世界科学技术-中医药现代化
世界科學技術-中醫藥現代化
세계과학기술-중의약현대화
WORLD SCIENCE AND TECHNOLOGY-MODERNIZATION OF TRADITIONAL CHINESE MEDICINE
2014年
5期
1117-1121
,共5页
周萍%陈欧娜%江琼%周滢
週萍%陳歐娜%江瓊%週瀅
주평%진구나%강경%주형
女性更年期综合征%益肾养心疏肝汤%针灸%中西医结合%临床疗效
女性更年期綜閤徵%益腎養心疏肝湯%針灸%中西醫結閤%臨床療效
녀성경년기종합정%익신양심소간탕%침구%중서의결합%림상료효
Climacteric syndrome%Yi-Shen Yang-Xin Shu-G an decoction%acupuncture%combine traditional Chinese and western medicine%clinical effect
目的：探讨益肾养心疏肝汤联合针灸治疗女性更年期综合征（WMS）的临床疗效。方法：选择WMS患者78例，随机分为两组，每组39例，对照组给予口服戊酸雌二醇片，治疗组在西药激素治疗基础上，加服益肾养心疏肝汤合针灸治疗。4周为1疗程，连续治疗3个疗程后，两组患者均进行治疗前后症状积分、汉密尔顿抑郁量表（HAMD）、汉密尔焦虑量表（HAMA）评分、血清促卵泡激素（FSH）及雌二醇（E2）评分及总体疗效比较。结果：在临床症状方面，两组治疗前后比较均有不同程度的改善（P<0.05或P<0.01）， HAMD、HAMA有不同程度的降低（P<0.05），E2有不同程度升高（P<0.05），FSH有不同程度降低（P<0.05），治疗组较对照组有更明显的优势，总有效率治疗组明显高于对照组（P<0.05）。结论：益肾养心疏肝汤联合针灸及激素治疗WMS，对于临床症状的改善、焦虑抑郁情绪的缓解及病情活动的控制，与单纯的西药激素治疗相比，具有一定的优势。
目的：探討益腎養心疏肝湯聯閤針灸治療女性更年期綜閤徵（WMS）的臨床療效。方法：選擇WMS患者78例，隨機分為兩組，每組39例，對照組給予口服戊痠雌二醇片，治療組在西藥激素治療基礎上，加服益腎養心疏肝湯閤針灸治療。4週為1療程，連續治療3箇療程後，兩組患者均進行治療前後癥狀積分、漢密爾頓抑鬱量錶（HAMD）、漢密爾焦慮量錶（HAMA）評分、血清促卵泡激素（FSH）及雌二醇（E2）評分及總體療效比較。結果：在臨床癥狀方麵，兩組治療前後比較均有不同程度的改善（P<0.05或P<0.01）， HAMD、HAMA有不同程度的降低（P<0.05），E2有不同程度升高（P<0.05），FSH有不同程度降低（P<0.05），治療組較對照組有更明顯的優勢，總有效率治療組明顯高于對照組（P<0.05）。結論：益腎養心疏肝湯聯閤針灸及激素治療WMS，對于臨床癥狀的改善、焦慮抑鬱情緒的緩解及病情活動的控製，與單純的西藥激素治療相比，具有一定的優勢。
목적：탐토익신양심소간탕연합침구치료녀성경년기종합정（WMS）적림상료효。방법：선택WMS환자78례，수궤분위량조，매조39례，대조조급여구복무산자이순편，치료조재서약격소치료기출상，가복익신양심소간탕합침구치료。4주위1료정，련속치료3개료정후，량조환자균진행치료전후증상적분、한밀이돈억욱량표（HAMD）、한밀이초필량표（HAMA）평분、혈청촉란포격소（FSH）급자이순（E2）평분급총체료효비교。결과：재림상증상방면，량조치료전후비교균유불동정도적개선（P<0.05혹P<0.01）， HAMD、HAMA유불동정도적강저（P<0.05），E2유불동정도승고（P<0.05），FSH유불동정도강저（P<0.05），치료조교대조조유경명현적우세，총유효솔치료조명현고우대조조（P<0.05）。결론：익신양심소간탕연합침구급격소치료WMS，대우림상증상적개선、초필억욱정서적완해급병정활동적공제，여단순적서약격소치료상비，구유일정적우세。
This study was aimed to explore the clinical effect on treatment of climacteric syndrome by the combina-tion of Yi-Shen Yang-Xin Shu-Gan (YSYXSG) decoction and acupuncture therapy. A total of 78 female patients suffering from climacteric syndrome were selected and randomly divided into two groups, with 39 cases in each group. The control group was treated with oral administration of estradiol valerate. The treatment group was treated with the combination of YSYXSG decoction and acupuncture therapy on basis of western medicine treatment. Four-week was one treatment course. The treatment was continued for three treatment courses. Improvement state of both groups were compared by the integration of clinical symptoms before and after treatment as well as the Hamilton's Depression Scale (HAMD)/(HAMA). The results showed that according to the clinical symptoms, both groups had im-provements in varying degrees (P< 0.05, P< 0.01), in which HAMD, HAMA, FSH decreased (P< 0.05), and E2 in-creased (P< 0.05). The treatment group had more obvious superiority compared to the control group. There was sta-tistical significance between two groups (P < 0.05). The total efficiency rate of the treatment group was obviously higher than the control group with statistical significance (P < 0.05). It was concluded that combination of YSYXSG decoction, acupuncture therapy with hormonotherapy had more superiority in improving clinical symptoms, remitting emotion of anxiety-depression and controlling patient's condition compared with pure hormonotherapy, which had su-periority.
