首页|化瘀调经汤防治子宫内膜息肉宫腔镜术后复发的效果研究

化瘀调经汤防治子宫内膜息肉宫腔镜术后复发的效果研究

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目的 探究子宫内膜息肉宫腔镜术后采用化瘀调经汤治疗的效果.方法 选取100例子宫内膜息肉患者为研究对象,按照随机数字表法分为对照组及研究组,每组50例.两组均行宫腔镜手术,术后14d,对照组采用地屈孕酮治疗,观察组采用化瘀调经汤治疗.比较两组患者的中医证候积分、子宫内膜厚度、血红蛋白水平、生活质量、不良反应发生情况及复发情况.结果 治疗后,观察组中医证候积分、子宫内膜厚度、血红蛋白水平均优于对照组(P<0.05).观察组不良反应发生率、复发率分别为2.00%、0,均低于对照组的14.00%、8.00%(P<0.05).治疗后,观察组各项生活质量评分均高于对照组(P<0.05).结论 子宫内膜息肉患者行宫腔镜手术后服用化瘀调经汤,能有效改善临床症状,降低子宫内膜厚度,提高血红蛋白水平,并降低不良反应发生率及复发率,继而提高患者生活质量,值得临床推广与应用.
Effect of Huayu Tiaojing Decoction on preventing and treating recurrence of endometrial polyp after hysteroscopic operation
Objective To investigate the effect of Huayu Tiaojing Decoction in the treatment of endometrial polyps after hysteroscopic operation.Methods 100 patients with endometrial polyps were selected as the research objects and were divided into a control group and a study group according to random number table,with 50 cases in each group.Hysteroscopic operation was performed in both groups.14 days after operation,the control group was treated with dydrogesterone and the observation group was treated with Huayu Tiaojing Decoction.The TCM syndrome score,endometrial thickness,hemoglobin level,quality of life,occurrence of adverse reactions and recurrence were compared between the two groups.Results After treatment,the TCM syndrome score,endometrial thickness and hemoglobin level were better than those of the control group(P<0.05).The ratio of adverse reaction rate and recurrence rate in the observation group were 2.00%and 0,which were lower than 14.00%and 8.00%in the control group(P<0.05).After treatment,the quality of life scores of the observation group were higher than those of the control group(P<0.05).Conclusion Huayu Tiaojing Decoction in the treatment of endometrial polyps after hysteroscopic operation can effectively improve clinical symptoms,reduce endometrial thickness,increase hemoglobin level,reduce the incidence of adverse reactions and recurrence rate,and then improve the quality of life of patients,which is worthy of clinical promotion and use.

Huayu Tiaojing DecoctionEndometrial polypsHysteroscopic operation

马晨

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南京市江宁中医院妇科,江苏南京 211100

化瘀调经汤 子宫内膜息肉 宫腔镜手术

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(18)