健脾调经法治疗血虚型月经过少的临床研究

目的探讨健脾调经法治疗血虚型月经过少患者的临床效果。方法抽选2015年1月—2016年7月在我院就诊并接受治疗的血虚型月经过少患者100例为研究对象,随机数字表法分为两组。对照组(50例)均给予性激素替代法西医治疗,观察组(50例)则给予健脾调经法中医辨证论治,对比两组患者治疗效果差异,同时统计两组患者在治疗前后月经量及其在促卵泡生长激素(FSH)、促黄体生成素(LH)、雌二醇(E2)、孕酮(P)、睾酮(T)等性激素指标上的差异。结果观察组患者治疗有效率(92.0%)高于对照组(80.0%),差异显著(P0.05)。两组患者治疗后性激素指标与治疗前相比均存在显著差异(P0.05),观察组患者治疗后在FSH、LH、E2、T等性激素指标上与对照组相比无显著性差异(P0.05)。两组患者治疗期间均无明显不良反应。结论健脾调经法治疗血虚型月经过少患者相较常规性激素替代法西医治疗效果显著提高,有效改善患者雌激素指标的同时安全性高,患者整体状况也得到改善,值得临床推广。

Clinical Study on Strengthening Spleen for Regulating Menstruation Therapy in the Treatment of Blood Deficiency Type Hypomenorrhea

Objective To investigate the clinical effect of strengthening spleen for regulating menstruation therapy in the treatment of blood deficiency type hypomenorrhea.Methods Selecting 100 cases of patients with blood deficiency type hypomenorrhea were treated in our hospital from January 2015 to July 2016 as the research objects, and they were randomly divided into two groups.The control group (50 cases) was treated with hormone replacement therapy, and the observation group (50 cases) was given strengthening spleen for regulating menstruation therapy of TCM treatment based on syndrome differentiation.Differences in the therapeutic effect of the two groups were compared, and before and after treatment, menstruation period and in follicle stimulation hormone (FSH), luteinizing hormone (LH), estradiol ( E2 ) , progesterone ( P ) , testosterone ( T ) and sex hormone indexes between the two groups were observed.Results The effective rate of the observation group ( 92%) was higher than that of the control group ( 80%) , and the difference was significant ( P<0.05).After treatment, sex hormone indexes of the two groups were compared those before treatment, and there were significant differences (P<0.05).The index of sex hormones FSH, LH, E2, P and T between the observation group and control group were compared, and there were no significant differences ( P >0.05 ) .There were no significant adverse reactions in the two groups during the treatment period. Conclusion The therapeutic effect of strengthening spleen for regulating menstruation therapy in the treatment of blood deficiency type hypomenorrhea was better than that of conventional Western medicine treatment.It can effectively improve the index of patients with estrogen, and has high safety.It also can improve the overall condition of the patient, and it is worthy of clinical promotion.