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沈阳安联妇婴医院
纸质出版日期:2018,
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[1]李佳.中西医结合治疗围绝经期综合征的临床疗效[J].保健医学研究与实践,2018,15(02):47-50+54.
Li Jia. Clinical efficacy of integrative Chinese and Western medicine in treating perimenopausal syndrome[J]. Health Medicine Research and Practice, 2018,15(2):47-50.
目的探讨中西医结合治疗对围绝经期综合征患者性激素水平及生活质量的影响。方法选取2016年9月-2017年3月在沈阳市某医院就诊的200例围绝经期综合征患者为研究对象
采用随机数字表法将患者分为研究组与对照组
每组100例。对照组患者给予戊酸雌二醇片口服治疗
研究组患者在对照组的基础上采用当归六黄汤治疗。比较2组患者治疗前后促黄体生成素(LH)、促卵泡激素(FSH)及睾酮(T)水平;比较2组患者治疗前后心理健康症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及健康调查简表(SF-36)评分。结果治疗前
2组患者LH
FSH及T水平比较
差异无统计学意义(P>0.05)。治疗后
2组患者LH及FSH水平低于治疗前
且研究组低于对照组
差异有统计学意义(P<0.05);治疗后
2组患者T水平高于治疗前
且研究组高于对照组
差异有统计学意义(P<0.05)。治疗前
2组患者SCL-90中9个症状因子评分比较
差异无统计学意义(P>0.05);治疗后
2组患者SCL-90中9个症状因子评分均低于治疗前
且研究组低于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者SAS及SDS评分比较
差异无统计学意义(P>0.05);治疗后
2组患者SAS及SDS评分均低于治疗前
且研究组低于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者SF-36中8个维度评分比较
差异无统计学意义(P>0.05);治疗后
2组患者SF-36中8个维度评分均高于治疗前
且研究组高于对照组
差异均有统计学意义(P<0.05)。结论采用中西医结合治疗围绝经期综合征
可有效调节患者性激素水平
提高患者生活质量
临床效果显著
值得推广应用。
Objective To assess the effects of Integrative Chinese and Western Medicine on the sex hormone levels and quality of life in patients with perimenopausal syndrome.Methods A total of 200 patients with perimenopausal syndrome treated at a Shenyang hospital between September 2016 and March 2017 were included in this study.Using a random number table
we randomly divided these patients into the trial group and the control group
100 patients in each group.Patients in the control group received oral estradiol valerate alone
while those in the trial group received oral estradiol valerate plus Danggui Liuhuang Decoction.The pre-and post-treatment luteinizing hormone(LH)
follicle stimulating hormone(FSH)and testosterone(T)levels
as well as Self-reporting Symptom Checklist 90(SCL-90)
Self-rating Anxiety Scale(SAS)
Self-rating Depression Scale(SDS)and Short Form 36 Health Survey Questionnaire(SF-36)scores were compared between the two groups.Results The pre-treatment LH
FSH and T levels were comparable between the two groups(P>0.05).The post-treatment LH and FSH levels were decreased in both groups compared with their pretreatment levels
and they were significantly lower in the trial group than those in the control group(P <0.05).The post-treatment T level was increased in both groups compared with its pre-treatment level
and it were significantly higher in the trial group than that in the control group(P <0.05).The pre-treatment scores of 9 symptom factors in SCL-90 were comparable between the two groups(P>0.05);the post-treatment scores of 9 symptom factors in SCL-90 were decreased in both groups compared with their pre-treatment scores
and they were significantly lower in the trial group than those in the control group(P<0.05).The pre-treatment SAS and SDS scores were similar between the two groups(P>0.05);the post-treatment SAS and SDS scores were reduced in both groups compared with their pre-treatment scores
and they were significantly lower in the trial group than those in the control group(P<0.05).The pre-treatment scores of the 8 dimensions of SF-36 were comparable between the two groups(P>0.05);the post-treatment scores of the 8 dimensions of SF-36 were elevated in both groups compared with their pre-treatment scores
and they were significantly higher in the trial group than those in the control group(P<0.05).Conclusion For patients with perimenopausal syndrome
Integrative Chinese and Western Medicine is effective in regulating sex hormone levels and improving quality of life
which deserves widespread clinical application.
中西医结合围绝经期综合征生活质量当归六黄汤
Integrative Chinese and Western MedicinePerimenopausal syndromeQuality of lifeDanggui Liuhuang Decoction
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