红藤败酱合当归芍药散联合西药治疗湿热瘀结型子宫内膜炎临床研究
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Clinical Study on Hongteng Baijiang and Danggui Shaoyao Powder Combined with Western Medicine for Endometritis of Damp-Heat-Stasis Accumulation Type
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    摘要:

    目的:观察红藤败酱合当归芍药散联合西药治疗湿热瘀结型子宫内膜炎的疗效及对炎症因子水平 的影响。方法:选择98例子宫内膜炎患者,采用随机数字表法分为联合组和参照组各49例。参照组给予头孢 克洛缓释胶囊治疗,联合组在参照组基础上给予红藤败酱合当归芍药散治疗。比较2组临床疗效、不良反应及 复发情况,比较2组治疗前后中医证候积分、子宫内膜厚度、月经情况及肿瘤坏死因子-α(TNF-α)、C-反应 蛋白(CRP)、白细胞介素-6 (IL-6)、基质金属蛋白酶-9 (MMP-9) 水平。结果:联合组总有效率93.88%, 高于参照组79.59% (P<0.05)。治疗后,2组月经不调、下腹坠痛、面色萎黄、白带异常中医证候积分均降 低(P<0.05),且联合组低于参照组(P<0.05)。治疗后,2组子宫内膜厚度均增厚(P<0.05),且联合组厚 于参照组(P<0.05);联合组月经量正常率、经期恢复正常率高于参照组(P<0.05),阴道不规则流血率低于 参照组(P<0.05)。治疗后,2组血清TNF-α、CRP、IL-6、MMP-9水平均降低,且联合组低于参照组(P< 0.05)。联合组不良反应发生率4.08%,低于参照组18.37% (P<0.05)。联合组复发率2.17%,低于参照组 17.95%(P<0.05)。结论:红藤败酱合当归芍药散治疗湿热瘀结型子宫内膜炎疗效显著,可有效改善临床症状 及月经量,降低炎症因子水平、不良反应发生率及复发率。

    Abstract:

    Abstract:Objective:To observe the curative effect of the combination use of Hongteng Baijiang and Danggui Shaoyao Powder and western medicine on endometritis of damp-heat-stasis accumulation type and its effect on levels of inflammatory factors. Methods: A total of 98 patients with endometritis were selected and divided into the reference group and the combination group according to the random number table method, with 49 cases in each group. The reference group was treated with Cefaclor Sustained- Release Capsules, and the combination group was additionally treated with Hongteng Baijiang and with Danggui Shaoyao Powder based on the treatment of the reference group. The clinical effect,incidence of adverse reactions and recurrence were compared between the two groups; the traditional Chinese medicine (TCM) syndrome scores, endometrial thickness, menstruation and levels of tumor necrosis factor-α (TNF-α),C-reactive protein (CRP),interleukin-6 (IL-6) and matrix metalloproteinase-9 (MMP-9) were compared before and after treatment between the two groups. Results:The total effective rate was 93.88% in the combination group, higher than that of 79.59% in the reference group (P<0.05). After treatment, the TCM syndrome scores of irregular menstruation, lower abdominal drop pain, witheryellow complexion and abnormal leucorrhea in the two groups were decreased (P<0.05), and the above scores in the combination group were lower than those in the reference group (P<0.05). After treatment, the endometrial thickness in the two groups was thickened (P<0.05),and the endometrial thickness in the combination group was thicker than that in the reference group (P<0.05). The normal menstrual flow rate and recovery rate of normal menstrual period in the combination group were higher than those in the reference group (P<0.05), and the irregular vaginal bleeding rate was lower than that in the reference group (P<0.05). After treatment,the levels of serum TNF- α,CRP,IL-6 and MMP-9 in the two groups were dwindled,and the above four levels in the combination group were lower than those in the reference group (P<0.05). The incidence of adverse reactions was 4.08% in the combination group,lower than that of 18.37% in the reference group (P<0.05). The recurrence rate was 2.17% in the combination group, lower than that of 17.95% in the reference group (P<0.05). Conclusion:The combination use of Hongteng Baijiang and Danggui Shaoyao Powder has a significant curative effect on endometritis of damp-heat-stasis accumulation type, which can effectively improve the clinical symptoms and menstrual volume, reduce the levels of inflammatory factors,incidence of adverse reactions and recurrence rate.

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刘春露,叶咏菊.红藤败酱合当归芍药散联合西药治疗湿热瘀结型子宫内膜炎临床研究[J].新中医,2024,56(19):116-120

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  • 在线发布日期: 2024-10-14
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