月经先期与月经后期临床用药差异比较
Comparison of Clinical Medication Between Premature Menstruation and Delayed Menstruation
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摘要: 目的 找出治疗月经先期与月经后期的处方中使用频率有显著性差异的中药,并明确其差异性大小。方法 选取月经先期病例65例,月经后期病例367例。采用卡方检验和logistic回归方法对月经先期与月经后期处方中药物使用的差异性进行分析。结果 月经先期与月经后期药物使用差异有显著性意义的共7种,分别为金银花、黄柏、蒲公英、旱莲草、藕节、菖蒲和当归,除当归外,其余几种药物均在月经先期中的使用频率高于月经后期,差异大小由高到低依次为旱莲草、藕节、蒲公英、菖蒲、金银花、黄柏。结论 利用卡方检验可以找出月经先期与月经后期的用药差异,再利用logistic回归对差异进行大小性分析,使这种差异量化而更为具体,为月经先期与月经后期的临床用药提供参考。Abstract: OBJECTIVE To find out herbs with significant differences in using frequency of prescriptions in the treatment of premature menstruation and delayed menstruation, and to determine their differences. METHODS Sixty five premature menstruation cases and 367 delayed menstruation were selected. Chi-square test and logistic regression were used to analyze the differences in herbs use between premature menstruation and delayed menstruation prescriptions. RESULTS There were 7 kinds of used herbs were significantly different between premature menstruation and delayed menstruation prescriptions, and they were jin yin hua (Flos Lonicerae Japonicae), huang bai (Cortex Phellodendri Chinensis), pu gong ying (Herba Taraxaci), han lian cao (Herba Ecliptae), ou jie (Nodus Nelumbinis Rhizomatis), chang pu (Rhizoma Acori Graminei) and dang gui (Radix Angelicae Sinensis). In addition to dang gui (Radix Angelicae Sinensis), the rest herbs were higher frequently used in premature menstruation than that in the delayed menstruation, from high to low according to the difference, they were han lian cao (Herba Ecliptae), ou jie (Nodus Nelumbinis Rhizomatis), pu gong ying (Herba Taraxaci), chang pu (Rhizoma Acori Graminei), jin yin hua (Flos Lonicerae Japonicae) and huang bai (Cortex Phellodendri Chinensis). CONCLUSIONS The herbs use difference between premature menstruation and delayed menstruation could be determined through chi-square test. Then, logistic regression can be used to analyze the difference degree, which can make the difference more specific, and provide reference for clinical herb use for premature menstruation and delayed menstruation.