原原 创创 性性 声声 明明 本人郑重声明：本人所呈交的学位论文，是在导师的指导下独立进行研究所取得的成果。学位论文中凡引用他人已经发表或未发表的成果、数据、观点等，均已明确注明出处。除文中已经注明引用的内容外，不包含任何其他个人或集体已经发表或撰写过的科研成果。对本文的研究成果做出重要贡献的个人和集体，均已在文中以明确方式标明。 本声明的法律责任由本人承担。 论文作者签名： 日 期： 关于学位论文使用授权的声明关于学位论文使用授权的声明 本人完全了解广西中医药大学有关保留使用学位论文的规定，同意学校保留并向国家有关部门机构送交论文的复印件和电子版，允许论文被查阅和借阅。本人授权广西中医药大学可以将学位论文的全部或部分内容编入有关数据库进行检索，可以采用影印、缩印或扫描等复制手段保存、汇编学位论文。 （保密论文在解密后遵守此规定） 论文作者签名： 导师签名： 日 期： 日 期： 经期延长辨证经期延长辨证论论治治的的临床疗效观察临床疗效观察 中中 文文 摘摘 要要 目的目的: :观察经期延长中医辨证治疗的临床疗效。 方法方法: :本研究选择经期延长患者 90 例。 按照中医辨证分型分为 4 型：气虚型予以补气摄血、固冲调经的举元煎治疗 20 例；虚热型以养阴清热止血的两地汤合二至丸治疗 35 例；湿热型以清热祛湿、化瘀止血的保阴煎合四妙散治疗 15 例；血瘀型以活血化瘀止血的桃红四物汤合失笑散治疗 20 例。疗程为 3 个月。观察患者治疗前后月经情况、伴随症状，不同证型与性激素间的相关性，并观察其相关性激素治疗前后的变化；根据尼莫地平计算公式判定疗效以及临床疗效。 结果结果: :综合治疗结果为：90例患者，痊愈18例，显效21例，有效39例，无效12例，总有效率达86.7%；其中虚热型、气虚型、湿热型、血瘀型患者有效率分别为91.4%、90%、80%、75%。各项症状治疗前治疗后积分比较,（P0.05） 。 结论结论: :中医辨证分型治疗经期延长取得较好的疗效。 虚热型与FSH表达正相关，气虚型与LH表达负相关，因此FSH和LH可作为判定中医辨证分型中虚热型和气虚型的参考指标，指导临床用药；治疗后虚热型FSH有所下降，气虚型LH有所升高。 关键词关键词: :经期延长，辨证施治，临床研究 Observation of clinical effect of traditional Chinese medicine in menstrual extension ABSTRACT Objective: To observe the curative effects of TCM（Traditional Chinese Medicine） treatment for menstrual extension and other symptoms. Methods: In this study, Outpatients with menstrual extension were select 90 patients. According to patients with type TCM, 90 patients were divided into 4 types: (1) Qi-deficiency type: Appropriate air ejection, solid blunt regulate the menstrual function, with raise yuan fried. (2) Heat type: Appropriate for yin heat stop bleeding, with dual decoction and erzhi pill. (3) Damp-heat type: Appropriate for dispelling damp, removing stasis, with yin bao fry four wonderful scattered. (4) Blood stagnation: Appropriate for activate blood bleeding, with peach siwu decoction and heart away. Treatment for 3 months, to assess and evaluate the clinical presentations before and after treatment, comparing the results of treatment in menstruation and associated symptoms.And the different type of syndrome and the correlation between sex hormone were analyzed. Determination curative effect was assessed by the formula of nim horizon. Results: (1) The study looked at cases total effective rate of 86.7%, menstruation were significantly improved in patients before and after treatment. (2) This study investigated the cases and Hot type, qi type, blood stasis, damp-heat treated patients were 91.4% efficiency, 90%, 80%, 75%. All the symptoms integral were compared with before and after treatment, the changes were statistically significant (P0.05). Conclusion: Traditional Chinese medicine to treat menstrual extension curative effect is reliable. The effect of TCM treatment may be used as one of the effective methods of treatment of western medicine ovulation menstrual disorder. FSH and LH may be used as objective indicator in determination of Damp-heat type and Qi-deficiency type in traditional chinese medicine. Key words: menstrual extension, diagnosis and treatment, clinical observation 目目 录录 引言 1 正文 3 1 资料和方法 3 1.1研究对象 3 1.2研究方法 3 2 研究结果 9 2.1 一般资料分布情况 9 2.2 证型与性激素间的相关性分析 9 2.3临床疗效结果 13 2.4 停药后 3 个月随访情况 17 2.5不良反应 17 3 讨论 18 3.1中医理论依据