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本科论文:桃红四物汤加减改善妇女月经不调及生活质量的探究

  [摘要] 目的 探讨桃红四物汤加减在治疗月经不调疗效的确切性。 方法 选取我院自2015年9月~2016年9月收集的156例患者作为研究对象,采用随机数字表法分组,各组78例,分别为对照组和实验组。对照组患者给予西医治疗方法,实验组在此基础上给予桃红四物汤,治疗3个月后,对比两组患者月经不调改善情况、黄褐斑消退情况、心理焦虑改善情况。 结果 在实验组,月经不调改善情况、黄褐斑消退均非常明显,相较对照组有显著差异(P<0.05)。对照组虽然也有显著改善,但并未与实验组一样理想。而对比两组患者焦虑情况,实验组较于对照组治疗效果更加明显,差异具有统计学意义(P<0.05)。 结论 桃红四物汤是经典的调血和气的良方,对妇女月经不调及黄褐斑都有良好的治疗效果,须引起临床重视,深入探讨。 
  [关键词] 桃红四物汤;月经不调;黄褐斑;痛经;内分泌失调 
  [中图分类号] R271.11 [文献标识码] A [文章编号] 2095-0616(2017)11-43-03 
  Exploration of modified Taohong Siwu decoction in improving abnormal menstruation and quality of life of women 
  HE Xueping HUANG Jie 
  Baoan District Hospital of Traditional Chinese Medicine, Guangdong, Shenzhen 518133, China 
  [Abstract] Objective To explore and study the accuracy of curative effect of Taohong Siwu decoction in treatment of abnormal menstruation. Methods 156 patients who were admitted in our hospital from September 2015 to September 2016 were selected as research objects. According to random number table, they were divided into the control group and the experimental group, with 78 in each. Patients in the control group were treated by western medicine while the experimental group was given Taohong Siwu decoction at basis of the control group. After 3-month treatment, improvement of abnormal menstruation, fading condition of chloasma and improvement of psychological anxiety of patients in two groups were compared. Results In the experimental group, improvement of abnormal menstruation and fading condition of chloasma were both significant. There was significant difference compared with the control group (P<0.05). The control group also had significant improvement while the effect was not as ideal as the experimental group. Curative effect of anxiety of patients in the experimental group was more significant than the control group. The difference had statistical significance (P<0.05). Conclusion Taohong Siwu decoction is a classic recipe to regulate blood and qi, which has a good curative effect on abnormal menstruation and chloasma of women. It must be clinically valued and deeply studied. 
  [Key words] Taohong Siwu decoction; Abnormal menstruation; Chloasma; Dysmenorrhea; Endocrine disorder 
  隨着我国医疗科学的进步,利用中医理论治疗妇科疾病得到越来越多临床医师的青睐。也有越来越多的临床数据证明,中医疗法在治疗妇科疾病方面的独特优势。月经不调在妇科属于常见病,表现为月经周期异常或出血量异常,常伴有月经前、行经期腹部疼痛及全身症状。情绪异常、寒冷刺激、节食、嗜烟酒等都是影响月经不调的因素。临床表现为不规则子宫出血、功能失调性子宫出血,甚至闭经、绝经。在经济高速发展的今天,女性参加工作以及承担的家庭压力和社会责任逐渐增加,使得许多年轻女性都存在经期紊乱、经量过少等症状,还有许多女性过早地出现黄褐斑。虽然目前的医疗条件亦较以往有较大的提高,但是良好的改善月经问题对于临床医师们仍然是个不小的课题。这些问题不仅在身体上,对患者的心理也会造成较大的负担。因此,解决女性月经问题任重道远。本研究通过将四物汤改进,发扬祖国中医精华,改善女性生活质量,帮助她们找回自信[1-3],报道如下。

 
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