Effect of modified Sanjia-Fumai decoction on the endocrine and immune function of patients with climacteric syndrome
10.3760/cma.j.issn.1673-4246.2019.03.007
- VernacularTitle:加减三甲复脉汤结合激素替代疗法对女性更年期综合征患者内分泌及免疫功能的影响
- Author:
Fuju WANG
1
;
Yiting JI
;
Jiazhen HU
Author Information
1. 上海市普陀区中心医院妇产科 200062
- Keywords:
Climacteric syndrome;
Sanjia-Fumai decoction;
Hormone replacement therapy;
Endocrinology;
Immune function
- From:
International Journal of Traditional Chinese Medicine
2019;41(3):238-242
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of modified SanJia-Fumai decoction with hormone replacement therapy on the endocrine and immune function of patients with climacteric syndrome. Methods A total of 84 patients with climacteric syndrome were divided into two groups according to the random number table, 42 cases in each group. The control group was treated with hormone replacement therapy. While the observation group was treated with modified Sanjia-Fumai decoction on the basis of the control grop. Both groups were treated for 4 weeks. The efficacy by scoring the changes of the patients clinical symptoms and signs was evaluated, and the serum hormones (LH, FSH, E2) levels were detected by radioimmunoassay, and the immune function index (CD3+, CD4+, CD8+) levels by immunofluorescence method, and the IL-2 by ELLSA. Results After treatment, the total efficiency of observation group was 92.8％ (39/42), while the control group was 73.8％ (31/42), and the difference was statistically significant (Z=-2.736, P=0.003). After treatment, the scores of hot flashes, menstrual disorders, insomnia and dreaminess, hot sweating, restlessness and dry mouth constipation in the observation group were significantly lower than those in the control group (t were 7.745, 10.364, 11.201, 16.765, 18.442, 18.625 respectively, P<0.001); the Serum LH and FSH levels in observation group were significantly lower than those in control group (t were 4.837, 5.016 respectively, P<0.01); the E2 level was significantly higher than that of control group (t=7.309, P<0.01). The levels of CD3+, CD4+, CD4+/CD8+, IL-2 in the observation group were significantly higher than those in the control group (t were 5.139, 6.083, 6.158, 5.932 respectively, P<0.01); The level of CD8+ was significantly lower than that of the control group (t=5.994, P<0.01). Conclusions The modified SanJia-Fumai decoction with hormone replacement therapy can regulate the endocrine function, improve the body's immunity and improve clinical symptoms of climacteric syndrome patients.
