[1]姚盛慧.复经补肾汤治疗人流后月经不调临床研究[J].陕西中医,2019,(11):1574-1577.
　YAO Shenghui..Clinical observation of Fujing Bushen decoction in treating of patients with irregular menstruation after induced abortion[J].,2019,(11):1574-1577.
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复经补肾汤治疗人流后月经不调临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1574-1577
栏目:
临床研究
出版日期:
2019-11-05

文章信息/Info

Title:
Clinical observation of Fujing Bushen decoction in treating of patients with irregular menstruation after induced abortion
文章编号:
DOI:10.3969/j.issn.10007369.2019.11.024
作者:
姚盛慧
江苏省徐州市第一人民医院妇科（徐州 221002）
Author(s):
YAO Shenghui.
Department of Gynecology,Xuzhou First People Undefineds Hospital(Xuzhou 221002)
关键词:
人工流产术; 月经不调; 复经补肾汤; 子宫螺旋动脉; 子宫内膜厚度
Keywords:
Key words Induced abortion; Irregular menstruation; Fujing Bushen decoction; Uterine spiral artery; Endometrial thickness
分类号:
R271.111
文献标志码:
A
摘要:
摘要目的：观察自拟复经补肾汤治疗人工流产（人流）术后血瘀肾亏型月经不调的临床疗效。方法：选取112例人流后血瘀肾亏型月经不调患者纳入本次研究，将入选患者按随机数字法均分为常规组与复经组，常规组给予戊酸雌二醇（补佳乐）加黄体酮胶囊口服人工周期序贯疗法，复经组在常规组的基础上给予自拟复经补肾汤治疗；治疗3个月经周期后，评估两组临床疗效，观察两组患者治疗前后中医证候积分、子宫内膜厚度、行经质量指标、子宫螺旋动脉血流参数的变化情况，统计治疗期间两组患者不良反应发生率。结果：复经组总有效率为98.21%，常规组总有效率为85.71%，复经组临床疗效及总有效率均优于常规组（P＜005）；治疗后，两组患者中医证候积分、子宫内膜厚度、行经质量均较治疗前改善（组内P＜005），且复经组均优于常规组（组间P＜005）；治疗后，两组患者子宫螺旋动脉S/D、RI、PI均较治疗前改善（组内P＜005），且复经组均优于常规组（组间P＜005）；常规组不良反应发生率为10.71%，复经组为7.14%，两组不良反应发生率无统计学差异（P＞005）。结论：复经补肾汤治疗人流后月经不调疗效良好，能够有效提高行经质量，改善患者子宫螺旋动脉血流参数，且用药安全。
Abstract:
AbstractObjective:To observe the clinical effect of Fujing Bushen decoction in the treatment of irregular menstruation with the pattern of blood stasis and kidney deficiency after induced abortion. Methods:The objects of study were a total of 112 cases of irregular menstruation with blood stasis and kidney deficiency after abortion were admitted.Selected patients were divided into two groups by random number method,which were the conventional treatment group and the Fujing Bushen decoction treatment group.Those in the Fujing Bushen decoction treatment group were treated with selfdesigned Fujing Bushen decoction on the basis of the therapeutic approach in the conventional treatment group. Following 3 menstrual cycles of treatment,the clinical efficacy of the two groups was evaluated,and the changes of traditional Chinese medicine (TCM) syndrome score,endometrial thickness,menstrual quality index and uterine spiral artery hemodynamics parameters before and after treatment in the two groups were observed,and the incidence of adverse reactions in the two groups during the treatment was calculated. Results:The total effective rate was 98.21% in the Fujing Bushen decoction treatment group and 85.71% in the conventional treatment group. Both the clinical efficacy and the total effective rate in the Fujing Bushen decoction treatment group were better than those in the conventional treatment group (P＜005). After treatment,the TCM syndrome score,endometrial thickness and menstrual quality of patients in both groups were improved compared with those before treatment (intragroup comparison of P＜005),and the menstrual repetition group was superior to the conventional group (intergroup comparison of P＜005); after treatment,S/D,RI,PI of the spiral uterine artery in the two groups were improved compared with that before treatment (intragroup comparison of P＜005),and the Fujing Bushen decoction treatment group was superior to the conventional treatment group (intergroup comparison of P＜005).Furthermore,the incidence of adverse reactions was 10.71% in the conventional treatment group and 7.14% in the Fujing Bushen decoction treatment group,without obvious statistical difference in the comparison between groups (P＞005). Conclusion:Fujing Bushen decoction has good curative effect in treating irregular menstruation after induced abortion. It can effectively improve menstrual quality,improve uterine spiral artery hemodynamics parameters,and is safe to use in clinical practice.

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更新日期/Last Update: 2019-11-15