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中医药在围绝经期子宫内膜异位症术后的应用

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围绝经期妇女的子宫内膜异位症(EMS)患病率较高,可随年龄增大而发生恶变,需手术治疗.围绝经期EMS患者术后易出现气血两亏,导致复发、围绝经期综合征、手术切口愈合不良等多种并发症,不利于整体康复.综述了中医药在围绝经期EMS患者术后的应用价值及潜在机制.研究发现,在围绝经期EMS的术后应用方面,中医内治法和外治法具有辨证分期、内外兼治的特点,可兼顾EMS病机、围绝经期临床表现及手术创伤带来的不利影响,具有降低复发率、改善围绝经期症状、增强疗效、促进患者康复、加速创面愈合等多种作用,具有临床推广价值.
Application value of Chinese medicine in postoperative treatment of perimenopausal endometriosis
The incidence of endometriosis(EMS)in perimenopausal women is relatively higher and can undergo malignant transformation with age,requiring surgical treatment.Perimenopausal EMS patients are prone to postoperative Qi and blood deficiency,leading to recurrence,perimenopausal syndrome,poor surgical incision healing,and other complications,which are harmful to overall recovery.This article reviews the application value and potential mechanisms of Chinese medicine in postoperative treatment of perimenopausal EMS patients.It is found that the postoperative application of internal and external therapies of Chinese medicine for perimenopausal EMS can achieve both internal and external outcomes based on syndrome differentiation and staging.With pathogenesis of EMS,clinical manifestations of perimenopause,and adverse effects of surgical trauma being taken into consideration,it can reduce recurrence rate,relieve perimenopausal symptoms,enhance therapeutic effect,promote patient recovery,and accelerate wound healing,which has proved its clinical promotion value.

perimenopauseagingendometriosistraditional Chinese medicine syndrome differentiationrecurrence rateperimenopausal syndromewound healing

郑娟、韩莹、王丹凝、吴丹、丛慧芳

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黑龙江中医药大学研究生院,哈尔滨 150000

黑龙江中医药大学附属第二医院妇科,哈尔滨 150001

围绝经期 衰老 子宫内膜异位症 中医辨证 复发率 围绝经期综合征 创面愈合

2024

科技导报
中国科学技术协会

科技导报

CSTPCD北大核心
影响因子:0.559
ISSN:1000-7857
年,卷(期):2024.42(22)