首页|散结镇痛胶囊联合地诺孕素对子宫内膜异位症患者血清EMAb、CA125的影响

散结镇痛胶囊联合地诺孕素对子宫内膜异位症患者血清EMAb、CA125的影响

扫码查看
目的:观察应用散结镇痛胶囊联合地诺孕素治疗子宫内膜异位症(endometriosis,EMT)的临床疗效及其对血清抗子宫内膜抗体(anti-endometrial antibody,EMAb)、糖类抗原125(carbohydrate antigen,CA125)的影响.方法:选择EMT患者60例,随机分为观察组和对照组,每组30例.观察组给予散结镇痛胶囊联合地诺孕素治疗,对照组给予地诺孕素治疗,共治疗6个月经周期.对比两组治疗前后视觉模拟评分(visual analogue score,VAS)评分及血清EMAb转阴率、血清CA125水平,评估两组临床疗效.结果:治疗后观察组总有效率[90.00%(27/30)]高于对照组[66.67%(20/30)](P<0.05);观察组EMAb转阴率[76.67%(23/30)]高于对照组[46.67%(14/30)](P<0.05).治疗后两组VAS评分及血清CA125水平均较治疗前下降(P<0.05),且观察组下降程度大于对照组(P<0.05).结论:散结镇痛胶囊联合地诺孕素治疗EMT临床疗效明显,可有效降低CA125水平,提高EMAb转阴率且无严重不良反应.
Effects of Nodulus-eliminating Pain-relieving Capsules Combined with Dienogest on Serum EMAb and CA125 in Patients with Endometriosis
Objective:To observe clinical effects of Sanjie Zhentong capsules(nodulus-eliminating pain-reliev-ing capsules)joined with dienogest in the treatment of endometriosis and its influence on the levels of anti-endometrial antibody(EMAb)and carbohydrate antigen(CA125).Methods:Sixty patients were chosen and randomized into the observation group and the control group,30 cases in each group.The observation group was treated with nodulus-eliminating pain-relieving capsules and dienogest,and dienogest was administered to the control group.All the patients were treated for six menstrual cycles.To compare VAS scores,the conversion rate of serum EMAb and the levels of serum CA125 before and after the treatment in the two groups,to assess clinical effects between both groups.Results:After the treatment,total effective rate of the observation group was[90.00%(27/30)],higher than[66.67%(20/30)]of the control group(P<0.05);the conversion rate of EMAb of the observa-tion group was[76.67%(23/30)],higher than[46.67%(14/30)]of the control group(P<0.05).After the treatment,VAS scores and the levels of serum CA125 were lower in the two groups than before the treatment(P<0.05),and the decrease of the observation group was greater than that of the control group(P<0.05).Conclusion:Nodulus-eliminating pain-relieving capsules and dienogest could obtain noticeable clinical effects in the treatment of endometriosis,which could effectively reduce the levels of CA125,increase EMAb conversiun rate without severe adverse reactions.

endometriosisnodulus-eliminating pain-relieving capsulesdienogestanti-endometrial antibodycarbohydrate antigen

李梦琦、李长忠

展开 >

山东中医药大学,山东 济南 250011

山东省立医院,山东 济南 250011

子宫内膜异位症 散结镇痛胶囊 地诺孕素 抗子宫内膜抗体 糖类抗原125

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(12)