[1]刘红星,刘金凤,白 灵.地黄叶总苷胶囊治疗糖尿病女性性功能障碍的临床研究[J].医学信息,2018,31(09):87-90.[doi:10.3969/j.issn.1006-1959.2018.09.026]
　LIU Hong-xing,LIU Jin-feng,BAI Ling.Clinical Study on Treatment of Diabetic Female Sexual Dysfunction with Rehmannia Total Glycoside Capsule[J].Journal of Medical Information,2018,31(09):87-90.[doi:10.3969/j.issn.1006-1959.2018.09.026]
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地黄叶总苷胶囊治疗糖尿病女性性功能障碍的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年09期
页码:
87-90
栏目:
论著
出版日期:
2018-05-01

文章信息/Info

Title:
Clinical Study on Treatment of Diabetic Female Sexual Dysfunction with Rehmannia Total Glycoside Capsule
文章编号:
1006-1959（2018）09-0087-04
作者:
刘红星1; 刘金凤2; 白 灵1
1.武警山西总队医院内分泌科，山西 太原 030006； 2.山西中西医结合医院内分泌科，山西 太原 030013
Author(s):
LIU Hong-xing1; LIU Jin-feng2; BAI Ling1
1.Department of Endocrinology,Shanxi Provincial People's Armed Police Corps Hospital,Taiyuan 030006,Shanxi,China; 2.Department of Endocrinology,Shanxi Hospital of Integrated Traditional Chinese and Western Medicine,Taiyuan 030013,Shanxi,China
关键词:
地黄叶总苷胶囊; 糖尿病女性性功能障碍; 阴道湿润度; 激素
Keywords:
Key words：Rehmannia total glycoside capsule; Sexual dysfunction in diabetic women; Vaginal wetness; Hormone
分类号:
R711.77
DOI:
10.3969/j.issn.1006-1959.2018.09.026
文献标志码:
A
摘要:
目的 评价地黄叶总苷胶囊治疗糖尿病女性性功能障碍的有效性及安全性。方法 选取2011年5月~2014年12月在我院治疗的糖尿病患者中存在女性性功能障碍者54例，随机分成观察组和对照组，各27例。观察组给予地黄叶总苷胶囊联合西地那非片治疗，对照组给予西地那非片治疗，比较两组患者中医证候积分、治疗前后体内性激素水平变化、女性性功能量表（FSFI）六大维度变化、不良反应发生率等。结果 治疗后治疗组总有效率90.30%，高于对照组的70.37%，统计学意义显著（P＜0.01）；两组较治疗前在中医证候积分改善方面均不同程度得到了改善，但是观察组较对照组改善更明显（P＜0.05）；对照组在性唤起、性欲方面有改善，在阴道湿润度、性交痛、性交满意度方面落后观察组，差异有统计学意义（P＜0.05）；观察组治疗后的雌二醇（E2）、睾酮（T）、孕酮（P）水平较治疗前升高（P＜0.05），对照组治疗前后无明显变化（P＞0.05）；治疗组不良反应发生率为0，低于对照组的7.41%，差异具有统计学意义（P＜0.05）。结论 地黄叶总苷胶囊可有效改善糖尿病女性性功能障碍患者的幸福指数，在阴道湿润度和性交痛方面的效果优于单纯西药，能够降低西地那非片副作用，值得临床推广。
Abstract:
Abstract：Objective To evaluate the efficacy and safety of Rehmannia total glycoside capsule for the treatment of sexual dysfunction in diabetic women.Methods From May 2011 to December 2014,54 diabetic patients with female sexual dysfunction were randomly divided into observation group and control group,27 cases in each group.The observation group was given the Rehmannia total glycoside capsule combined with sildenafil tablet, and the control group was treated with sildenafil tablet.The TCM syndrome scores, the change of sex hormone levels in the body before and after treatment,and the female sexual function scale(FSFI)were compared between the two groups.Six major dimensions of change,the incidence of adverse reactions and so on.Results After treatment,the total effective rate of the treatment group was 90.30%,which was higher than that of the control group 70.37%.The statistical significance was significant(P<0.01).Both groups improved in different degrees before the treatment to improve the TCM syndrome scores,but the observation group compared with the control group,the improvement was more obvious(P<0.05).The control group was improved in sexual arousal and sexual desire,and lagged behind the observation group in terms of vaginal wetness,intercourse pain and sexual intercourse satisfaction,the difference was significant(P<0.05),The levels of estradiol(E2),testosterone(T)and progesterone(P)in the observation group were higher than those before treatment(P<0.05),but there was no significant change before and after treatment in the control group(P>0.05);The response rate was 0,which was lower than that of the control group 7.41%,the difference was statistically significant(P<0.05).Conclusion Rehmannia total glycoside capsule can effectively improve the happiness index of women with diabetic sexual dysfunction.It is better than western medicine in the aspects of vaginal wetness and sexual pain. It can reduce the side effects of sildenafil,and it is worthy of clinical promotion.

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更新日期/Last Update: 2018-05-01