穴位埋线联合左归丸加减治疗肾阴虚型月经过少的效果分析
郑冬英 肖孝凤 肖招华
新余市中医院妇产科
摘要：目的：探究穴位埋线联合左归丸加减治疗肾阴虚型月经过少的临床效果。方法：选取80例符合肾阴型月经过少的患者，将其随机分为对照组和观察组，每组40例。对照组口服中药散剂左归丸加减，观察组在对照组的基础上进行穴位埋线治疗，分析两组中医症候积分、临床总有效率和血清激素水平。结果：治疗后，两组中医证候积分均降低，且观察组低于对照组，差异有统计学意义（P＜0.05）;对照组临床总有效率和月经量评分均低于观察组（P＜0.05）;两组卵泡刺激素和黄体生成素水平均低于治疗前，且观察组低于对照组（P＜0.05）;两组黄体酮和雌二醇水平均高于治疗前，且观察组高于对照组（P＜0.05）。结论：穴位埋线联合左归丸加减治疗肾阴虚型月经过少的临床效果更好。
关键词：穴位埋线;肾阴虚型月经过少;左归丸加减治疗;中医症候;
Effect of acupoint catgut embedding combined with Zuogui pill on patients with oligomenorrhea due to kidney yin deficiency①
ZHENG Dongying,XIAO Xiaofeng②,XIAO Zhaohua.(Dept. of Obstetrics and Gynecology,Xinyu Hospital of Traditional Chinese Medicine,Xinyu 338025,China)
Abstract Objective: To investigate the clinical efficacy of acupoint catgut embedding combined with Zuogui pill on patients with oligomenorrhea due to kidney yin deficiency. Methods: 80 patients who were diagnosed with kidney-yin oligomenorrhea were selected and randomized into the control group and the observation group, each with 40 cases. The control group were administered with modified traditional Chinese medicine powder Zuogui pill, while the observation group were treated with acupoint catgut embedding therapy on the basis of the control group. The traditional Chinese medcine ( TCM) symptom score, serum hormone level and total clinical effective rate of patients in both groups were analyzed. Results: After treatment, TCM symptom scores in both groups were decreased, and the scores in the observation group were lower than those in the control group, with statistical difference(P<0.05); the total clinical response rate and menstrual volume score in the control group were lower than those in observation group(P<0.05); the levels of follicle-stimulating hormone and luteinizing hormone after treatment were lower than those before treatment, and the levels in the observation group were lower than those in the control group(P<0.05); and the levels of progesterone and estradiol in both groups were higher than those before treatment, and the levels in the observation group were higher than those in the control group(P< 0.05). Conclusion: Acupoint catgut embedding combined with Zuogui Pill has obvious clinical curative effect on patients with oligomenorrhea due to kidney yin deficiency.
Keywords:acupoint catgut embedding; oligomenorrhea due to kidney yin deficiency; Zuogui pill treatment; traditional Chinese medicine symptom
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