首页|破瘀消癥方治疗气滞血瘀型子宫肌瘤临床观察

破瘀消癥方治疗气滞血瘀型子宫肌瘤临床观察

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目的:观察破瘀消癥汤治疗气滞血瘀型子宫肌瘤的临床疗效.方法:将60例气滞血瘀型子宫肌瘤患者随机分为两组各30例.对照组予桂枝茯苓胶囊口服治疗,治疗组予破瘀消癥汤治疗,均治疗12周.比较两组临床疗效、治疗前后肌瘤体积变化、中医证候积分及血清性激素雌二醇(E2)、促黄体生成素(LH)、促卵泡刺激素(FSH)水平的变化情况.结果:治疗后治疗组总有效率为93.33%,对照组为73.33%,两组比较,差异有统计学意义(P<0.05).两组患者肌瘤体积明显缩小(P<0.05),中医证候积分有所降低(P<0.05),血清性激素E2、LH、FSH水平均显著降低(P<0.05),且治疗组上述各指标水平与对照组比较降低更明显(P<0.05).结论:破瘀消癥汤治疗子宫肌瘤可明显缩小瘤体体积,减轻临床症状,改善血清性激素水平,提高临床疗效.
Efficacy observation of Poyu Xiaozheng formula on hysteromyoma with syndrome of qi stagnation and blood stasis
Objective:To observe the clinical efficacy of Poyu Xiaozheng decoction on hysteromyoma with syndrome of qi stagnation and blood stasis.Methods:60 cases of patients with hysteromyoma with syndrome of qi stagnation and blood stasis were randomly divided into two groups,30 cases in each group.The control group was treated with oral Guizhi Fuling capsules,while the treatment group was treated with Poyu Xiaozheng decoction,and both groups were treated for 12 weeks.The clinical efficacy,change of myoma volume before and after treatment,TCM syndrome score and changes of levels of serum sex hormone estradiol(E2),luteinizing hormone(LH)and follicle stimulating hormone(FSH)were compared between two groups.Results:After treatment,the total effective rate was 93.33%in the treatment group and 73.33%in the control group,and the comparative difference between two groups was statistically significant(P<0.05).After treatment in two groups,the volume of myoma of patients was significantly reduced(P<0.05);TCM syndrome score was reduced to some extent(P<0.05);the levels of serum sex hormones E2,LH and FSH were significantly reduced(P<0.05),and the above various indexes of treatment group were more obviously reduced than those of control group(P<0.05).Conclusion:Poyu Xiaozheng decoction for treating hysteromyoma can obviously reduce the tumor volume,relieve clinical symptoms,improve the levels of serum sex hormones and enhance the clinical efficacy.

hysteromyomasyndrome of qi stagnation and blood stasisPoyu Xiaozheng decoctiontherapy of TCM

吴永珍、刘琼辉、杨霞

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湖南中医药大学(长沙 410208)

重庆市垫江县中医院

子宫肌瘤 气滞血瘀 破瘀消癥汤 中医药疗法

重庆市科卫联合医学科研项目

2022MSXM192

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(2)
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