六味地黄汤加中医体质辨识治疗中老年性阴道炎效果分析

Effect of Liuwei Dihuang Decoction Combined with Body Constitution Differentiation in the Treatment of Senile Vaginitis

目的:探讨中医体质辨识结合六味地黄汤治疗老年性阴道炎的临床效果。方法:选取2014年1月至2016年4月在安阳市中医院妇科接受治疗的老年性阴道炎患者90例,采用随机数字表法分为辨证观察组与对照组,每组45例,2组患者均采用保妇康栓治疗,辨证观察组在上述基础治疗上根据中医体质分型对六味地黄汤进行加减,连续治疗2个疗程(30d为1个疗程),观察临床治疗效果。结果:治疗后,辨证观察组的带下量、外阴瘙痒、阴道灼热、白带异味、性交疼痛积分均低于对照组,差异均有统计学意义(P<0.05),辨证观察组的阴道弹力、阴道湿润、阴道黏膜、阴道pH值、阴道清洁度评分均低于对照组,差异均有统计学意义(P<0.05);治疗后,辨证观察组的痊愈率66.67%、显效率24.44%、有效率8.89%、无效率0%,对照组的痊愈率44.44%、显效率15.56%、有效率26.67%、无效率2.22%,差异均有统计学意义(P<0.05)。结论:根据中医体质辨识对六味地黄汤进行加减治疗老年性阴道炎患者具有更加显著的临床效果。

Objective ：To observe the clinical effect of Jiuwei Dihuang decoction combined with body constitution differentiation in the treatment of senile vaginitis. Methods：A total of 90 senile vaginitis patients admitted into our hospital from January 2014 to A- pril 2016 were randomly divided into dialectical treatment group and control group with 45 cases in each. Patients in both groups were treated with Baofukang Suppository, on this basis, the treatment group was treated with Liuwei Dihuang decoction according to different body constitution. To treat for 2 courses （30 days for 1 course） and observe the clinical efficacy of the two groups. Re- suits：After treatment, dialectical leucorrhea vulva pruritus, leucorrhea, vaginal abnormal smell, sexual intercourse pain scores of the treatment group were lower than those of the control group, and the differences were statistica）ly significant （ P 〈 0.05 ）. Vaginal elasticity, vaginal moist, vaginal mucosa, vaginal pH dialectical vaginal cleanliness scores of the treatment group were lower than those of the control group, and the difference was with statistical significance （ P 〈 0.05 ）. After treatment, the curative rate of the treatment group is 66. 67% , marked effective rate 24. 44% , effective rate 8.89% and ineffective rate 0%. However, cura- tive effect of the control group is 44.44% , marked effective rate 15.56%, effective rate 26.67%, and ineffective rate 2. 22%. The differences were statistically significant（P 〈 O. 05 ）. Conclusion： Liuwei Dihuang decoction combined with body constitution therapy is effective in treating senile vaginitis.