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Clinical Study On The Treatment Of Thin Endometrium Of Kidney Deficiency And Blood Stasis Syndrome By Herb-Partitioned Moxibustion On The Navel And Estrogen

Posted on:2024-05-09Degree:MasterType:Thesis
Country:ChinaCandidate:H SunFull Text:PDF
GTID:2544306923462364Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
Objective:This study aimed to observe the effect of umbilical moxibustion combined with estrogen on patients with Thin endometrium(TE)with renal deficiency and blood stasis,and to evaluate its efficacy for improving patients with thin endometrium with kidney deficiency and blood stasis,in order to provide a new method for clinical treatment of thin endometrium with kidney deficiency and blood stasis.Methods:In this study,60 patients with renal deficiency and blood stasis TE who met the inclusion criteria were recruited in the outpatient clinic of the Department of Reproduction and Genetics and the Center for External Treatment of TCM,and the patients were randomly divided into 30 cases in the observation group and 30 cases in the control group.The control group was treated with estrogen,estradiol Valerate Tablets for Oral Use(Tonical,DELPHARMLille S.A.S.,Size:1mg/tablet),2mg/day(Bid),and 21 consecutive days starting on the 5th day of the menstrual cycle;The observation group added septum moxibustion to the control group,treated once a week,starting on the 7th day of the menstrual cycle,without treatment during menstruation,and both groups were treated continuously for three months.The changes of ultrasound examination in the two groups before and after treatment:Endometrial thickness(EMT),endometrial typing,Pulsatility index(PI)and Resistance index(RI),and changes in TCM syndrome scores were analyzed and compared.Results:1.Ultrasonography:After treatment,EMT increased(P<0.01)and PI and RI decreased(P<0.01)in both groups.Compared with the control group,the effect of combining estrogen treatment with moxibustion and umbilical cord method was more obvious(P<0.05),but the difference of endometrial typing between the two groups was not significant(P>0.05).2.TCM syndrome points:After treatment,the total points of TCM symptoms in both groups were significantly lower than before treatment(P<0.01),and the group with moxibustion and umbilical cord combined with estrogen was better than the control group(P<0.01);the points of the control group and the points of the observation group were significantly lower than before treatment(P<0.05),except for the dull color of menstruation,blood clots,dry mouth and lack of desire to drink.Compared with the control group,the treatment effect of the observation group was more prominent in the areas of low menstrual flow,pale color,blood clots,dizziness,abdominal pain during menstruation,dry mouth and lack of desire to drink,lumbosacral pain and tongue image(P<0.05).3.Judgment of therapeutic efficacy:After treatment,in the judgment of the therapeutic efficacy of Chinese medicine symptoms,the effective rate of the group of interdigitated moxibustion and umbilical cord method combined with estrogen was 90.00%,which was significantly better than that of the control group of 56.67%(P<0.01);in the judgment of the comprehensive therapeutic efficacy,the effective rate of the group of interdigitated moxibustion and umbilical cord method combined with estrogen was 86.67%,which was also significantly better than that of the control group of 56.67%(P<0.01).Conclusion:The results of clinical studies show that septum moxibustion combined with estrogen therapy can effectively increase uterine arterial blood perfusion,reduce PI and RI,increase endometrial thickness,improve menstrual conditions and relieve clinical symptoms in patients with renal deficiency and blood stasis,which is better than oral estrogen therapy alone.
Keywords/Search Tags:Thin endometrium, Kidney deficiency and blood stasis type, Herb-Partitioned Moxibustion on the Navel, Estradiol Valerate, Clinical efficacy observation
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