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目的观察自拟逍遥通经胶囊治疗青春期继发性闭经的疗效及安全性。方法选择医院2009年1月-2014年3月收治的青春期继发性闭经患者145例,根据治疗方法不同将患者分为观察组100例和对照组45例,分别给予自拟逍遥通经胶囊和常规西药治疗,观察2组患者治疗前后症状积分、性激素水平,比较2组患者的治疗效果及不良反应发生情况。结果观察组总有效率为94.0%高于对照组的80.0%,差异有统计学意义(P<0.05)。治疗前2组中医症候积分比较差异无统计学意义(P>0.05),治疗后2组中医症候积分均显著下降(P<0.05),且观察组低于对照组(P<0.05)。治疗前2组激素水平比较差异无统计学意义(P>0.05),治疗后2组激素水平均显著提高(P<0.05),但2组间比较差异无统计学意义(P>0.05)。结论自拟逍遥通经胶囊治疗青春期继发性闭经疗效显著,安全性好,值得临床推广应用。
Objective To observe the efficacy and safety of self-made Xiaoyao Tongjiao Capsule in the treatment of adolescent secondary amenorrhea. Methods 145 cases of adolescent secondary amenorrhea admitted from January 2009 to March 2014 in our hospital were divided into observation group (n = 100) and control group (n = 45) according to the different treatment methods. Patients were given self-designed Xiaoyao Tongjing capsule and Routine Western medicine treatment, observation of two groups of patients before and after treatment, symptom scores, sex hormone levels, the treatment effect of two groups were compared and the incidence of adverse reactions. Results The total effective rate in the observation group was 94.0%, which was significantly higher than that in the control group (80.0%, P <0.05). There was no significant difference in TCM symptom score between the two groups before treatment (P> 0.05). After treatment, the TCM symptom scores of two groups were significantly decreased (P <0.05), and the observation group was lower than the control group (P <0.05). There were no significant differences in hormone levels between the two groups before treatment (P> 0.05). The hormone levels in both groups were significantly increased after treatment (P <0.05), but there was no significant difference between the two groups (P> 0.05). Conclusions Self-made Xiaoyao Tong Capsule treatment of adolescent secondary amenorrhea significant effect, good safety, worthy of clinical application.