首页|毫火针温通法联合米非司酮治疗肾虚血瘀型子宫腺肌病的效果

毫火针温通法联合米非司酮治疗肾虚血瘀型子宫腺肌病的效果

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目的 探索毫火针温通法联合米非司酮治疗肾虚血瘀型子宫腺肌病的效果与安全性.方法 选取2021年9月至2023年4月河北省三河市医院80例肾虚血瘀型子宫腺肌病患者,以随机数字表法将其分为治疗组和对照组,各40例.对照组使用米非司酮治疗(月经开始第1天起开始服药至月经结束),治疗组在对照组的基础上采用毫火针温通法治疗(自月经第1天起连续治疗7d),连续治疗3个月经周期后,比较两组治疗前后的流血天数、月经失血图(PBAC)评分、视觉模拟评分法(VAS)评分、子宫体积,记录治疗期间不良反应发生情况.结果 治疗后,两组流血天数、PBAC总分、VAS评分均低于治疗前,且治疗组低于对照组(P<0.05).治疗后,两组的子宫体积小于治疗前,且治疗组小于对照组(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 毫火针温通法联合米非司酮治疗肾虚血瘀型子宫腺肌病临床效果较好,且不良反应少,安全性高.
Effect of filiform fire needle warm-dredging method combined with Mifepri-stone on adenomyosis with syndrome of kidney deficiency and blood stasis
Objective To explore the efficacy and safety of filiform fire needle warm-dredging method combined with Mifepristone on adenomyosis with syndrome of kidney deficiency and blood stasis.Methods A total of 80 patients with adenomyosis with syndrome of kidney deficiency and blood stasis in Sanhe City Hospital of Hebei Province from September 2021 to April 2023 were selected and divided into treatment group and con-trol group by random number table method,with 40 cases in each group.The control group was treated with Mifepristone(taking medicine from the first day of menstruation to the end of menstruation),and the treatment group was treated with the filiform fire needle on the basis of the control group(continuous treatment for seven days from the first day of menstruation),after continuous treatment for three menstrual cycles,the bleeding days,pictorial blood loss assessment chart(PBAC)score,visual analogue scale(VAS)score,and uterine volume before and after treatment were compared between the two groups,and the occurrence of adverse reactions during treatment was recorded.Results After treatment,the bleeding days,total PBAC score,and VAS score in both groups were lower than those before treatment,and those of treatment group were lower than those of control group(P<0.05).After treatment,the uterine volume of the two groups was smaller than that before treatment,and that of treatment group was smaller than that of control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The treatment of adenomyosis with syndrome of kidney deficiency and blood stasis with the combination of filiform fire needle warm-dredging method and Mifepristone has good clinical effect,less adverse reactions,and high safety.

Filiform fire needleWarm-dredging methodSyndrome of kidney deficiency and blood stasisAdenomyosisClinical research

刘海永、王海江、陈志军、常乐、高洋、张玲玲、吕晓敏、凌书娟

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北京中医药大学医管处,北京 100029

河北省三河市中医医院功能科,河北三河 065200

河北省三河市医院内科,河北三河 065200

河北省三河市医院妇产科,河北三河 065200

河北省三河市医院儿科,河北三河 065200

北京中医药大学第三临床医学院,北京 100029

河南省中医药大学继续教育学院,河南郑州 450008

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毫火针 温通法 肾虚血瘀型 子宫腺肌病 临床效果

河北中医药局中医药类科研计划

2022582

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(13)
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