目的 分析麒麟丸聯(lián)合戊酸雌二醇片治療月經(jīng)不調(diào)的臨床效果。方法 選擇2017年1月-2019年1月在內(nèi)蒙古林業(yè)總醫(yī)院治療的月經(jīng)不調(diào)患者151例，隨機(jī)分為對(duì)照組（75利）和治療組（76例）。對(duì)照組飯后溫水口服戊酸雌二醇片，2片/次，1次/d。治療組在對(duì)照組用藥的基礎(chǔ)上口服麒麟丸，6 g/次，3次/d。兩組患者均治療12周。觀察兩組患者臨床療效，同時(shí)比較治療前后兩組患者孕酮（P）、雌二醇（E2）、黃體生成素（LH）等激素水平和臨床癥狀評(píng)分。結(jié)果 治療后，對(duì)照組和治療組臨床有效率分別為72.00%和90.79%，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療后，兩組患者P、E2、LH等激素水平均顯著升高（P<0.05），且治療組明顯高于對(duì)照組（P<0.05）。治療后，兩組腰骶酸痛、神疲乏力、小乳房脹痛、畏寒肢冷、腹脹痛等臨床癥狀評(píng)分均顯著降低（P<0.05）。治療后，治療組臨床癥狀評(píng)分明顯低于對(duì)照組（P<0.05）。結(jié)論 麒麟丸聯(lián)合戊酸雌二醇片治療月經(jīng)不調(diào)，可明顯改善患者激素水平及臨床癥狀，具有一定的臨床推廣應(yīng)用價(jià)值。

Objective To analyze the clinical effect of Qilin Pills combined with Estradiol Valerate Tablets in treatment of irregular menstruation. Methods Patients (151 cases) with irregular menstruation in Inner Mongolia Forestry General Hospital from January 2017 to January 2019 were randomly divided into control (75 cases) and treatment (76 cases) groups. Patients in the control group were po administered with Estradiol Valerate Tablets after meals, 2 tablets/times, once daily. Patients in the treatment group were po administered with Qilin Pills on the basis of the control group, 6 g/time, three times daily. Patients in two groups were treated for 12 weeks. After treatment, the clinical efficacy was evaluated, and the hormone levels of P, E2 and LH, and the clinical symptom scores in two groups before and after treatment were compared. Results After treatment, the clinical efficacy and in the control and treatment groups was 72.00% and 90.79% respectively, and there were differences between two groups (P<0.05). After treatment, the hormone levels of P, E2, and LH in two groups were significantly increased (P<0.05), and which in the treatment group were significantly higher than those in the control group (P<0.05). After treatment, the clinical symptom scores of lumbosacral pain, mental fatigue, small breast swelling pain, chills and cold limbs, and abdominal distension pain in both groups were significantly reduced (P<0.05). After treatment, the clinical symptom scores in the treatment group were significantly lower than that in the control group (P<0.05). Conclusion Qilin Pills combined with Estradiol Valerate Tablets in treatment of irregular menstruation can significantly improve the hormones level and clinical symptoms, which has significant curative effect and good safety.

R984