中药联合GnRH-a防治卵巢子宫内膜异位症术后复发的临床研究

发布时间：2018-08-19 06:57

【摘要】：目的：通过对卵巢子宫内膜异位症患者术后服用中药联合GnRH-a与GnRH-a对照,了解中药联合GnRH-a有效地预防卵巢子宫内膜异位症术后的复发情况,对中药预防应用GnRH-a而出现绝经综合征进行临床观察。方法：将2012年1月-2012年12月新疆维吾尔族自治区中医医院行腹腔镜保守性手术治疗,经病理证实为卵巢型子宫内膜异位症34例患者分为两组,术后辅助中药联合GnRH-al5例,将其设为A组；术后GnRH-a19例,将其设为B组。随访观察2组患者治疗后的复发率,及实际临床症状改善情况。结果：通过对A、B两组患者治疗后症候、体征比较,P0.05,差异有统计学意义,说明治疗后A组(中药联合GnRH-a)改善患者的症候、体征明显优于B组(GnRH-a),且A组复发率低于B组。通过对A、B组患者治疗后Kuppermann评分进行比较,P0.05,差异有统计学意义,A组绝经综合征症状较B组改善明显。结论：A组(中药联合GnRH-a)治疗卵巢子宫内膜异位症术后的复发率较B组(GnRH-a)低,且中药可以有效地防治绝经综合征症状。
[Abstract]:Objective: to investigate the effect of Chinese medicine combined with GnRH-a on preventing the recurrence of ovarian endometriosis after operation by taking Chinese medicine combined with GnRH-a and GnRH-a in patients with ovarian endometriosis. The clinical observation on the menopausal syndrome caused by the preventive application of GnRH-a in traditional Chinese medicine was carried out. Methods: from January 2012 to December 2012, 34 patients with ovarian endometriosis were treated by laparoscopic conservative surgery in Xinjiang Uygur Autonomous region Chinese Medicine Hospital from January 2012 to December 2012. The patients were divided into group A and group B after GnRH-a19. The recurrence rate and the improvement of clinical symptoms were observed after treatment. Results: there was significant difference in symptoms and signs between group A and group B after treatment (P 0.05). The results showed that group A (Chinese herbal medicine combined with GnRH-a) improved the symptoms of patients after treatment, the signs were obviously better than group B (GnRH-a), and the recurrence rate of group A was lower than that of group B. After treatment, the Kuppermann score of group A was compared with that of group B (P 0.05). There was significant difference in the symptoms of menopausal syndrome between group A and group B. the symptoms of menopausal syndrome in group A were significantly improved than those in group B. Conclusion the recurrence rate of group A (Chinese herbal medicine combined with GnRH-a) is lower than that of group B (GnRH-a), and Chinese medicine can effectively prevent and treat the symptoms of menopausal syndrome.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.71

【参考文献】

相关期刊论文 前10条

1 卢如玲;叶敦敏;陶莉莉;李莉;;腹腔镜结合中医周期疗法治疗子宫内膜异位症合并不孕症疗效评价[J];安徽中医学院学报;2007年04期

2 司徒仪,沈碧琼,梁雪芳,张茂威,莫莉莉;子宫内膜异位症瘀证本质及活血化瘀疗效机理探讨[J];北京中医;1998年03期

3 叶喜阳;邓宇傲;马利国;李秀云;;仙灵骨葆胶囊植物雌激素活性的临床观察[J];福建医科大学学报;2010年02期

4 张庆霞;冷金花;郎景和;;青春期子宫内膜异位症[J];中国妇产科临床杂志;2008年01期

5 王晓英;;腹腔镜手术联合中西药治疗子宫内膜异位症的疗效观察[J];中国医药科学;2013年12期

6 陆建英;董莉;谭蕾;朱南孙;;朱南孙治疗子宫内膜异位症经验举隅[J];西部中医药;2013年10期

7 李新;血管发生与子宫内膜异位症病因探讨[J];现代诊断与治疗;2001年06期

8 马彦平;子宫内膜异位症的免疫学研究进展[J];医学综述;2001年06期

9 王静远,吕卫平,于萍,王薇;痛经灵颗粒治疗子宫内膜异位症的临床研究[J];中成药;2002年04期

10 郑彦;赵瑞华;;GnRH-a抑制子宫内膜异位症保守术后复发的国外研究进展[J];中国妇幼保健;2010年33期

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