中西医结合治疗子宫内膜异位症45例疗效观察

发布时间：2018-03-21 11:38

本文选题：子宫内膜异位症　切入点：周期给药　出处：《北京中医药大学学报》2007年09期 　论文类型：期刊论文

【摘要】：目的观察中药配合孕激素治疗子宫内膜异位症的临床疗效。方法将90例子宫内膜异位症患者随机分为2组。治疗组45例,根据不同生理周期采用内服中药(血府逐瘀汤加味)、保留灌肠(院内制剂消症液)、孕激素甲羟孕酮片治疗;对照组45例,单纯口服孕激素甲羟孕酮片治疗。2组均治疗3月为1疗程。结果治疗组治愈21例,显效11例,有效10例,无效3例,总有效率为93.33%;对照组治愈9例,显效13例,有效12例,无效11例,总有效率为75.56%。2组总有效率比较,差异有显著性意义(P0.01)。2组治愈病例中均随访1年,治疗组复发率为19.05%;对照组复发率为33.33%,2组复发率比较,差异有显著性意义(P0.05)。结论以中药口服、中药保留灌肠及辅以少量孕激素周期给药,综合治疗子宫内膜异位症疗效显著,安全、经济,患者易于接受,无明显毒副作用。
[Abstract]:Objective to observe the clinical effect of traditional Chinese medicine combined with progesterone in the treatment of endometriosis. Methods 90 patients with endometriosis were randomly divided into two groups: the treatment group (n = 45), the treatment group (n = 45), and the control group (n = 45). According to different physiological cycles, 45 cases of control group were treated with traditional Chinese medicine (Xuefu Zhuyu decoction), retention enema (Xiaozheng liquid in hospital) and progesterone medroxyprogesterone tablet. Results in the treatment group, 21 cases were cured, 11 cases were effective, 10 cases were effective, 3 cases were ineffective, the total effective rate was 93.33%, while in the control group, 9 cases were cured, 13 cases were effective, 12 cases were effective. 11 cases were ineffective, the total effective rate was 75.56.2 group, there was significant difference in the total effective rate of the two groups. The recurrence rate of the treatment group was 19.05, the recurrence rate of the control group was 33.33%, and the recurrence rate of the control group was 33.33%. Conclusion Oral administration of traditional Chinese medicine, retention enema of traditional Chinese medicine and a small amount of progesterone are effective, safe and economical in the treatment of endometriosis.
【作者单位】：河南省洛阳市第一人民医院
【分类号】：R711.71

【参考文献】