通络调冲汤治疗子宫腺肌病致月经异常临床研究
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R711.71

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Clinical Study on Tongluo Tiaochong Tang for Abnormal Menstruation Caused by Uterine Adenomyosis
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    摘要:

    目的:观察通络调冲汤对子宫腺肌病诱发的月经量过多、卵巢功能、血浆 P 物质的影响及治疗效果。方法:选取80 例确诊为子宫腺肌病并结合多种并发症的患者为研究对象,按不同的治疗方案,分为研究组与常规组各 40 例。研究组使用通络调冲汤加减方治疗,常规组则使用米非司酮治疗,对比治疗前后 2 组患者的月经量、卵巢功能、血浆 P 物质以及治疗总有效率。结果:与同组治疗前比较,治疗后 2 组患者的月经量、糖类抗原 125 (CA125)、促卵泡生成素 (FSH)、促黄体生成素(LH) 及血浆 P 物质均明显下降 (P<0.05),且研究组低于常规组 (P<0.05)。治疗后,研究组治疗总有效率为 97.5%,明显高于常规组的 85.0%(P<0.05)。结论:通络调冲汤加减方治疗子宫腺肌病诱发的子宫异常患者临床疗效较为显著,能够有效治疗患者月经量过多问题,可改善患者的卵巢功能,调节血浆 P 物质及各项血清激素。

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    Abstract:Objective:To observe the effect of Tongluo Tiaochong tang on menorrhagia,ovarian function and plasma substance P caused by uterine adenomyosis and its curative effect. Methods:A total of 80 cases of patients diagnosed with uterine adenomyosis with various complications were selected as the study subjects,and divided into the study group and the routine group according to different treatment regimens, 40 cases in each group. The study group was treated with modified Tongluo Tiaochong tang, and the routine group was treated with mifepristone. The menstrual volume, ovarian function,plasma substance P before and after treatment and the total effective rates in the two groups were compared. Results: After treatment, the menstrual volume, carbohydrate antigen 125(CA125), follicle- stimulating hormone(FSH), luteinizing hormone(LH) and plasma substance P in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the above indexes in the study group were lower than those in the routine group(P<0.05). After treatment,the total effective rate was 97.5% in the study group,significantly higher than that of 85.0% in the routine group(P<0.05). Conclusion: The application of modified Tongluo Tiaochong tang for patients with abnormal menstruation induced by uterine adenomyosis has significant clinical effect and can effectively treat the problem of excessive menstrual flow,improve the ovarian function of patients as well as regulate the plasma substance P and various serum hormones.

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陈华群,王灵俊,朱慧民,章欣.通络调冲汤治疗子宫腺肌病致月经异常临床研究[J].新中医,2021,53(7):69-73

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  • 在线发布日期: 2021-04-08
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