CAJ | 학술논문

[目的]研究Engel模式疏肝方法对卵巢早衰干预的效果。[方法]将51例具有卵巢早衰趋势并符合肝郁证型的患者分为Engel组、辅助组、中药组3组，辅助组予以解郁三花汤、敲胆经、健康教育；中药组予逍遥散主方；Engel组结合上述两组方法，治疗过程观察潮热汗出、阴道干涩、皮肤蚁行感等临床症状改善情况、血清生殖激素变化情况和不良反应等，并进行组间比较。[结果]与辅助组、中药组进行比较，Engel组对肝郁证型有干预作用，能明显缓解临床症候和改善卵巢功能（P＜0.05）。[结论]Engel模式疏肝方法在对肝郁型卵巢功能减退有很好的治疗作用，对干预卵巢早衰有很好的辅助意义。
[목적]연구Engel모식소간방법대란소조쇠간예적효과。[방법]장51례구유란소조쇠추세병부합간욱증형적환자분위Engel조、보조조、중약조3조，보조조여이해욱삼화탕、고담경、건강교육；중약조여소요산주방；Engel조결합상술량조방법，치료과정관찰조열한출、음도간삽、피부의행감등림상증상개선정황、혈청생식격소변화정황화불량반응등，병진행조간비교。[결과]여보조조、중약조진행비교，Engel조대간욱증형유간예작용，능명현완해림상증후화개선란소공능（P＜0.05）。[결론]Engel모식소간방법재대간욱형란소공능감퇴유흔호적치료작용，대간예란소조쇠유흔호적보조의의。
[Objective]To study the intervention effect of the Engel Model ’s liver soothing method to POF. [Methods] Divide 51 patients who have a POF trend and confirm to liver stagnation syndrome into Engel group, Assistant group and the Chinese medicine group. Intervene the 3 groups and compare the serum index and clinical manifestations before and after treatment. Assistant group used Sanhua decoction, Gal badder meridian tapping and health education. The Chinese medicine group applied the Xiaoyao powder. Engel group used both the methods of other two groups. During the intervention, we observed the change of tidal fever, perspiration, colpoxerosis and so on. [Results] Compare with the other groups, Engel group received an obvious intervention effect toward liver stagnation syndrome of POF trend. It could remit the clinical symptoms and improve ovarian function. [Conclusions] The Engel Model’s liver soothing method has a preventive and therapeutic effect on ovarian function recession of liver stagnation syndrome and has assistant meaning to treat the POF.