摘要
目的:探究胞宫藏泻与大肠传藏对月经不调所致子宫内膜容受功能的影响。方法:选取2020年1-6月80例月经不调合并肠道功能异常的子宫内膜容受功能不足患者,根据随机数字表法将其分为对照组和观察组,每组40例。对照组采用左归丸加减治疗,观察组在对照组的基础上加用首荟通便胶囊。比较两组治疗前及治疗1、2个月的子宫内膜厚度、子宫内膜血流参数[子宫动脉收缩期峰值流速(PSV)、阻力指数(RI)及搏动指数(PI)]、中医体质评价结果及血清孕酮、雌二醇水平。结果:治疗前,两组的子宫内膜厚度及PSV、RI、PI比较,差异均无统计学意义(P>0.05);治疗1、2个月,观察组的子宫内膜厚度及PSV均高于对照组,RI及PI均低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组的中医体质评价结果比较,差异无统计学意义(P>0.05);治疗1、2个月,观察组的中医体质评价结果均优于对照组,差异均有统计学意义(P<0.05)。治疗前,两组的血清孕酮及雌二醇水平比较,差异均无统计学意义(P>0.05);治疗1、2个月,观察组的血清孕酮均高于对照组,差异均有统计学意义(P<0.05),血清雌二醇均低于对照组,但差异均无统计学意义(P>0.05)。结论:胞肠同调对月经不调所致子宫内膜容受功能不足的影响优于单纯调胞宫,对患者的体质及激素水平也有改善作用,应用价值较高。
Objective:To investigate the influence of storage and excretion of uterus,transmission and storage of intestine for endometrial receptive function caused by irregular menstruation.Method:A total of 80 patients with endometrial receptive function deficiency complicated with irregular menstruation and intestinal dysfunction from January to June 2020 were selected,and they were divided into control group and observation group according to the method of random number table,40 cases in each group.The control group was treated with Zuogui Pill modified,and the observation group was treated with Shouhui Tongbian Capsule on the basis of control group.The endometrial thickness,endometrial blood flow parameters[peak flow velocity (PSV),resistance index (RI) and pulse index (PI)],TCM constitution evaluation results and serum progesterone and estradiol levels before treatment and 1 and 2 months after treatment were compared between two groups.Result:Before treatment,there were no significant differences in endometrial thickness,PSV,RI and PI between two groups (P>0.05);after 1 and 2 months of treatment,endometrial thickness and PSV of the observation group were higher than those of the control group,while RI and PI were lower than those of the control group,the differences were statistically significant (P<0.05).Before treatment,there was no significant difference in TCM constitution evaluation results between two groups (P>0.05);after 1 and 2 months of treatment,the TCM constitution evaluation results of the observation group were superior than those of the control group,the differences were statistically significant (P<0.05).Before treatment,there were no significant differences in serum progesterone and estradiol levels between two groups (P>0.05);after 1 and 2 months of treatment,the serum progesterone of the observation group were higher than those of the control group,and the differences were statistically significant (P<0.05),the serum estradiol of the observation group were lower than those of the control group,but t
作者
郭端英
邹雅婷
吴寿莹
陆华
GUO Duanying;ZOU Yating;WU Shouying;LU Hua(People’s Hospital of Longgang District,Shenzhen 518172,China;不详)
出处
《中国医学创新》
CAS
2021年第21期106-110,共5页
Medical Innovation of China
基金
深圳市龙岗区经济与科技发展专项资金项目(LGKCYLWS2019000913)。
关键词
胞宫藏泻
大肠传藏
月经不调
子宫内膜容受功能
Storage and excretion of uterus
Transmission and storage of intestine
Irregular menstruation
Endometrial receptive function
