首页|桂枝茯苓胶囊联合腹腔镜手术治疗子宫内膜异位症的效果及安全性

桂枝茯苓胶囊联合腹腔镜手术治疗子宫内膜异位症的效果及安全性

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目的 探讨桂枝茯苓胶囊联合腹腔镜手术治疗子宫内膜异位症的效果及安全性。方法 选取2020年1月至2022年1月青岛大学附属威海市立第二医院收治的90例子宫内膜异位症患者为研究对象,采用随机数字表法分为观察组和对照组,每组45例。观察组采用桂枝茯苓胶囊联合腹腔镜手术治疗,对照组单独采用腹腔镜手术。比较两组患者疗效、不良反应、性激素、炎症因子、T淋巴细胞、视觉模拟评分法(VAS)及子宫内膜异位症健康量表(EHP-30)评分差异。结果 观察组患者治疗总有效率高于对照组,差异有统计学意义(P<0。05)。两组患者消化道症状、肝肾功能损伤、出血及伤口疼痛并发症发生率比较,差异无统计学意义(P>0。05)。观察组患者治疗后雌二醇(E2)、黄体生成素(LH)、孕酮(P)低于对照组,差异有统计学意义(P<0。05)。观察组患者治疗后白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、CD3+、CD4+及CD8+均低于对照组,差异有统计学意义(P<0。05)。观察组患者治疗后VAS评分及EHP-30评分均低于对照组,差异有统计学意义(P<0。05)。结论 桂枝茯苓胶囊联合腹腔镜手术可改善子宫内膜异位症患者性激素、炎症反应及T淋巴细胞免疫,具有高效、安全等优点,其疗效高于腹腔镜手术,值得在临床上广泛推广。
Efficacy and safety of Guizhi Fuling Capsules combined with laparoscopic surgery in the treatment of endometriosis
Objective To investigate the efficacy and safety of Guizhi Fuling Capsules combined with laparoscopic surgery in the treatment of endometriosis.Methods A total of 90 patients with endometriosis admitted to Weihai Second Hospital Affiliated to Qingdao University from January 2020 to January 2022 were selected as research objects,they were divided into observation group and control group according to random number table method,with 45 cases in each group.The observation group was treated with Guizhi Fuling Capsules combined with laparoscopic surgery,and the control group was treated with laparoscopic surgery alone.The effects,adverse reactions,sex hormones,inflammatory factors,T lymphocytes,visual analogue scale(VAS)and endometriosis health scale(EHP-30)were compared between the two groups.Results The total effective rate of observation group was higher than that of control group,the difference was statistically significant(P<0.05).There were no significant differences in gastrointestinal symptoms,liver and kidney function injury,bleeding and wound pain complications between two groups(P>0.05).After treatment,estradiol(E2),luteinizing hormone(LH)and progesterone(P)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After treatment,interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),CD3+,CD4+and CD8+in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).VAS and EHP-30 score of observation group were lower than those of control group after treatment,and the differences were statistically significant(P<0.05).Conclusion Guizhi Fuling Capsules combined with laparoscopic surgery can improve the sex hormone,inflammatory response and T lymphocyte immunity in patients with endometriosis,and has the advantages of high efficiency and safety,its efficacy is higher than that of laparoscopic surgery,and it is worthy of widespread promotion in clinical practice.

EndometriosisGuizhi Fuling CapsulesLaparoscopic surgeryEfficacySecurity

任秀兰、杨新红

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青岛大学附属威海市立第二医院妇科,山东威海 264200

子宫内膜异位症 桂枝茯苓胶囊 腹腔镜手术 疗效 安全性

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(1)
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