中医药信息
中醫藥信息
중의약신식
Information on Traditional Chinese Medicine
2015年
6期
82-85
,共4页
子宫内膜异位囊肿%中药治疗%症状体征评分%临床疗效%复发
子宮內膜異位囊腫%中藥治療%癥狀體徵評分%臨床療效%複髮
자궁내막이위낭종%중약치료%증상체정평분%림상료효%복발
Endometrial cyst%Traditional Chinese medicine treatment%Grade of symptoms and signs%Clinical efficacy%Recurrence
目的:探讨补肾化瘀为主中药对经腹腔镜手术治疗卵巢子宫内膜异位囊肿术后患者疗效的影响.方法:将45例经腹腔镜手术确诊为卵巢子宫内膜异位囊肿的患者随机分为中药组18例,西药组17例,对照组10例,比较三组患者治疗前后症状体征评分,临床疗效及术后痛经,盆腔包块的复发情况.结果:治疗前后各组患者症状体征评分差异显著,具有统计学意义(P<0.01);组间比较,中药组与对照组存在显著性差异,具有统计学意义(P <0.01),中药组与西药组比较存在显著性差异(P <0.05).治疗后组间临床疗效比较,具有显著性差异(P<0.01).中药组及西药组的疗效均优于对照组(P<0.01).术后6个月痛经复发率组间存在差异,具有统计学意义(P<0.05);中药组与西药组比较,差异无统计学意义(P>0.05);中药组及西药组与对照组比较,差异均有统计学意义(P<0.05).术后6个月盆腔包块复发率组间存在差异,具有统计学意义(P<0.05);中药组与西药组比较,差异无统计学意义(P>0.05);中药组及西药组与对照组比较,差异均有统计学意义(P<0.05).结论:补肾化瘀为主中药治疗卵巢子宫内膜异位囊肿术后患者效果显著,复发率低,具有与西药GnRH-α同等的治疗效果,值得临床推广.
目的:探討補腎化瘀為主中藥對經腹腔鏡手術治療卵巢子宮內膜異位囊腫術後患者療效的影響.方法:將45例經腹腔鏡手術確診為卵巢子宮內膜異位囊腫的患者隨機分為中藥組18例,西藥組17例,對照組10例,比較三組患者治療前後癥狀體徵評分,臨床療效及術後痛經,盆腔包塊的複髮情況.結果:治療前後各組患者癥狀體徵評分差異顯著,具有統計學意義(P<0.01);組間比較,中藥組與對照組存在顯著性差異,具有統計學意義(P <0.01),中藥組與西藥組比較存在顯著性差異(P <0.05).治療後組間臨床療效比較,具有顯著性差異(P<0.01).中藥組及西藥組的療效均優于對照組(P<0.01).術後6箇月痛經複髮率組間存在差異,具有統計學意義(P<0.05);中藥組與西藥組比較,差異無統計學意義(P>0.05);中藥組及西藥組與對照組比較,差異均有統計學意義(P<0.05).術後6箇月盆腔包塊複髮率組間存在差異,具有統計學意義(P<0.05);中藥組與西藥組比較,差異無統計學意義(P>0.05);中藥組及西藥組與對照組比較,差異均有統計學意義(P<0.05).結論:補腎化瘀為主中藥治療卵巢子宮內膜異位囊腫術後患者效果顯著,複髮率低,具有與西藥GnRH-α同等的治療效果,值得臨床推廣.
목적:탐토보신화어위주중약대경복강경수술치료란소자궁내막이위낭종술후환자료효적영향.방법:장45례경복강경수술학진위란소자궁내막이위낭종적환자수궤분위중약조18례,서약조17례,대조조10례,비교삼조환자치료전후증상체정평분,림상료효급술후통경,분강포괴적복발정황.결과:치료전후각조환자증상체정평분차이현저,구유통계학의의(P<0.01);조간비교,중약조여대조조존재현저성차이,구유통계학의의(P <0.01),중약조여서약조비교존재현저성차이(P <0.05).치료후조간림상료효비교,구유현저성차이(P<0.01).중약조급서약조적료효균우우대조조(P<0.01).술후6개월통경복발솔조간존재차이,구유통계학의의(P<0.05);중약조여서약조비교,차이무통계학의의(P>0.05);중약조급서약조여대조조비교,차이균유통계학의의(P<0.05).술후6개월분강포괴복발솔조간존재차이,구유통계학의의(P<0.05);중약조여서약조비교,차이무통계학의의(P>0.05);중약조급서약조여대조조비교,차이균유통계학의의(P<0.05).결론:보신화어위주중약치료란소자궁내막이위낭종술후환자효과현저,복발솔저,구유여서약GnRH-α동등적치료효과,치득림상추엄.
Objective:To explore the influence of warming kidney, promoting blood circulation to remove blood stasis by herbal medicine on the ovary endometriosis cyst after laparoscopy surgery.Methods:Divide 45 cases of endometriosis patients after laparoscopy randomly.18 cases received herb medicine,and 17 cases received western medicine,and other 10 cases were without using any medicine as a control group.Compare the grade of syndromes and signs, clinical outcomes and recurrence of endometriosis cyst among each group.Results:Compared with pre-treatment,there was a statistically significant difference among each group according to their syndromes and sign scores(P<0.01).Herbal medicine group had a significant difference compared with the control group( P<0 .01 ) .Herbal medicine group had a difference compared with the western medicine group(P<0.05).There was a statistically significant difference among each group according to the clinical outcome(P<0.01).The clinical outcome of herbal medicine group and western medicine group was better than that of the control group(P<0.01).Postoperation for 6 months,there was a statistically significant differ-ence among each group according to the recurrence of dysmenorrheal( P<0 .05 ) .Herbal medicine group had no difference compared with western medicine group ( P >0.05 ) .Both herbal medicine group and western medicine group had a significant difference compared with the control group(P<0.05).The recurrence of o-vary cyst after laparoscopy 6 months also had a significant difference among each group ( P<0 .05 ) .Herbal medicine group had no difference compared with western medicine group(P>0.05).Both herbal medicine group and western medicine group had a significant difference compared with the control group(P<0.05). Conclusion:The herbal medicine of nourishing kidney and removing blood stasis can be used to the postopera-tive patients with endometrial cyst.It has a better clinical outcome and can lower the recurrence.It has the same effect compared with GnRH-a,which is worth clinical promotion.
