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Treatment Of Collapse Tiaojing Only Adolescence Blood (Spleen Kidney-yang Definciency Syndrome) Of The Clinical Observation

Posted on:2011-07-18Degree:MasterType:Thesis
Country:ChinaCandidate:W B ZhangFull Text:PDF
GTID:2154360308476968Subject:TCM gynecology
Abstract/Summary:PDF Full Text Request
Objective:1. In the theory of clinical medicine under the guidance of a treatment for adolescent verify DUB (spleen and kidney yang) is convenient, simple, economic, and compliance has good clinical prescription.2. Tiaojing only by observing the collapse of Dysfunctional Uterine Bleeding Treatment of adolescent clinical efficacy and objective evaluation of its efficacy and safety of treatment and guide further clinical application.1 Research methods and contenta clinical reference to "Obstetrics and Gynecology", "Chinese new drug clinical research guidelines," "Chinese gynecology" and related diagnostic criteria, the selected cases, both in February 2009 between—November 2009 Chinese medicine hospital in Hubei Province gynecological patients, will meet the Western diagnosis of adolescent anovulatory dysfunctional uterine bleeding, TCM for the spleen and kidney yang Metrorrhagia 62 patients, 32 cases were randomly divided into treatment group and control group of 30 patients. On age, duration of vaginal bleeding and symptom scores, etc., for statistical analysis, P> 0.05, clinically comparable.2 Methods Treatment group:ⅠSelf Treatment Tiaojing just collapse. The pharmaceutical composition of Astragalus 20 g, Radix Codonopsis 15 g, Atractylodes macrocephala 10 g, Ejiao 10g, angelica 15g, Rehmannia glutinosa 15g, madder 15g, Semen 10g, cuttlefish bone 20 g, Fructus Corni 20g, medlar 15g. Chinese medicinal herbs Chinese medicine hospital preparation room by the Hubei prescriptions made by the Japanese one, decoction into 300ml, morning and evening hours twice orally.Control group: treated with oral Marvelon (Helanoujia agricultural company, each containing desogestrel to 0.15mg and ethinylestradiol 0.03 mg) treatment. For the bleeding, to begin the dose: each 3, every 8 hours; for those less bleeding, once a day, day two. After the reductions are at the bleeding stopped, cut one third of the dose every three days, reduced maintenance dose, day 1, after only 22 days of blood withdrawal.Treatment group and control group are in this to the next menstrual cramps menstrual cramps for a period, once every three cycles for a course of treatment.3 outcome measuresThe integrated effect of the treatment, hemostasis efficacy, symptom scores, such as Chinese medicine to compare the efficacy of individual symptoms.4 treatment evaluation criteriaComprehensive Evaluation of criterion-referenced, "Chinese Journal of Lung Cancer standards" determine the effect of light bleeding "national dysfunctional uterus bleeding type Integrative Medicine standards" (discussion paper) determine the efficacy of recent bleeding criteria. 5 Data AnalysisSPSS13.0 statistical data application software for statistical comparison. Count data using X2 test; measurement data, using t test.Results:(1) Comparison of two synthetic effect:treatment group 11 cases, 12 cases markedly effective in 6 cases,3 cases, the total effective rate 90.63%; the control group healed in 9 cases,6 cases were markedly effective in 11 cases, failure in 3 cases, the total efficiency of 90.00%. Statistical analysis showed no significant difference (P> 0.05). (2) After treatment, patients were symptom scores decreased significantly, and with before and after treatment were significantly different (P<0.05); after treatment, no significant difference between the two groups (P> 0.05). (3) Comparison of hemostatic effects of two groups:two groups after treatment to stop bleeding from the efficacy of view, the treatment group and control group, the difference was not significant (P> 0.05). (4) symptoms of the two groups The total effective TCM was no significant difference. (5) After treatment, the treatment group and control group on the blood, liver function, kidney function have no effect; but adverse reactions was significantly higher than the control group the treatment group, compared with statistical significance(P<0.05).Conclusion:Tiaojing only in imitation of consolidating the foundation collapse just collapse soup soup (ginseng, astragalus, Atractylodes, Rehmannia, Angelica, Black Ginger), based on removing ginseng, black ginger, tentative join Codonopsis, donkey-hide gelatin, wolfberry fruit, madder, dodder seed, cuttlefish bone, dogwood. Radix Codonopsis, Atractylodes, Astragalus spleen Qi, Pei biochemical source of astringent the Blood; Rehmannia, Ejiao, Angelica played a total of three drug blood hemostatic function; medlar Qaa plastic products filling kidney essence of love in flesh, full menstruation, Nourishing the Chong and Ren; dogwood cuttlefish bone together with liver or kidney, the convergence of the power to stop bleeding; madder, dodder can stop the bleeding kidney. Combination of various drugs played a total of nourishing, Guse hemostatic efficacy for the treatment of adolescent power of blood cancer. Integrated view of efficacy from the two groups, Tiaojing only with minor collapse soup is better than the overall effect of Marvelon; from the security point of view, two groups of treatment on blood routine, liver function, kidney function no effect observed may be due to sample cases size was small, the observation time is not long, still need to collect more cases of observation, returning to clear; from the side view, the control group was significantly higher than the treatment group, indicating the treatment group than in the control group is relatively more secure.
Keywords/Search Tags:Puberty Anovulatory DUB, Spleen and kidney yang, Tom Tiaojing only collapse, Clinical observation
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