补肾疏肝活血调经法治疗肾虚肝郁型月经后期临床研究

Clinical Research of Applying Bushen Shugan Huoxue Tiaojing Method in the Treatment of Kidney-deficiency and Liver-stagnation Type Menstruation

目的：观察补肾疏肝活血调经法治疗肾虚肝郁型月经后期的临床疗效。方法：选取我院妇科2014年1月~2015年5月收治的50例肾虚肝郁型月经后期患者,将其按照数字表法随机分为实验组和对照组,每组各25例。实验组患者给予补肾疏肝活血调经法治疗,对照组服用补佳乐及黄体酮胶囊。观察与对比两组患者治疗前后月经周期、经期、经量、临床症状、性激素（E2、P、FSH、LH）等指标及治疗有效率。结果：实验组患者治疗有效率显著高于对照组（P〈0.05）。治疗前,两组患者在痛经、乳房肿痛、腰膝酸软、烦躁易怒及头晕耳鸣等临床症状方面均无显著差异（P〉0.05）。治疗后,两组患者的上述临床症状均明显改善（P〈0.05）,且实验组优于对照组（P〈0.05）。治疗前,两组患者的E2、P、FSH、LH等性激素水平均无显著差异（P〉0.05）。治疗后,两组患者的性激素水平均明显改善（P〈0.05）,且实验组患者的E2、P、FSH水平显著优于对照组（P〈0.05）。结论：补肾疏肝活血调经法对肾虚肝郁型月经后期患者的治疗效果显著,可有效改善月经情况和临床症状,调节性激素水平,值得临床推广。

Objective ： To explore the clinical effect of Bushen Shugan Huoxue Tiaojing Method in the treatment of kidney- deficiency and liver-stagnation menstruation. Methods ： From January 2014to May 2015, 50cases of kidney-deficiency and liver- Qi stagnation type menstruation patients in gynecology and obstetrics department of our hospital were selected, according to the digital table method were randomly divided into experimental group and controlled group, each group with 25eases. The experi- mental group were treated with Bushen Shugan Huoxue Tiaojing Method, the controlled group was given progynova and progester- one capsules. Observating and comparing two groups of patients before and after the treatment of menstrual cycle, menstruation, the amount of clinical symptoms, sex hormones （ P, FSH, LH, E2 ） and other indicators and treatment efficiency. Results. The effective rate of the experimental group was significantly higher than that of the controlled group （ P〈0.05 ）. Before treatment, two groups of patients in terms of dysmenorrbea, breast pain, soreness and weakness of waist and knees, irritability and dizziness, finnitus and other symptoms had no significant difference （ P〉O. 05 ）. After treatment, the clinical symptoms of the two groups were significantly improved （ P〈0. 05 ） , and the experimental group was better than the controlled group （ P〈0. 05 ）. Before treat- ment, there was no significant difference in E2 , FSH, P, LH and other sex hormone levels among the two groups （ P〉0. 05 ）. Af- ter treatment, the sex hormone levels in the two groups were signifieandy improved （P〈0. 05 ） , and the P, FSH and E2 levels in the experimental group were significantly better than those in the controlled group （ P〈0. 05 ）. Conclusion ： Bushen Shugan Huox- ue Tiaojing Method in patients with kidney-deficiency and liver-Qi stagnation type menstruation has obvious curative effect, can effectively improve menstrual status and clinical symptoms, regulate the level of sex hormones, worthy of clinical promotion.