Clinical Studies On The Effect Of JingQian Decoction Combined With Psychological Intervention On The Quality Of Life Of Patients Diagnosed With PMS (Stagnation Of Gan Qi)

[PURPOSE OF STUDY]Premenstrual syndrome (PMS), which includes physical, psychological and behavioral symptoms that occur during the luteal phase of the menstrual cycle,just from seven to fourteen days before menstruation.Premenstrual syndrome which fall into the category of symptoms around menstruation in TCM was relevantly described in "the syndromes before the menstrual cycle" in ancient books.As the pace quickened in society, more research on the causes of PMS, the improvement of females’ self-awareness, social psychological factors was attracting much attention.Therefore,to explore the treatment of the improvement of clinical symptoms and psychological problems,is of great clinical and social significance.This study was to investigate the effect of Jingqian decoction combined with psychological intervention on the quality of life of the patients with PMS (stagnation of Gan qi). A preliminary analysis of the effect aimed at exploring the best course of treatment.[Methods]According to the sequence of the cases inducted into the study to number them.90patients diagnosed with PMS(the syndromes of the Stagnation of Gan qi), were divided into3groups in accordance with random number table.30cases assigned to one group and the groups was replaced with the letter A, B, C.Group A treatment with chinese medicine Jingqian decoction plus psychological intervention, group B treatment with chinese medicine Jingqian decoction, group C treatment with chinese patent medicine Xiaoyao Pill. Before treatment started,the demographic characteristics analysis had been made, after the end of treatment drug efficacy of traditional Chinese Medical Syndrome and the side reaction were discussed and analyzed. Before the treatment began and after the completion,the questionnaire was made to investigate the quality of life, the tool for this survey was the "World Health Organization’s Quality of Life (WHOQOL-BREF)" questionnaire.[Results]1.TCM symptoms curative effect:96.67%of the total effctive rate in group A,93.33%of the total effctive rate in group B,66.67%of the total effctive rate in group C.The comparisons within group showed that every group come to better after treatment,the TCM Syndromes of three groups were significantly lower than that before treatment, showed that each treatment methods are effective. Before treatment between the three groups of TCM syndrome integral without significant difference, after treatment between the three groups showed:there was no statistical significance between the group A and group B (P>0.05); and there were statistical difference between group A and group C(P<0.05) as well as group B and group C (P<0.05).The significant statistics meaning, showed an improvement in the TCM syndrome integral comparison, the The treatment effect of the three groups were significantly different (P<0.05), While on curative effect comparison after the completion of the treatments in the two groups(the treatments of Chinese medicine Jingqian decoction plus psychological intervention and the Jingqian decoction) had no significant difference in front, and the efficacy of the two groups were significantly better than the Xiaoyao pill.2.The quality of life:The comparisons between before and after treatment within group showed that the change in every field of the QOL-BREF scores were significant in group A(P<0.05).while group C showed no obvious changes in all fields (P values were greater than0.05).scores of group B had significant change in physiological field (P<0.05), in the other domain scores there were no significant changes (P values were greater than0.05). Comparison between the three groups were shown:the difference of score in each domain before treatment had no significance (P>0.05); the three groups after treatment had significant difference (P<0.05).Between the group A and group C, there was significant difference in the scores of four major areas of comparison (P<0.05); while there was significant difference between group A and group B in the other domain score outside physiological field (P<0.05), no statistical significance had been showed in A group and B group in physiological field (P>0.05); there was significant difference between C group compared with B group (P<0.05) in physiological field, in other fields of scores had no significant difference (P values are greater than0.05).[Conclusion]The treatment of chinese medicine Jingqian decoction plus psychological intervention,for patients with PMS syndrome of Gan qi stagnation, can not only reduce the patients with physical and behavioral symptoms as well as significantly recover the mental health status of patients, the social interpersonal relationship and environmental domains of cognitive, but also can greatly improve the patient each domain score and their quality of life. In addition.the treatment of Chinese medicine Jingqi an decoction combined with psychological intervention, not only help to restore physical and mental health and the community of the patient, but also conducive to improve the doctor-patient relationship, enhance the communication and trust between doctors and patients, improve patients’ compliance, reduce the recurrence of this disease.