固冲汤加清热解毒药治疗脾肾亏虚型崩漏的止血疗效(1)
摘要：目的 觀察固冲汤加清热解毒药治疗脾肾亏虚型崩漏的止血疗效。方法 选取2018年1月～2019年2月我院收治的脾肾亏虚型功血患者50例，按照随机数字表法分为治疗组和对照组，每组25例。治疗组给予固冲汤加清热解毒药治疗，对照组给予妈富隆治疗，比较两组近期止血疗效、治疗前后症状积分、中医证候疗效、中医单项症状疗效及实验室检查指标[血红蛋白(HGB)、凝血酶原时间(PT)、部分凝血活酶时间(APTT)]。结果 治疗组近期止血总有效率为92.00%，高于对照组的80.00%，差异有统计学意义(P<0.05)。治疗组中医证候总有效率为96.00%，高于对照组的60.00%，差异有统计学意义(P<0.05)。两组阴道出血量、出血天数比较，差异无统计学意义(P>0.05);两组神疲乏力、心悸气短、腰膝酸软、头晕耳鸣比较，差异有统计学意义(P<0.05)。治疗组HGB高于对照组[(99.24±12.39)g/L vs(92.08±17.47)g/L]，PT、APTT低于对照组[(11.76±0.60)s vs(13.61±0.63)s]、[(33.43±1.60)s vs(37.72±1.80)s]，差异有统计学意义(P<0.05)。结论 固冲汤加清热解毒药治疗脾肾亏虚型崩漏患者止血疗效确切，可增加机体免疫力，提高HGB含量，缩短PT、APTT时间，达到标本兼治，在改善患者症状、提高患者生活质量方面效果优于妈富隆。
关键词：固冲汤加减;脾肾亏虚;崩漏
中图分类号：R271.12 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.02.049
文章编号：1006-1959(2020)02-0157-03
Abstract：Objective To observe the hemostatic effect of Guchong Decoction plus clearing heat and detoxifying drugs in treating spleen and kidney deficiency type collapse and leakage. Methods 50 patients with spleen-kidney deficiency dysfunction treated in our hospital from January 2018 to February 2019 were selected and divided into a treatment group and a control group according to the random number table method， with 25 cases in each group. The treatment group was treated with Guchong Decoction plus clearing heat and detoxifying drugs， and the control group was treated with Marvelon. The two groups were compared with the recent hemostatic effect， symptom scores before and after treatment， the effect of TCM syndromes， the effect of single symptoms of TCM， and laboratory test indicators [hemoglobin (HGB)， Prothrombin time (PT)， partial thromboplastin time (APTT)]. Results The total effective rate of recent hemostasis in the treatment group was 92.00%， which was higher than 80.00% in the control group，the difference was statistically significant(P<0.05). The total effective rate of TCM syndromes in the treatment group was 96.00%， which was higher than 60.00% in the control group，the difference was statistically significant(P<0.05). There was no significant difference in the amount of vaginal bleeding and bleeding days between the two groups(P>0.05). There was a statistically significant difference in fatigue， palpitations， shortness of breath， waist and knee weakness， dizziness and tinnitus in the two groups (P<0.05).HGB in the treatment group was higher than the control group [(99.24±12.39) g/L vs (92.08±17.47) g/L]， PT and APTT were lower than the control group [(11.76±0.60) s vs (13.61±0.63) s]， [(33.43±1.60) s vs (37.72±1.80) s]， the difference was statistically significant (P<0.05). Conclusion Guchong Decoction and clearing heat and detoxifying drugs are effective in treating hemorrhage in patients with spleen and kidney deficiency type collapse and leakage， which can increase the body's immunity， increase HGB content， shorten the PT and APTT time， achieve both symptoms and symptoms， improve patient symptoms and improve the quality of life of patients Marvelon., 百拇医药(张新萍)
关键词：固冲汤加减;脾肾亏虚;崩漏
中图分类号：R271.12 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.02.049
文章编号：1006-1959(2020)02-0157-03
Abstract：Objective To observe the hemostatic effect of Guchong Decoction plus clearing heat and detoxifying drugs in treating spleen and kidney deficiency type collapse and leakage. Methods 50 patients with spleen-kidney deficiency dysfunction treated in our hospital from January 2018 to February 2019 were selected and divided into a treatment group and a control group according to the random number table method， with 25 cases in each group. The treatment group was treated with Guchong Decoction plus clearing heat and detoxifying drugs， and the control group was treated with Marvelon. The two groups were compared with the recent hemostatic effect， symptom scores before and after treatment， the effect of TCM syndromes， the effect of single symptoms of TCM， and laboratory test indicators [hemoglobin (HGB)， Prothrombin time (PT)， partial thromboplastin time (APTT)]. Results The total effective rate of recent hemostasis in the treatment group was 92.00%， which was higher than 80.00% in the control group，the difference was statistically significant(P<0.05). The total effective rate of TCM syndromes in the treatment group was 96.00%， which was higher than 60.00% in the control group，the difference was statistically significant(P<0.05). There was no significant difference in the amount of vaginal bleeding and bleeding days between the two groups(P>0.05). There was a statistically significant difference in fatigue， palpitations， shortness of breath， waist and knee weakness， dizziness and tinnitus in the two groups (P<0.05).HGB in the treatment group was higher than the control group [(99.24±12.39) g/L vs (92.08±17.47) g/L]， PT and APTT were lower than the control group [(11.76±0.60) s vs (13.61±0.63) s]， [(33.43±1.60) s vs (37.72±1.80) s]， the difference was statistically significant (P<0.05). Conclusion Guchong Decoction and clearing heat and detoxifying drugs are effective in treating hemorrhage in patients with spleen and kidney deficiency type collapse and leakage， which can increase the body's immunity， increase HGB content， shorten the PT and APTT time， achieve both symptoms and symptoms， improve patient symptoms and improve the quality of life of patients Marvelon., 百拇医药(张新萍)
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