散结镇痛胶囊联合炔雌醇环丙孕酮片治疗子宫腺肌病临床研究
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R711.74

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Clinical Study on Sanjie Zhentong Capsules Combined with Ethinylestradiol and Cyproterone Acetate Tablets for Adenomyosis
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    摘要:

    目的:观察散结镇痛胶囊联合炔雌醇环丙孕酮片治疗子宫腺肌病的临床疗效。方法:采用随机数 字表法将 98 例子宫腺肌病患者分为对照组与治疗组各 49 例。对照组采取炔雌醇环丙孕酮片治疗,治疗组在对 照组基础上联用散结镇痛胶囊治疗。比较 2 组治疗前后中医证候积分、痛经评分、子宫体积、凝血指标[活化 部分凝血活酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)]、血清糖类抗原 125(CA125)、白细胞 介素-6(IL-6)水平,并评估 2 组临床疗效及不良反应发生情况。结果:治疗组总有效率高于对照组(P< 0.05)。治疗后,2 组中医证候积分、痛经评分较治疗前降低(P<0.05),子宫体积缩小(P<0.05);治疗组治 疗后中医证候积分、痛经评分低于对照组(P<0.05),子宫体积小于对照组(P<0.05)。2 组治疗后 APTT、 TT、FIB 及血清 CA125、IL-6 水平较治疗前降低 (P<0.05),且治疗组治疗后 APTT、TT、FIB 及血清 CA125、IL-6 水平低于对照组(P<0.05)。治疗组不良反应发生率低于对照组(P<0.05)。结论:散结镇痛胶 囊联合炔雌醇环丙孕酮片治疗子宫腺肌病疗效确切,能缓解患者痛经症状,改善凝血功能及炎症反应,缩小子 宫体积,安全性较高。

    Abstract:

    Abstract:Objective:To observe the clinical effect of therapy of Sanjie Zhentong Capsules combined with Ethinylestradiol and Cyproterone Acetate Tablets on adenomyosis. Methods:A total of 98 patients with adenomyosis were divided into the control group and the treatment group according to the random number table method, with 49 cases in each group. The control group was given Ethinylestradiol and Cyproterone Acetate Tablets for treatment,and the treatment group was additionally treated with Sanjie Zhentong Capsules based on the treatment of the control group. Before and after treatment,the traditional Chinese medicine (TCM) syndrome scores,scores of dysmenorrhea,volume of uterus,levels of coagulation indexes,including activated partial thromboplastin time (APTT),thrombin time (TT) and levels of fibrinogen (FIB),and serum cancer antigen 125 (CA125) and interleukin-6 (IL-6) were compared between the two groups;the clinical effects and incidence of adverse reactions in both groups were evaluated. Results:The total effective rate in the treatment group was higher than that in the control group (P<0.05). After treatment,the TCM syndrome scores and scores of dysmenorrhea in both groups were decreased when compared with those before treatment (P<0.05),and the volume of uterus was reduced (P<0.05);the above two scores in the treatment group were lower than those in the control group,and the volume of uterus was less than that in the control group (P<0.05). After treatment,the APTT,TT,FIB and levels of serum CA125,IL-6 in the two groups were decreased when compared with those before treatment (P< 0.05);the APTT,TT FIB and levels of serum CA125,IL-6 in the treatment group were lower than those in the control group (P<0.05). The incidence of adverse reactions in the treatment group was lower than that in the control group (P<0.05). Conclusion: The therapy of Sanjie Zhentong Capsules combined with Ethinylestradiol and Cyproterone Acetate Tablets has a definite curative effect on adenomyosis,which can mitigate the symptoms of dysmenorrhea of patients,improve the coagulation function and inflammatory responses,and reduce the volume of uterus with good safety.

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李小君,吴聪聪.散结镇痛胶囊联合炔雌醇环丙孕酮片治疗子宫腺肌病临床研究[J].新中医,2023,55(15):95-99

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  • 在线发布日期: 2023-08-13
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