摘要
子宫腺肌病为妇科常见疑难疾病,中医药辨证论治能有效改善临床症状,控制局部病灶,提高妊娠率,提高患者生活质量,且安全可靠,复发率低。在新版的2015年子宫内膜异位症诊疗指南的子宫腺肌病部分,明确提出"某些中药对痛经有明显的缓解作用,可以试用"。但目前尚缺乏大量的高质量临床试验证据支持,缺乏一整套完整的疗效评价体系和严谨的思路方法。通过科学方法对中医药防治效果进行评价、表达与阐释,是提高子宫腺肌病临床治疗水平及中医药贡献度的关键环节。通过对中药在子宫腺肌病治疗中的临床疗效优势及评价指标的总结及思考,尝试提出开展子宫腺肌病中医药临床疗效评价的思路。
Adenomyosis is a common and difficult disease in gynecology. TCM syndrome differentiation can effectively improve clinical symptoms, control local lesions, improve pregnancy rate, improve patients’ quality of life and is safe and reliable, with low recurrence rate. In the new edition of the adenomyosis section of the 2015 Guidelines for The Diagnosis and Treatment of Endometriosis, it is clearly stated that some Chinese medicines have obvious relieving effects on dysmenorrhea and can be tried. However, there is still a lack of high-quality clinical trial evidence support, lack of a complete set of efficacy evaluation systems and rigorous methods of thinking. The evaluation, expression and interpretation of the effects of traditional Chinese medicine prevention and treatment by scientific methods are the key links to improving the clinical treatment level of adenomyosis and the contribution of Chinese medicine. In this paper, through the summary of clinical advantages and evaluation indicators of traditional Chinese medicine in the treatment of adenomyosis, we tried to put forward the idea of clinical evaluation of adenomyosis.
作者
李澄
李盼盼
张芳
杨蕾
王领弟
师伟
徐丽
李思毅
LI Cheng;LI Panpan;ZHANG Fang;YANG Lei;WANG Lingdi;SHI Wei;XU Li;LI Siyi(Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China;Provincial Hospital Affiliated to Shandong University,Jinan 250021,Shandong,China;Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,Shaanxi,China)
出处
《中华中医药学刊》
CAS
北大核心
2019年第11期2667-2671,共5页
Chinese Archives of Traditional Chinese Medicine
基金
国家自然科学基金项目(81674014,81001536)
山东省中医药科技发展计划项目(2017-070)
山东省重点研发计划项目(2017G006017)
山东省重大科技创新工程项目(2018CXGC1309)
关键词
子宫腺肌病
中药治疗
疗效优势
评价指标
adenomyosis
Chinese medicine treatment
therapeutic advantages
evaluation indexes
