中国医药
中國醫藥
중국의약
CHINA MEDICINE
2015年
5期
686-688
,共3页
子宫内膜异位症%活血散瘀灌肠液%中药方剂
子宮內膜異位癥%活血散瘀灌腸液%中藥方劑
자궁내막이위증%활혈산어관장액%중약방제
Endometriosis%Activating blood circulation to dissipate blood stasis enema%Chinese medicine prescription
目的 观察活血散瘀灌肠液治疗子宫内膜异位症的效果.方法 选取浙江中医药大学附属温州市中医院2013年2月至2014年2月收治的86例子宫内膜异位症患者,将患者按照随机数字表法分为对照组和观察组,各43例.对照组采用安宫黄体酮治疗,8 mg/次,口服,1次/d;观察组患者在对照组的基础上加用院内处方药活血散瘀灌肠液治疗,50 ml/次,灌肠,1次/d;疗程均为3周.比较2组患者的中医症状积分、异位囊肿变化、子宫动脉搏动指数和阻力指数以及血清糖类抗原(CA) 125水平.结果 观察组中医症状积分下降差值明显多于对照组[(12.4±2.2)分比(7.8±2.6)分],观察组囊肿大小减少值明显多于对照组[(2.0±0.4)cm比(1.2±0.4)cm],2组治疗后CA125水平均下降,且观察组下降差值多于对照组[(26.7±2.0)U/ml比(18.8±2.2) U/ml],差异有统计学意义(P＜0.05).2组治疗后的双侧子宫动脉搏动指数和阻力指数值均下降,观察组各指标治疗后低于对照组,且差异具有统计学意义(P＜0.05).结论 活血散瘀灌肠液治疗子宫内膜异位症有很好的疗效.
目的 觀察活血散瘀灌腸液治療子宮內膜異位癥的效果.方法 選取浙江中醫藥大學附屬溫州市中醫院2013年2月至2014年2月收治的86例子宮內膜異位癥患者,將患者按照隨機數字錶法分為對照組和觀察組,各43例.對照組採用安宮黃體酮治療,8 mg/次,口服,1次/d;觀察組患者在對照組的基礎上加用院內處方藥活血散瘀灌腸液治療,50 ml/次,灌腸,1次/d;療程均為3週.比較2組患者的中醫癥狀積分、異位囊腫變化、子宮動脈搏動指數和阻力指數以及血清糖類抗原(CA) 125水平.結果 觀察組中醫癥狀積分下降差值明顯多于對照組[(12.4±2.2)分比(7.8±2.6)分],觀察組囊腫大小減少值明顯多于對照組[(2.0±0.4)cm比(1.2±0.4)cm],2組治療後CA125水平均下降,且觀察組下降差值多于對照組[(26.7±2.0)U/ml比(18.8±2.2) U/ml],差異有統計學意義(P＜0.05).2組治療後的雙側子宮動脈搏動指數和阻力指數值均下降,觀察組各指標治療後低于對照組,且差異具有統計學意義(P＜0.05).結論 活血散瘀灌腸液治療子宮內膜異位癥有很好的療效.
목적 관찰활혈산어관장액치료자궁내막이위증적효과.방법 선취절강중의약대학부속온주시중의원2013년2월지2014년2월수치적86례자궁내막이위증환자,장환자안조수궤수자표법분위대조조화관찰조,각43례.대조조채용안궁황체동치료,8 mg/차,구복,1차/d;관찰조환자재대조조적기출상가용원내처방약활혈산어관장액치료,50 ml/차,관장,1차/d;료정균위3주.비교2조환자적중의증상적분、이위낭종변화、자궁동맥박동지수화조력지수이급혈청당류항원(CA) 125수평.결과 관찰조중의증상적분하강차치명현다우대조조[(12.4±2.2)분비(7.8±2.6)분],관찰조낭종대소감소치명현다우대조조[(2.0±0.4)cm비(1.2±0.4)cm],2조치료후CA125수평균하강,차관찰조하강차치다우대조조[(26.7±2.0)U/ml비(18.8±2.2) U/ml],차이유통계학의의(P＜0.05).2조치료후적쌍측자궁동맥박동지수화조력지수치균하강,관찰조각지표치료후저우대조조,차차이구유통계학의의(P＜0.05).결론 활혈산어관장액치료자궁내막이위증유흔호적료효.
Objective To observe the clinical effect of enema with function of activating blood circulation to dissipate blood stasis on endometriosis.Methods Toally 86 patients with endometriosis from February 2013 to February 2014 were enrolled and randomly divided into control group (43 cases) receiving oral medroxyprogesterone acetate therapy (8 mg/time,1 time/d) and observation group (43 cases) administrated with traditional Chinese medicine enema with function of activating blood circulation to dissipate blood stasis in addition to the medroxyprogesterone acetate therapy.After 3 weeks of treatment,the Chinese Medicine (TCM) symptom score,endometriotic cyst size,pulsatility index and resistance index of the uterine artery,cancer antigen (CA125) were assessd and compared between the two groups.Results The TCM symptom score,cyst size and CA125 level after treatment in observation group were significantly reduced than those in control group [drop difference:(12.4±2.2) scoresvs (7.8±2.6) scores,(2.0±0.4) cm vs (1.2±0.4) cm,(26.7±2.0) U/ml vs (18.8 ± 2.2) U/ml] (all P ＜ 0.05).After treatment,the pulsatility index and resistance index of the uterine artery were all decreased,with statistical differences between observation group and control group (P ＜ 0.05).Conclusion Enema with function of activating blood circulation to dissipate blood stasis has good curative effect on endometriosis.
