益气养血方治疗气血两虚型产后风湿临床疗效及不同兼夹证规律研究

R271.43; 目的:研究气血两虚型产后风湿的兼夹证分布规律,评估益气养血方治疗气血两虚型产后风湿的疗效.方法:纳入气血两虚型产后风湿患者60例,统计兼夹证出现频次.以益气养血方随证加减治疗8周,通过比较治疗前后中医证候积分、视觉模拟评分法(VAS)评分、抑郁自评量表(SDS)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分进行疗效和安全性评价.并对不同兼证的气血两虚型产后风湿患者治疗后的疗效进行对比分析.结果:入组气血两虚型产后风湿患者兼夹证出现频次如下:表虚不固(48.21%)、肝肾亏虚(39.29%)、肝郁气滞(21.25%)、脾虚夹湿(19.64%)、瘀血阻滞(3...

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Published in:山东中医杂志 Vol. 40; no. 9; pp. 943 - 947
Main Authors: 张莹, 李雪微, 吴斌, 李延萍
Format: Journal Article
Language:Chinese
Published: 重庆市中医院风湿病科,重庆400021 2021
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Abstract R271.43; 目的:研究气血两虚型产后风湿的兼夹证分布规律,评估益气养血方治疗气血两虚型产后风湿的疗效.方法:纳入气血两虚型产后风湿患者60例,统计兼夹证出现频次.以益气养血方随证加减治疗8周,通过比较治疗前后中医证候积分、视觉模拟评分法(VAS)评分、抑郁自评量表(SDS)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分进行疗效和安全性评价.并对不同兼证的气血两虚型产后风湿患者治疗后的疗效进行对比分析.结果:入组气血两虚型产后风湿患者兼夹证出现频次如下:表虚不固(48.21%)、肝肾亏虚(39.29%)、肝郁气滞(21.25%)、脾虚夹湿(19.64%)、瘀血阻滞(3.75%).治疗后中医证候积分、VAS评分、SDS评分、WHOQOL-BREF评分均较治疗前改善,差异有统计学意义(P<0.01);益气养血方治疗产后风湿总有效率为94.64%;不同的兼夹证治疗疗效不同,表虚不固、脾虚夹湿、肝肾亏虚、肝郁气滞的显效率分别为58.82%、28.57%、21.43%、12.50%,差异具有统计学意义(P<0.05).结论:益气养血方治疗气血两虚型产后风湿临床疗效确切,并且不同兼夹证占比及其临床疗效存在明显差异,表虚不固证临床疗效最好,该研究为产后风湿的中医治疗提供了有益的参考依据.
AbstractList R271.43; 目的:研究气血两虚型产后风湿的兼夹证分布规律,评估益气养血方治疗气血两虚型产后风湿的疗效.方法:纳入气血两虚型产后风湿患者60例,统计兼夹证出现频次.以益气养血方随证加减治疗8周,通过比较治疗前后中医证候积分、视觉模拟评分法(VAS)评分、抑郁自评量表(SDS)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分进行疗效和安全性评价.并对不同兼证的气血两虚型产后风湿患者治疗后的疗效进行对比分析.结果:入组气血两虚型产后风湿患者兼夹证出现频次如下:表虚不固(48.21%)、肝肾亏虚(39.29%)、肝郁气滞(21.25%)、脾虚夹湿(19.64%)、瘀血阻滞(3.75%).治疗后中医证候积分、VAS评分、SDS评分、WHOQOL-BREF评分均较治疗前改善,差异有统计学意义(P<0.01);益气养血方治疗产后风湿总有效率为94.64%;不同的兼夹证治疗疗效不同,表虚不固、脾虚夹湿、肝肾亏虚、肝郁气滞的显效率分别为58.82%、28.57%、21.43%、12.50%,差异具有统计学意义(P<0.05).结论:益气养血方治疗气血两虚型产后风湿临床疗效确切,并且不同兼夹证占比及其临床疗效存在明显差异,表虚不固证临床疗效最好,该研究为产后风湿的中医治疗提供了有益的参考依据.
Author 吴斌
李雪微
张莹
李延萍
AuthorAffiliation 重庆市中医院风湿病科,重庆400021
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WU Bin
LI Xuewei
LI Yanping
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  fullname: 张莹
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  fullname: 李雪微
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  fullname: 吴斌
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  fullname: 李延萍
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Keywords 产后风湿;气血两虚;表虚不固;肝肾亏虚;肝郁气滞;脾虚夹湿;瘀血阻滞;益气养血方
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Title 益气养血方治疗气血两虚型产后风湿临床疗效及不同兼夹证规律研究
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