启宫夺命汤联合西药治疗多囊卵巢综合征的临床疗效观察

目的:为了研究启宫夺命汤联合西药治疗多囊卵巢综合征的临床疗效,进一步探究其机制,提高患者满意度。方法:选择2022年3月份至2023年10月份在遵义市中医院妇科门诊及住院部收治的60名患者,1~30号为对照组,31~60号为观察组,两组分别为30人,对照组予饭后口服二甲双胍缓释片,每次0.5 g,每天两次;每天睡前口服达英-35,每次一片,每天一次;观察组患者在对照组的基础上使用启宫夺命汤(川芎、麸炒白术、半夏、香附、茯苓、神曲、化橘红、炙甘草、桂枝、桃仁、赤芍、牡丹皮)。评估两组病人在治疗前与治疗后的各项指标(E2、SHBG、AMH、LH)水平判断分析药物取得的临床疗效。结果:治疗后两组均可以使E2、SHBG水平提高,AMH、LH水平降低,组内比较有差异(P 0.05)。结论:启宫夺命汤联合西药治疗多囊卵巢综合征进行治疗,能够使E2、SHBG水平提高,AMH、LH水平降低,能明显地缓解病人的临床症状,改善预后,提升生活质量,值得广泛应用。Objective: In order to study the clinical efficacy of Qigong Duoming Decoction combined with Western medicine in the treatment of Polycystic Ovary Syndrome, further explore the mechanism and improve patient satisfaction. Methods: 60 patients treated in the gynecology outpatient and inpatient departments of Zunyi Traditional Chinese Medicine Hospital from March 2022 to October 2023 were selected. Numbers 1 to 30 were assigned to the control group, and numbers 31 to 60 were assigned to the observation group, with 30 people in each group. The control group received oral metformin su tained-release tablets after meals, 0.5 g each time, twice a day;and Diane-35, one tablet, once a day before going to bed. The observation group was treated with Qigong Duoming Decoction (consisting of Chuanxiong, oven-fried Atractylodes, Pinellia ternata, Cyperus rotundus L., Poria, Shenqu, Citri Reticulatae Pericarpium, roasted licorice, cinnamon twig, peach kernel, red peony root, and moutan bark) on top of the control group’s treatment. To evaluate the clinical efficacy of the indicators (E2, SHBG, AMH, LH) before and after treatment in the two groups. Results: After treatment, both groups could increase E2 and SHBG, AMH and LH, and differ within the groups (P 0.05). Conclusion: The treatment of polycystic ovary syndrome combined with Western medicine can improve the level of E2 and SHBG, reduce the level of AMH and LH, which can significantly relieve the clinical symptoms of patients, improve the prognosis and improve the quality of life, which is worth widely used.

小青龙汤加减合右美沙芬片治疗慢性支气管炎的临床疗效分析

目的:为了研究小青龙加减联合右美沙芬片治疗慢性支气管炎的临床疗效,我们选取了2022年3月到6月的60名患者,按1到60号对患者进行排序,采用随机抽样法,偶数为研究组,奇数为对照组。研究组采用小青龙汤加减治疗,对照组采用右美沙芬片治疗。研究两组的治疗效果。结果发现:研究组治疗有效率为96.7%,对照组治疗有效率为90.0%,研究组显然高于对照组。两组对比差异有统计学意义(P Objective: To study the clinical efficacy of modified Xiaoqinglong decoction combined with dextromethorphan tablets in chronic bronchitis, we selected 60 patients from March to June 2022, ranked patients by 1 to 60, using random sampling method, even number for the study group and odd number for the control group. The study group was treated with modified Xiaoqinglong decoction, and the control group was treated with dextromethorphan tablets. To study the treatment effect in both groups. The results found that the effective rate of the study group was 96.7%, and the control group was 90.0%, and the study group was obviously higher than the control group. The difference between the two groups was statistically significant (P < 0.05). Before treatment, there was no significant difference in symptoms such as cough, expectoration, wheezing, fever, headache between the two groups. After treatment, the study group and the control group improved significantly, but the study group improved more significantly. The clinical symptoms disappeared early after treatment, and the difference compared with the control group was statistically significant (P < 0.05). Conclusion: Modified Xiaoqinglong decoction is highly effective in treating chronic bronchitis, and cough, expectoration, wheezing, fever and cold, headache and other symptoms disappear quickly, which is more effective than the control group, making it worthy of widespread promotion in clinical practice.