更年止汗汤加减治疗58例女性更年期汗证临床观察

Self-made Climacteric Antihidrotic Decoction treatment of female climacteric syndrome sweat 58 cases

目的：探讨更年止汗汤加减治疗女性更年期综合症汗证的临床疗效。方法：选取天津中医药大学第一附属医院妇科门诊2014年1月～2014年12月期间就诊的58例女性更年期综合症多汗证患者，随机抽取29例为实验组，29例为对照组，实验组采用中药自拟更年止汗汤加减治疗，对照组给予口服谷维素片10~20mg/次，日3次：维生素C咀嚼片100~200mg/次，日3次：钙尔奇D（碳酸钙D3咀嚼片）600mg/次，日2次治疗，1周为1个疗程，服药3个疗程及停药3周后观察两组汗证状况和两组治疗前后主要伴随症状的改善情况。结果：治疗3周后，实验组治愈率为68.96%，总有效率为89.65%，对照组治愈率为27.58%，总有效率为68.96%，两组比较，差异有统计学意义（P〈0.05）；停药3周后,实验组治愈率为62.06%，总有效率为75.86%，对照组治愈率为13.79%，总有效率为41.37%，两组比较，差异有统计学意义（P〈0.05）。两组治疗2周后，症状均较治疗前均有明显改善，差异有统计学意义（P〈0.05）；实验组较对照组改善更明显，差异有统计学意义（P〈0.05）。结论：中药治疗女性更年期综合症多汗证有更好的疗效，疗效持久，而且未见不良反应。

Object： To evaluate the efficacy of self-made Climacteric Antihidrotic Decoction in treating the female climacteric hyperhidrosis syndrome.Methods：We had enrolled 58 patients that were diagnosed as female climacteric hyperhidrosis syndrome.They were the outpatients who had came to the First fifliated Hospital of Tianjin University of traditional Chinese medicine during January ,2014 to December,2014.We selected 29 cases as the treatment group while the rest as the control group randomly. The treatment group was given Chinese medicine and the control group was given oryzanol tablets 10-20 mg, 3 times a day; Vitamin C 100-200 mg, 3 times a day; Caltrate D tablets 600mg, twice a day.1 week for a course, we compared the efifcacy between the two groups after 3 courses of treatment.Results： The obvious effective rate of the treatment group was 68.96%,while the total effective was 89.65% ;the obvious effective rate of the control group was 27.58%,while the total effective was 68.96% , The obvious effective rate and the total effective rate of the treatment group were signiifcantly higher than those of the control group（P〈0.05）.Withdrawal after 3 weeks,he obvious effective rate of the treatment group was 62.06%,while the total effective was 75.86%;the obvious effective rate of the control group was 13.79%,while the total effective was 41.37% , The obvious effective rate and the total effective rate of the treatment group were signiifcantly higher than those of the control group（P〈0.05）. Treatment group at 3 weeks after treatment with symptoms have improved signiifcantly, compared with before treatment, and compared with the control group after treatment, the differences were very signiifcant （P 〈 0.05）. The control group compared with before treatment, signiifcant differences （P〈0.05）. Conclusion： The Chinese medicine has a better effect in the treatment of female climacteric syndrome.