摘要
目的分析艾灸联合将军斩关汤加减治疗气虚血瘀型崩漏病的疗效。方法选取该院2021年11月—2023年6月收治的40例气虚血瘀型崩漏患者为研究对象,根据随机数字表法将其分为对照组和观察组。对照组(n=20)采取将军斩关汤加减治疗,观察组(n=20)在对照组基础上联合艾灸治疗。对比两组止血疗效、中医症候积分、凝血指标、安全性。结果观察组治疗总有效率100.00%高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗前,两组出血时间、经色经质、神疲乏力、经血血块中医症候积分比较,组间差异无统计学意义(P>0.05);治疗后,观察组出血时间评分(2.19±0.47)分、经色经质评分(2.35±0.65)分、神疲乏力评分(1.23±0.53)分、经血血块评分(2.08±0.42)分均低于对照组的(3.43±0.76)分、(3.84±0.84)分、(2.02±0.25)分、(3.24±0.69)分,组间差异有统计学意义(P<0.05)。治疗前,两组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、血红蛋白(Hb)水平比较,组间差异无统计学意义(P>0.05);治疗后,观察组PT(10.98±1.46)s、APTT(26.05±1.48)s均短于对照组的(11.28±1.01)s、(27.15±1.53)s,观察组Hb水平(109.45±12.42)g/L高于对照组的(100.32±11.39)g/L,组间差异有统计学意义(P<0.05)。两组均未出现不良反应。结论艾灸联合将军斩关汤加减治疗气虚血瘀型崩漏病可以提升治疗有效性,减轻症状,改善凝血功能,且安全性高。
Objective To analyze the application value of moxibustion combined Jiangjun Zhanguan Decoction in the treatment of hemorrhaging disease of Qi deficiency and blood stasis.Methods 40 patients with qi deficiency and blood stasis type of discontinuous leakage admitted to the hospital from November 2021 to June 2023 were selected as research objects and divided into a control group and an observation group according to random number table method.The control group(n=20)was treated with Jiangjun Zhanguan Decoction,and the observation group(n=20)was treated with moxibustion on the basis of the control group.Hemostatic effect,TCM symptom score,coagulation index and safety were compared between the two groups.Results The effective rate of the observation group was 100.00%,higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference between the two groups in bleeding time,menstrual color and quality,fatigue and traditional Chinese medicine syndrome score of menstrual blood clots(P>0.05).After treatment,the bleeding time score(2.19±0.47)points,menstrual quality score(2.35±0.65)points,fatigue and fatigue score(1.23±0.53)points,and blood clot score(2.08±0.42)points of the observation group were lower than(3.43±0.76)points,(3.84±0.84)points,(2.02±0.25)points,and(3.24±0.69)points of the control group,with statistically significant differences between the groups(P<0.05).Before treatment,there was no statistically significant difference in prothrombin time(PT),activated partial thromboplastin time(APTT),and hemoglobin(Hb)levels between the two groups(P>0.05).After treatment,the PT(10.98±1.46)s and APTT(26.05±1.48)s in the observation group were shorter than(11.28±1.01)s and(27.15±1.53)s in the control group,and the Hb level in the observation group(109.45±12.42)g/L was higher than(100.32±11.39)g/L in the control group,and the difference between the groups was statistically significant(P<0.05).No adverse reactions were observed in
作者
白雪杰
魏贤锋
BAI Xuejie;WEI Xianfeng(Department of Obstetrics and Gynecology,Zaozhuang Hospital of Traditional Chinese Medicine,Zaozhuang Shandong,277000,China)
出处
《反射疗法与康复医学》
2023年第19期47-50,共4页
Reflexology And Rehabilitation Medicine
基金
山东省中医药科技项目(2021Q041)。
关键词
崩漏
气虚血瘀型
艾灸
将军斩关汤
Metrorrhagia and leakage
Qi deficiency and blood stasis type
Moxibustion
Jiangjun Zhanguan decoction
