苍附导痰汤加减联合宫腔镜手术治疗子宫内膜息肉合并不孕临床研究
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Clinical Study on Modified Cangfu Daotan Decoction Combined with Hysteroscopic Surgery for Endometrial Polyps Complicated with Infertility
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    摘要:

    目的:观察苍附导痰汤加减联合宫腔镜手术治疗子宫内膜息肉合并不孕的临床疗效。方法:选取 108 例子宫内膜息肉合并不孕患者为研究对象,采用随机数字表法分为对照组和观察组各 54 例。对照组接受 宫腔镜手术治疗,观察组使用苍附导痰汤加减联合宫腔镜手术治疗。比较 2 组中医证候积分、血红蛋 白 (Hb) 水平、妊娠情况、并发症及复发情况。结果:治疗前,2 组中医证候积分比较,差异无统计学意 义 (P>0.05);治疗后,2 组主症、次症各中医证候积分均下降 (P<0.05),且观察组低于对照组 (P< 0.05)。治疗前,2 组 Hb 水平比较,差异无统计学意义(P>0.05);治疗后,2 组 Hb 水平均升高(P<0.05), 且观察组高于对照组(P<0.05)。观察组妊娠率 75.93%,高于对照组 59.26%(P<0.05);对照组总并发症发 生率 20.37%,高于观察组 3.70%(P<0.05);对照组复发率 16.67%,高于观察组 3.70%(P<0.05)。结论:采 用苍附导痰汤加减联合宫腔镜手术治疗子宫内膜息肉合并不孕患者效果较好,可有效改善中医证候,提升妊娠 率,降低并发症发生率及复发率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Cangfu Daotan Decoction combined with hysteroscopic surgery for endometrial polyps complicated with infertility. Methods : A total of 108 cases of patients with endometrial polyps complicated with infertility were selected as the study objects and divided into the control group and the observation group,with 54 cases in each group. The control group was treated with hysteroscopic surgery, and the observation group was treated with modified Cangfu Daotan Decoction combined with hysteroscopic surgery. Traditional Chinese medicine (TCM) syndrome scores,hemoglobin (Hb) levels,pregnancy status,complications and the situation of recurrence were compared between the two groups. Results:Before treatment,there was no significant difference being found in the comparison of TCM syndrome scores between the two groups (P>0.05); after treatment,the main symptoms and secondary symptoms of TCM syndrome scores in the two groups were decreased (P<0.05),and the scores in the observation group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the Hb levels between the two groups (P>0.05); after treatment, the Hb levels in the two groups were increased (P<0.05),and the Hb level in the observation group was higher than that in the control group (P< 0.05). The pregnancy rate was 75.93% in the observation group,higher than that of 59.26% in the control group (P<0.05);the total incidence of complications was 20.73% in the control group,higher than that of 3.70% in the observation group (P<0.05);the recurrence rate was 16.67% in the control group,higher than that of 3.70% in the observation group (P<0.05). Conclusion:Modified Cangfu Daotan Decoction combined with hysteroscopic surgery has a relatively good effect in the treatment of patients with endometrial polyps complicated with infertility,which can effectively improve TCM syndromes,enhance pregnancy rates,and reduce the incidence of complications and the recurrence rate.

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李爱玲,郭姣利.苍附导痰汤加减联合宫腔镜手术治疗子宫内膜息肉合并不孕临床研究[J].新中医,2023,55(15):45-48

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  • 在线发布日期: 2023-08-13
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