八珍益母胶囊辅助治疗子宫腺肌病临床研究
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R711.71

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Clinical Study on Bazhen Yimu Capsules in Adjuvant Therapy of Uterine Adenomyosis
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    摘要:

    目的:观察八珍益母胶囊辅助治疗子宫腺肌病的临床疗效。方法:选择80 例气滞血瘀型子宫腺肌 病患者,按随机数字表法分为对照组与观察组各40 例。对照组采用孕三烯酮、双氯芬酸钠治疗,观察组在对 照组的基础上联合八珍益母胶囊辅助治疗。比较2 组治疗前后子宫体积、痛经评分、中医证候积分、疼痛指 标[血清前列腺素E2 (PGE2)、5-羟色胺(5-HT)] 水平及临床疗效。结果:观察组总有效率为90.00%,显 著高于对照组72.50%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组小腹胀痛、块下痛减、经行不 畅、烦躁易怒、胸闷不舒、乳房胀痛、经血色紫有块、经血量少等证候评分及总分比较,差异均无统计学意 义(P>0.05);治疗后,2 组上述各项证候评分及总分均较治疗前显著降低(P<0.05),且观察组各项评分及 总分均低于对照组(P<0.05)。治疗前,2 组子宫体积、痛经评分比较,差异无统计学意义(P>0.05);治疗 后,2 组子宫体积、痛经评分均较治疗前显著降低(P<0.05),且观察组上述2 项指标均低于对照组(P< 0.05)。治疗前,2 组血清PGE2、5-HT 水平比较,差异无统计学意义(P>0.05);治疗后,2 组上述指标均较 治疗前显著降低(P<0.05),且观察组2 项指标均低于对照组(P<0.05)。结论:八珍益母胶囊辅助治疗子宫 腺肌病可显著提高临床疗效,缩小子宫体积,有效下调血清疼痛介质水平,从而减轻痛经症状。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Bazhen Yimu Capsules in adjuvant therapy of uterine adenomyosis. Methods:A total of 80 cases of patients with uterine adenomyosis of qi stagnation and blood stasis type were selected and divided into the control group and the observation group according to the random number table method, with 40 cases in each group. The control group was treated with Gestrinone and Diclofenac Sodium,and the observation group was additionally treated with Bazhen Yimu Capsules based on the treatment of the control group. The uterine volume, dysmenorrhea scores, traditional Chinese medicine syndrome scores,the levels of pain indexes including prostaglandin E2 (PGE2) and 5-hydroxytryptamine (5-HT) in serum before and after treatment,and clinical effects were compared between the two groups. Results: The total effective rate was 90.00% in the observation group, significantly higher than that of 72.50% in the control group, the difference being significant (P<0.05). Before treatment, there was no significant difference being found in the comparison of the scores of abdominal pain and distension,pain remission after clots discharge,inhibited menstruation,vexation and irascibility, chest oppression, distending pain of the breasts, menses with purple clots, and scanty periods and the total scores between the two groups (P>0.05). After treatment, the above syndrome scores and the total scores in the two groups were significantly decreased when compared with those before treatment (P<0.05),and the above syndrome scores and the total score in the observation group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of uterine volume and dysmenorrhea scores between the two groups (P> 0.05). After treatment, uterine volume and dysmenorrhea scores in the two groups were significantly decreased when compared with those before treatment (P<0.05), and the above two indexes in the observation group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of PGE2 and 5-HT in serum between the two groups (P>0.05). After treatment, the levels of PEG2 and 5- HT in serum in the two groups were significantly decreased when compared with those before treatment (P<0.05),and the above two levels in the observation group were lower than those in the control group (P<0.05). Conclusion: Bazhen Yimu Capsules in adjuvant therapy of uterine adenomyosis can significantly enhance clinical effects, decrease uterine volume, effectively reduce the levels of serum pain medium, and thus relieve dysmenorrhea symptoms.

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郑惠萍.八珍益母胶囊辅助治疗子宫腺肌病临床研究[J].新中医,2023,55(6):89-92

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  • 在线发布日期: 2023-03-28
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