首页|暖宫灸联合补肾逐瘀汤对卵巢子宫内膜异位症术后患者卵巢储备功能和子宫内膜容受性的影响

暖宫灸联合补肾逐瘀汤对卵巢子宫内膜异位症术后患者卵巢储备功能和子宫内膜容受性的影响

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目的 探析暖宫灸联合补肾逐瘀汤对卵巢子宫内膜异位症(EMS)术后患者卵巢储备功能和子宫内膜容受性的影响。方法 选取2020年8月至2022年8月江西省妇幼保健院住院部收治的腹腔镜手术治疗的60例EMS患者作为研究对象,采用随机数字表法分为对照组和观察组,每组各30例。对照组给予亮丙瑞林治疗+补肾逐瘀汤,观察组于对照组基础上加用暖宫灸,持续治疗3个月。比较两组患者临床疗效、卵巢储备功能[血清抗米勒管激素(AMH)及抑制素B(INHB)、窦卵泡计数(AFC)]、子宫受容性相关指标(子宫内膜厚度、子宫内膜容积)以及不良反应发生情况。结果 观察组总有效率高于对照组,差异有统计学意义(P<0。05);治疗3个月后,两组患者AMH、INHB及AFC水平高于本组治疗前,且观察组各指标高于对照组,差异有统计学意义(P<0。05);治疗3个月后,两组患者子宫内膜容积、厚度均高于本组治疗前,且观察组各指标高于对照组,差异有统计学意义(P<0。05);治疗期间,两组不良反应发生情况比较,差异无统计学意义(P>0。05)。结论 暖宫灸联合补肾逐瘀汤治疗卵巢EMS术后患者效果显著,可改善卵巢储备功能,提高子宫容受性。
Effect of warming uterus moxibustion combined with Bushen Zhuyu De-coction on ovarian reserve function and endometrial receptability in pa-tients after ovarian endometriosis surgery
Objective To explore the effect of warming uterus moxibustion combined with Bushen Zhuyu Decoction on ovarian reserve function and endometrial receptivity in patients with ovarian endometriosis(EMS)after surgery.Methods A total of 60 EMS patients treated by laparoscopy who were admitted to the inpatient department of Jiangxi Maternal and Child Health Hospital from August 2020 to August 2022 were selected as the research objects.They were divided into the control group and the observation group by random number table method,with 30 patients in each group.The control group was treated with Leprorelin and Bushen Zhuyu Decoction,while the observation group was treated with warming uterus moxibus-tion on the basis of the control group for 3 months.The clinical efficacy,ovarian reserve function(serum anti-Müllerian hormone[AMH]and inhibin B[INHB],antral follicle count[AFC]),uterine receptivity related indexes(endometrial thickness,en-dometrial volume)and the occurrence of adverse reactions were compared between the two groups.Results The total effec-tive rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 3 months of treatment,the levels of AMH,INHB and AFC in both groups of patients were higher than those before treatment,and all indicators in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).After 3 months of treatment,the endometrial volume and thickness of the two groups of pa-tients were higher than those before treatment,and all indicators in the observation group were higher than those in the con-trol group,with statistically significant differences(P<0.05).During the treatment period,there was no statistically signifi-cant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of warming uterus moxibustion and Bushen Zhuyu Decoction has a significant therapeutic effect on postoperative patients with ovarian EMS,which can improve ovarian reserve function and increase uterine receptivity.

Warming uterus moxibustionBushen Zhuyu DecoctionEndometriosisEndometrial thicknessEn-dometrial volume

王爽、艾小燕、熊翔鹏、陈院婷、梅彤

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江西省妇幼保健院妇科,江西南昌 330006

暖宫灸 补肾逐瘀汤 子宫内膜异位症 子宫内膜厚度 子宫内膜容积

江西省中医药管理局科技计划项目

2022B450

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(8)
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