温阳化瘀法治疗寒凝血瘀型子宫内膜异位症临床研究
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R271.9

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Clinical Study on Wenyang Huayu Method for Endometriosis of Cold Congealing and Blood Stasis Type
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    摘要:

    目的:观察温阳化瘀法治疗寒凝血瘀型子宫内膜异位症的临床疗效。方法:选取寒凝血瘀型子宫内膜异位症患者116 例,采用随机数字法分为对照组与观察组,各58 例。对照组予孕三稀酮胶囊治疗,观察组加用温阳化瘀法治疗,分析2 组患者治疗后的临床效果。结果:观察组总有效率93.10%,高于对照组的79.31%(P<0.05)。与同组治疗前比较,2 组治疗后抗子宫内膜抗体(EMAB)、血管生成素-2(Ang-2) 阳性率及血清脂质结合唾液酸(LSA)、中性粒细胞活化肽-78(ENA-78)、碱性成纤维细胞生长因子(bFGF)、促卵泡成熟素(FSH)、黄体生成素(LH) 均降低(P<0.05),血清雌二醇(E2) 升高(P<0.05);与对照组治疗后比较,观察组治疗后EMAB、Ang-2 阳性率及血清LSA、ENA-78、bFGF、FSH、LH 均较低(P<0.05),E2 较高(P<0.05)。结论:温阳化瘀法治疗寒凝血瘀型子宫内膜异位症可改善血清激素水平,降低EMAB 及Ang-2 阳性率,提高疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Wenyang Huayu method for endometriosis of cold congealing and blood stasis type. Methods:A total of 116 cases of patients with endometriosis of cold congealing and blood stasis type were selected and divided into the control group and the observation group according to the random number table method , 58 cases in each group. The control group was treated with gestrinone capsules,and the observation group was additionally treated with Wenyang Huayu method. The clinical effect after treatment in the two groups was analyzed. Results:The total effective rate was 93.10% in the observation group, higher than that of 79.31% in the control group(P<0.05). After treatment,the positive rates of endometrial antibody(EMAB) and angiopoietin-2(Ang-2) as well as lipid-associated sialic acid (LSA), epithelial neutrophil- activating peptide- 78(ENA- 78), basic fibroblast growth factor(bFGF), follicle stimulating hormone(FSH) and luteinizing hormone(LH) in serum in the two groups were decreased when compared with those before treatment(P<0.05),and estradiol 2(E2) in serum was increased(P<0.05);the positive rates of EMAB and Ang-2 as well as LSA,ENA-78,bFGF,FSH and LH in serum in the observation group were lower than those in the control group(P<0.05), and E2 was higher(P<0.05). Conclusion:Wenyang Huayu method for endometriosis of cold congealing and blood stasis type can improve the serum hormone levels,reduce the positive rates of EMAB and Ang-2,and improve the curative effect.

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张鸿雁,魏立,李玲.温阳化瘀法治疗寒凝血瘀型子宫内膜异位症临床研究[J].新中医,2021,53(10):93-96

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  • 在线发布日期: 2021-05-24
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