补肾调经汤治疗肾虚型月经过少的临床探究.pdfVIP

提 要 目的：观察补肾益精、养血调经立法的补肾调经汤治疗肾虚型月经过少的临床疗 效。 研究方法：所有受试病例均严格按照诊断标准、纳入标准和排除标准进行筛选。 入选病例共60例，随机分为两组，治疗组30例，用补肾调经汤治疗；对照组30例， 用当归地黄饮进行治疗。观察两组患者用药前后月经经量及肾虚症状的改善情况，进 行疗效对比，并分别测定两组患者血清性激素（包括卵泡刺激素、促黄体生成激素、 催乳素、孕酮、睾酮）、子宫内膜厚度等指标的变化情况，同时观察用药过程中有无 不良反应。 结果：1、采用补肾益精、养血调经的立法的补肾调经汤治疗肾虚型月经过少患 者取得良好疗效，治疗组患者经量明显增多，肾虚症状明显减轻，临床总疗效86.67%。 当归地黄饮治疗肾虚型月经过少患者的疗效逊于补肾调经汤。对照组总有效率 63.33%。两组疗效比较，有显著差异(P0.05)。 2、两组60例病例中，治疗前后患者的卵泡刺激素(FSH)、促黄体生成激素 （LH）、 催乳素（PRL）、睾酮（T）、孕酮（P）值无明显差异(P0.05)。子宫内膜厚度比较： 治疗组治疗后明显增厚，对照组治疗后明显增厚，但治疗组增厚更为明显，两组治疗 后结果有显著性差异(P0.05)。 3、用药期间治疗组与对照组均无明显不良反应，提示补肾调经汤和当归地黄饮 都是比较安全的。 结论：1、肾虚精亏、经血化源不足是肾虚型月经过少的重要病因病机。 2 、补肾益精、养血调经的方法是治疗肾虚型月经过少的重要原则，用补肾调经 汤治疗肾虚型月经过少患者能明显减轻患者肾虚症状，使患者子宫内膜明显增厚，月 经量明显增多。 关键词 肾虚；月经过少；补肾调经汤；补肾益精养血调经 Treatment of kidney deficiency type Tiaojing few months after a clinical study Specialty: Gynecology of TCM Author: WangXin Tutor: WangZhe Abstract Objective：To observe the clinical curative effect which using the kidney and refined, raise blood of menstrual function of legislation kidney Tiaojing soup treating Kidney hypomenorrhea. Methods: All patients were tested in strict accordance with the diagnostic criteria, inclusion criteria and exclusion criteria for screening. A total of 60 selected patients were randomly divided into two groups, the treatment group, 30 patients with kidney Tiaojing Decoction; the control group, 30 cases, with Angelica Huang drink for treatment. Period before and after treatment were observed by the amount of improvement, the contrast effect, and weight were measured in two groups of patients, serum sex hormones, blood rheology, and other indicators of endometrial thickness changes, were obs