世界中医药

目的：探究分析中医体质调理辨证治疗育龄女性月经不调的近远期临床疗效，为临床研究提供参考依据。方法：选择2011年4月至2014年6月期间来我院治疗的80例育龄女性月经不调患者，按照随机数字表法分为实验组和对照组，各40例。实验组患者根据不同体质进行中医诊治，对照组患者给予常规西医疗法治疗。观察2组患者的近期临床疗效、远期月经周期天数，比较2组患者不良反应的发生状况。结果：经过治疗，实验组患者治愈21例，显效10例，有效8例，总有效率为97.5%，显著高于对照组患者的70.0%的总有效率，有统计学意义（P<0.05）；治疗前，2组患者的月经周期天数相差无几，差异无统计学意义（P>0.05）。治疗后，2组患者的月经周期天数都明显延长，与治疗前均延长（P<0.05），但实验组患者的月经周期天数较对照组患者趋于正常，差异有统计学意义（P<0.05）；治疗后，实验组患者0例头痛，1例发热，1例皮疹，1例胃肠道不适，2例患者发生其他不良反应，总发生率为12.5%，显著低于对照组患者70.0%的不良反应发生率（P<0.05）。结论：中医体质调理辨证治疗育龄女性月经不调患者，能够显著提高临床近期疗效，使月经周期天数趋于正常，并且具有较好的安全性，是一种值得在临床上推广使用的治疗方法。

English Summary:

To explore the near and forward future curative effect of Traditional Chinese Medicine(TCM)syndrome differentiation in the treatment of irregular menstruation of women in childbearing age and to provide reference for clinical research. Methods： A total of 80 cases of women with irregular menstruation in their childbearing age who came to our hospital from Aprial 2011 to June 2014 were selected and randomly divided into two groups， and each with 40 cases. TCM diagnosis and treatment were given to patients in the experimental group，conventional Western medicine therapy was given to the control group. Recent clinical efficacy and the long-term menstrual cycle days were observed. Also， adverse reactions in the two groups were compared. Results： After treatment， in the experimental group， 21 cases were cured， 10 cases experienced favorable results and 8 cases showed sign of cure， and the total effective rate was 97.5%. This is significantly higher than that of the control group(70.0%)and the difference with a sadistically significant(P<0.05). Before treatment， the two groups shared a roughly same menstruation days with no statistical difference(P>0.05). After treatment， days of the menstrual cycle of patients patients in both groups were significantly prolonged(P<0.05). The menstruationn cycle of the experimental group after treatment was more normal compared with the control group， with a significant difference(P<0.05). After treatment， the experimental group show zero cases of headache， one case of fever， one case of rash， one case of gastrointestinal discomfort， and two cases of patients with other adverse reactions， and the overall incidence rate was 12.5%， which was significantly lower than that of the control group(70.0%). The result is of statistical significance(P<0.05). Conclusion： TCM Syndrome Differentiation is effective in the reatment of women in childbearing age with irregular menstruation， and can significantly improve the clinical curative effect， and enable the menstrual cycle to be normal. It is also safe， and thus should be promoted to the market.

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