首页|加味桂枝茯苓汤联合米非司酮治疗子宫肌瘤临床疗效观察

加味桂枝茯苓汤联合米非司酮治疗子宫肌瘤临床疗效观察

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目的 探究加味桂枝茯苓汤联合米非司酮对子宫肌瘤的临床疗效及用药后患者血清性激素水平变化.方法选择确诊为子宫肌瘤的育龄期女性患者随机入组研究组(42例)和对照组(41例),给予研究组桂枝茯苓汤加味+米非司酮片联合治疗3个月,对照组仅给予常规米非司酮片单药治疗,用药时间同研究组一致,并分别在治疗前后对患者血清性激素水平进行定量测定,通过比较不同组多疗程用药后治疗效果及患者激素水平评估组间疗效差异.结果 研究组治疗总有效率92.9%,明显优于对照组总有效率73.8%,组间差异具有显著统计学意义(P<0.01);治疗后,研究组和对照组患者较治疗前子宫/瘤体体积均明显减小,差异具有显著统计学意义(P<0.01),比较2组间患者治疗后子宫/瘤体体积,研究组较对照组体积缩小明显,差异具有统计学意义(P<0.05).血清性激素水平:研究组患者接受治疗后,血清E2及P激素含量水平明显低于对照组(P<0.05);药物治疗前后比较,2组患者治疗后血清E2和P激素水平均低于治疗前(P<0.05).结论 加味桂枝茯苓汤联合米非司酮用药对比米非司酮单药治疗子宫肌瘤疗效更优,用药后显著降低患者血清性激素水平并促进子宫/瘤体体积缩小,是一种值得推广的中西医相结合保守治疗子宫肌瘤手段.
Clinical observation on the treatment of uterine leiomyoma with modified Guizhi Fuling decoction combined with mifepristone
Objective To investigate the clinical efficacy of Jiawei Guizhi Fuling Decoction combined with mifepristone on uterine fibroids and the changes of serum sex hormone levels in patients after treatment.MethodsForty-two patients were randomly divided into three groups: control group (42 cases) and control group (41 cases).The rats were treated with Guizhi Fuling Decoction plus mifepristone combination for three months.The control group was given only monotherapy with normal mifepristone tablets.The time of treatment was consistent with that of the study group.The levels of serum sex hormones were measured quantitatively before and after treatment.By comparing the therapeutic effect of the patients in different experimental groups and the levels of hormone Differences in evaluation between groups.ResultsThe total effective rate of 92.9% in the study group was significantly better than that in the control group (73.8%).The difference between the two groups was statistically significant (P<0.01).After treatment, the study group and the control group Uterine / tumor volume was significantly reduced, the difference was significantly different (P<0.01), compared between the two groups after treatment of uterine / tumor volume, the study group than the control group, the volume was significantly reduced, the difference was statistically significant (P<0.05).Serum levels of sex hormones: Serum levels of E2 and P were significantly lower in the study group than in the control group (P<0.05).Before and after treatment, the levels of serum E2 and P were lower in the two groups than before treatment (P<0.05).ConclusionJiawei Guizhi Fuling Decoction combined with mifepristone has a better effect on the treatment of uterine fibroids with mifepristone monotherapy, which significantly reduces the level of serum sex hormones and promotes the reduction of uterine / tumor volume after administration.It is worthy of promotion the combination of traditional Chinese and Western medicine conservative treatment of uterine fibroids means.

uterine fibroidsflavored Guizhi Fuling Decoctionmifepristoneserum sex hormones

吴洁丽、周帆

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温州市中心医院妇产科,浙江温州325000

温州市中心医院中医科,浙江温州325000

子宫肌瘤 加味桂枝茯苓汤 米非司酮 血清性激素

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
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