摘要
目的探讨少腹逐瘀汤化裁与桃红四物汤化裁对子宫内膜息肉行宫腔镜下电切术后患者的治疗效果。方法选取2017年1月至2019年1月辽宁省健康产业集团阜新矿总医院收治的150例行宫腔镜电切术且术后病理证实为子宫内膜息肉患者作为研究对象。随机分为对照组(n=50)与药物组(n=100),药物组再根据中医辨证施治选用药物不同分为少腹组(n=50)与桃红组(n=50)。三组均行子宫内膜息肉宫腔镜下电切术,对照组术后给予基础治疗;少腹组在对照组基础上,给予少腹逐瘀汤化裁治疗;桃红组在对照组基础上,给予桃红四物汤化裁治疗。治疗三个月后,观察三组中医证候积分、临床疗效、复发率及不良反应。结果治疗后,三组中医证候积分较治疗前均显著下降,少腹组、桃红组的中医证候积分显著低于对照组,差异均具有统计学意义(P<0.05)。少腹组、桃红组总有效率高于对照组,复发率低于对照组,差异均具有统计学意义(P<0.05)。少腹组、桃红组临床疗效分布与对照组比较,差异具有统计学意义(P<0.05),少腹组与桃红组临床疗效分布、总有效率及复发率比较,差异均无统计学意义(P>0.05)。三组治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论子宫内膜息肉患者行宫腔镜下电切术后,采用少腹逐瘀汤化裁和桃红四物汤化裁均有一定的治疗效果,能够缓解临床症状,提高临床疗效,且复发率低,安全性高。
Objective To investigate the therapeutic effect of Shaofuzhuyu decoction and Taohongsiwu decoction on endometrial polyp after hysteroscopy electrocision.Methods 150 patients with endometrial polyps who underwent hysteroscopic electrotomy and were confirmed by postoperative pathology in Fuxin Mining General Hospital,Liaoning Health Industry Group from January 2017 to January 2019 were selected as the research object,and randomly divided into control group(n=50)and drug group(n=100).Then drug group was further divided into Shaofu group(n=50)and Taohong group(n=50)according to the principle of dialectical treatment of Chinese medicine.Endometrial polyps in three groups were all performed hysteroscopic electrotomy,while the control group was given basic treatment.On the basis of the control group,the Shaofu group was treated with Shaofuzhuyu decoction,and Taohong group was given Taohongsiwu decoction.After 3 months of treatment,the scores,clinical efficacy,recurrence rate and adverse events of the three groups were observed.Results After treatment,the TCM syndrome score of the three groups was significantly decreased compared with that before treatment,and the TCM syndrome score of the Shaofu group and the Taohong group was significantly lower than that of the control group,with statistically significant differences(P<0.05).The total effective rate of Shaofu group and Taohong group was higher than that of the control group,the recurrence rate is lower than the control group,the differences were statistically significant(P<0.05).Compared with control group,distribution of clinical efficacy of Shaofu group and Taohong group has statistical significance difference(P<0.05).there were no statistically significant difference in clinical efficacy distribution,total effective rate and recurrence rate between Shaofu group and Taohong group(P>0.05).There was no statistically significant difference in the incidence of adverse reactions between the three groups(P>0.05).Conclusions After endometrial polyps were removed by hystero
作者
李晓辉
王庆玖
田梦蝶
LI Xiaohui;WANG Qingjiu;TIAN Mengdie(Department of Obstetrics and Gynecology,Fuxin Mining General Hospital,Liaoning Health Industry Group,Fuxin 123000,Liaoning,China)
出处
《中国性科学》
2021年第1期116-119,共4页
Chinese Journal of Human Sexuality
