女的生存质量，提高患者 性激素血清E 水平，降低血清FSH水平，是治疗围绝经期综合征的有效方药。 2 关键词 围绝经期综合征；生存质量；滋肾调肝汤 Clinical study on zishen tiaogan Decoction affect quality of life of Pmenopausal Syndrome patients Speciality:Gynecology of TCM Author:Bao Yuan Tutor:Professor Liu Jingjun Abstract Object: This research is to introduce the live quality scale to the chinese medicine treatment of menopausal syndrome in effect assessment system, discuss zishen Tiaogan decoction in the treatment of kidney Yin deficiency syndrome menopausal transition to the menopausal transition syndrome, the influence on the quality of survival to Chinese medicine treatment of perimenopausal syndrome and improve the quality of life of patients and make useful exploration.Method: 1. To meet the inclusion criteria of kidney Yin deficiency symptoms menopausal transition, 64 cases of AIDS in Chinese medicine treatment of zishen Tiaogan decoction, Chinese traditional medicine daily 1 day one time 2. To score evaluation questionnaire statistical processing, before and after the treatment of patients in living quality menopausal transition, score twice before and after to compare; Simultaneously monitor before and after treatment level of serum