观察滋肾养阴、固冲止血中药治疗排卵期出血的临床疗效

Clinical effect observation of traditional Chinese medicine for nourishing kidney and yin and guchong hemostasis in the treatment of ovulation hemorrhage

目的分析滋肾养阴、固冲止血中药治疗排卵期出血的临床疗效。方法68例排卵期出血患者,根据挂号的先后顺序分为实验组和参照组,每组34例。参照组接受戊酸雌二醇片(商品名:补佳乐)治疗,实验组接受滋肾养阴、固冲止血中药治疗。对比两组患者的治疗效果、复发情况、生活质量、满意度及实验组各个证型患者的治疗效果。结果实验组患者复发率2.94%(1/34)明显低于参照组的20.59%(7/34),差异具有统计学意义(χ^(2)=5.100,P=0.024<0.05)。实验组患者治疗总有效率97.06%(33/34)高于对照组的73.53%(25/34),差异具有统计学意义(χ^(2)=7.503,P=0.006<0.05)。治疗后,两组患者生理功能、躯体功能、情感功能、社会功能评分均较本组治疗前提升,且实验组患者生理功能、躯体功能、情感功能、社会功能评分高于参照组,差异具有统计学意义(P<0.05)。实验组肾阴虚型、肝郁化火型、湿热内蕴型以及淤血型患者总有效率分别为100.00%(20/20)、100.00%(6/6)、100.00%(5/5)、66.67%(2/3)。实验组患者治疗满意度97.06%(33/34)高于参照组的76.47%(26/34),差异具有统计学意义(χ^(2)=6.275,P=0.012<0.05)。结论滋肾养阴、固冲止血中药治疗排卵期出血的优势显著,治疗总有效率高,生活质量提升,复发率降低,患者对治疗方式的接受度高,因此该方法值得推广。

Objective To analyze the clinical effect of traditional Chinese medicine for nourishing kidney and yin and guchong hemostasis in the treatment of ovulation hemorrhage.Methods 68 patients with ovulation hemorrhage were randomly divided into experimental group and control group,with 34 cases in each group.The reference group received the treatment of estradiol valerate tablets(trade name:Progynova),and the experimental group received traditional Chinese medicine for nourishing kidney and yin and guchong hemostasis.The treatment effect,recurrence,quality of life and satisfaction were compared between the two groups,and treatment effect of patients of each syndrome type in the experimental group was further compared.Results The recurrence rate of the experimental group was 2.94%(1/34),which was significantly lower than 20.59%(7/34)of the control group,and the difference was statistically significant(χ^(2)=5.100,P=0.024<0.05).The overall effective rate of the experimental group was 97.06%(33/34),which was higher than 73.53%(25/34)of the control group,and the difference was statistically significant(χ^(2)=7.503,P=0.006<0.05).After the treatment,the scores of physiological function,physical function,emotional function and social function of each group were higher than its scores before the treatment.Further,after the treatment,the scores of physiological function,physical function,emotional function and social function of the experimental group were higher than those of the control group and the differences were statistically significant(P<0.05).In the experimental group,the overall effective rates of patients in kidney yin deficiency type,liver depression fire type,damp heat type and blood stasis type were 100.00%(20/20),100.00%(6/6),100.00%(5/5)and 66.67%(2/3)respectively.The treatment satisfaction of patients in the experimental group was 97.06%(33/34),which was higher than 76.47%(26/34)of patients in the control group,and the difference was statistically significant(χ^(2)=6.275,P=0.012<0.05).Conclusion Traditional Chinese medicine for nourishing kidney and yin and guchong hemostasis has significant advantages in the treatment of ovulation hemorrhage,with high total effective rate,improved quality of life,reduced recurrence rate and high acceptance of treatment.Therefore,this method is worthy of promotion.