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逍遥丸联合炔诺酮治疗内分泌紊乱致月经不调患者的效果研究

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目的 探析逍遥丸联合炔诺酮治疗内分泌紊乱致月经不调患者的效果.方法 88 例内分泌紊乱致月经不调患者,按照患者入院时间不同分为常规组、实验组,每组 44 例.常规组采取单药炔诺酮治疗,实验组采取逍遥丸联合炔诺酮治疗.比较两组临床治疗效果,治疗前后中医证候积分、激素水平、平均月经量、生活质量评分,治疗后 3 个月内不良反应发生率.结果 实验组患者的临床治疗总有效率 97.73%高于常规组的 84.09%(P<0.05).治疗后,实验组患者中医证候积分(2.00±0.44)分低于常规组的(3.25±0.71)分(P<0.05).治疗后,实验组患者雌二醇(E2)(22.00±2.88)pg/ml、促黄体生成素(LH)(25.70±5.69)mIU/ml、促卵泡激素(FSH)(15.48±6.85)mIU/L低于常规组的(28.35±3.67)pg/ml、(50.74±7.94)mIU/ml、(21.60±3.00)mIU/L,β-内啡肽(β-EP)(42.84±8.16)pg/ml和平均月经量(70.11±10.23)ml高于常规组的(36.22±6.67)pg/ml、(53.77±9.05)ml(P<0.05).治疗后,常规组睡眠质量、健康状况、生理机能、社会功能、精神健康评分分别为(81.42±7.25)、(84.22±6.05)、(86.25±5.00)、(85.16±5.22)、(85.25±2.16)分,实验组分别为(90.07±7.14)、(91.27±7.27)、(92.04±6.32)、(90.77±6.61)、(91.06±3.07)分,实验组睡眠质量、健康状况、生理机能、社会功能、精神健康评分高于常规组(t=5.6388、4.9444、4.7659、4.4182、10.2669,P=0.0000、0.0000、0.0000、0.0000、0.0000<0.05).实验组患者治疗后 3 个月内不良反应总发生率 2.27%低于常规组的 13.64%(χ2=3.8801,P=0.0489<0.05).结论 内分泌紊乱致月经不调患者经逍遥丸、炔诺酮联合治疗症状改善良好,不良反应少,用药更安全,可改善生殖激素,建议应用.
Study on the effect of Xiaoyao Pill combined with norethisterone in the treatment of patients with menstrual disorder caused by endocrine disorder
Objective To explore the effect of Xiaoyao Pill combined with Norethisterone in the treatment of patients with menstrual disorder caused by endocrine disorder.Methods 88 patients with menstrual disorders caused by endocrine disorders were selected.According to the different admission time of patients,the subjects were divided into a conventional group and an experimental group,with 44 cases in each group.The conventional group was treated with norethisterone alone,and the experimental group was treated with Xiaoyao pill and norethisterone.Both groups were compared in terms of clinical treatment efficiency,traditional Chinese medicine syndrome score,hormone levels,mean menstrual blood volume and quality of life before and after treatment,and the incidence of adverse reactions within 3 months.Results The total effective rate of the experimental group was 97.73%,which was higher than 84.09%of the conventional group(P<0.05).After treatment,the traditional Chinese medicine syndrome score of(2.00±0.44)points in the experimental group was lower than(3.25±0.71)points in the conventional group(P<0.05).After treatment,the experimental group had estradiol(E2)of(22.00±2.88)pg/ml,luteinizing hormone(LH)of(25.70±5.69)mIU/ml and follicle stimulating hormone(FSH)of(15.48±6.85)mIU/L,which were lower than(28.35±3.67)pg/ml,(50.74±7.94)mIU/ml and(21.60±3.00)mIU/L in the conventional group;the experimental group had β-endorphin(β-EP)of(42.84±8.16)pg/ml and mean menstrual blood volume of(70.11±10.23)ml,which were higher than(157.22±16.67)pg/ml and(53.77±9.05)ml in the conventional group(P<0.05).After treatment,the scores of sleep quality,health status,physiological function,social function and mental health in the conventional group were(81.42±7.25),(84.22±6.05),(86.25±5.00),(85.16±5.22)and(85.25±2.16)points,and those in the experimental groups were(90.07±7.14),(91.27±7.27),(92.04±6.32),(90.77±6.61)and(91.06±3.07)points.The scores of sleep quality,health status,physiological function,social function and mental health in the experimental group were higher than those in the conventional group(t=5.6388,4.9444,4.7659,4.4182,10.2669;P=0.0000,0.0000,0.0000,0.0000,0.0000<0.05).The total incidence of adverse reactions within 3 months after treatment in the experimental group was 2.27%,which was lower than 13.64%in the conventional group(χ2=3.8801,P=0.0489<0.05).Conclusion For patients with menstrual disorder caused by endocrine disorder,the combined administration of Xiaoyao Pill and norethisterone can improve the symptoms,and has less adverse reactions.it is safer to use,and can improve reproductive hormones,so it is recommended to be applied.

Endocrine disorderMenstrual disorderNorethisteroneXiaoyao PillEffect

姜晓娜

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264003 烟台毓璜顶医院妇科

内分泌紊乱 月经不调 炔诺酮 逍遥丸 效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(10)
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