醋酸甲羟孕酮联合行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症的效果

发布时间：2018-04-26 11:43

本文选题：醋酸甲羟孕酮 + 行气逐瘀止痛方　；参考：《广东医学》2015年03期

【摘要】：目的观察醋酸甲羟孕酮联合行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症的临床效果。方法选取气滞血瘀型子宫内膜异位症患者100例作为研究对象,随机分为对照组和观察组,每组50例。其中对照组患者采取醋酸甲羟孕酮进行治疗,观察组患者在醋酸甲羟孕酮治疗基础上联合行气逐瘀止痛方治疗。观察并比较两组患者术后的疗效。结果观察组患者治疗后总有效率为88%,明显高于对照组(70%);两组患者治疗后中医证候积分及疼痛积分均较治疗前明显降低,且观察组降低幅度更大(P0.05)。两组患者治疗后血清卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、CA125水平较治疗前均明显降低(P0.05),治疗后观察组FSH、LH、CA125、E2水平与对照组比较差异无统计学意义(P0.05)。结论醋酸甲羟孕酮联合行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症具有显著疗效,有理气活血、祛瘀止痛之效,可有效缓解患者的痛经及其他症状,不良反应较少,值得推广应用。
[Abstract]:Objective to observe the clinical effect of medroxyprogesterone acetate combined with Qi Zhuyu Zhitong recipe in treating endometriosis of qi stagnation and blood stasis type. Methods 100 patients with endometriosis of Qi stagnation and blood stasis type were randomly divided into control group and observation group with 50 cases in each group. The patients in the control group were treated with medroxyprogesterone acetate and the patients in the observation group were treated with Qi Zhuyu Zhitong recipe on the basis of medroxyprogesterone acetate treatment. To observe and compare the curative effect of the two groups after operation. Results the total effective rate of the patients in the observation group was 88%, which was significantly higher than that in the control group (70%), and the scores of TCM syndromes and pain in the two groups were significantly lower than those before treatment, and the extent of the decrease in the observation group was greater than that in the control group (P 0.05). The levels of serum follicle stimulating hormone (FSH), luteinizing hormone (LHN), estradiol (E _ 2) in the two groups were significantly lower than those before treatment. There was no significant difference in E _ 2 levels between the observation group and the control group after treatment. Conclusion the combination of medroxyprogesterone acetate and Qi Zhuyu Zhitong recipe is effective in treating endometriosis of Qi stagnation and Blood stasis type. It can effectively relieve dysmenorrhea and other symptoms of patients with Qi stagnation and blood stasis. It is worth popularizing and applying.
【作者单位】：山东省昌邑市人民医院妇科;潍坊医学院附属医院妇科;
【分类号】：R711.71

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