温肾活血汤联合米非司酮治疗肾虚血瘀型子宫内膜异位症临床研究
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R711.71

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Clinical Study on Wenshen Huoxue Tang Combined with Mifepristone for Endometriosis of Kidney Deficiency and Blood Stasis Type
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    摘要:

    目的:观察温肾活血汤联合米非司酮治疗肾虚血瘀型子宫内膜异位症的临床疗效。方法:选取82例肾虚血瘀型子宫内膜异位症患者,按随机数字表法分为观察组和对照组,每组41例。对照组给予米非司酮治疗,观察组在此基础上加服温肾活血汤。对比2组临床疗效,观察2组治疗前后症状积分、性激素及炎症因子水平的变化,记录不良反应发生情况。结果:总有效率观察组87.80%,对照组68.29%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组经行腹痛、头晕耳鸣、盆腔结节肿块积分均较治疗前降低(P<0.05),观察组上述3项症状积分均低于对照组(P<0.05)。治疗后,2组雌二醇(E2)、促卵泡生成激素(FSH)、促黄体生成激素(LH)、肿瘤坏死因子-α(TNF-α)、转化生长因子-β1(TGF-β1) 水平均较治疗前降低(P<0.05),观察组上述3项性激素水平及2项炎症因子水平均比对照组降低更明显(P<0.05)。观察组不良反应发生率14.63%,对照组不良反应发生率9.76%,2组比较,差异无统计学意义(P>0.05)。结论:温肾活血汤联合米非司酮治疗肾虚血瘀型子宫内膜异位症安全有效,可以改善患者的症状,调节性激素与炎症因子水平。

    Abstract:

    To observe the clinical effect of Wenshen Haoxue tang combined with mifepristone for endometriosis of kidney deficiency and blood stasis type.Methods:Selected 82 cases of patients with endometriosis of kidney deficiency and blood stasis type and divided them into the observation group and the control group according to the random number table,41 cases in each group.Both groups received the treatment with mifepristone,while the observation group additionally received the application of Wenshen Huoxue tang.Compared the clinical effect of the two groups,observed the changes of symptom scores,sex hormones and inflammatory factor levels before and after treatment in the two groups;recorded the occurrence of adverse reactions.Results:The total effective rate was 87.80%in the observation group and 68.29%in the control group,compared the two groups,difference being significant(P < 0.05).After treatment,the scores of lower abdominal pain during menstruation,dizziness and tinnitus and pelvic nodal masses in the two groups were reduced when compared with those before treatment,and the scores of the three symptoms mentioned above in the observation group were lower than those in the control group,difference being significant(P < 0.05).After treatment,the levels of estradiol(E2),follicle-stimulating hormone(FSH), luteinizing hormone(LH), tumor necrosis factor-α (TNF-α)and transforming growth factor-β1(TGF-β1)in the two groups were all reduced when compared with those before treatment(P<0.05).And the decrease of levels of the three sex hormones and two inflammatory factors mentioned in the observation group were significantly obvious than that in the control group(P<0.05).The incidence of adverse reactions was 14.63%in the observation group and 9.76%in the control group,difference being insignificant when compared the two groups(P > 0.05).Conclusion:The application of Wenshen Huoxue tang combined with mifepristone for endometriosis of kidney deficiency and blood stasis type is safe and effective.It can improve the symptoms of patients and regulate the levels of sex hormones and inflammatory factors.

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方旭红.温肾活血汤联合米非司酮治疗肾虚血瘀型子宫内膜异位症临床研究[J].新中医,2019,51(10):183-186

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  • 在线发布日期: 2019-10-11
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