首页|理气散结方联合米非司酮治疗气滞血瘀证子宫肌瘤的临床疗效及对性激素水平、血液流变学指标的影响

理气散结方联合米非司酮治疗气滞血瘀证子宫肌瘤的临床疗效及对性激素水平、血液流变学指标的影响

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目的 探讨理气散结方联合米非司酮治疗气滞血瘀证子宫肌瘤的临床疗效以及对性激素水平和血液流变学的影响.方法 选取2022年1月至2023年1月于邯郸市人民医院就诊的96例气滞血瘀证子宫肌瘤患者作为研究对象,按照随机数字表法分为实验组和对照组,各48例.两组均给予他莫昔芬治疗,在此基础上,对照组使用米非司酮治疗,实验组给予理气散结方联合米非司酮治疗,两组均治疗3个月(经期内停止治疗).比较两组临床疗效、中医证候评分、血液流变学指标、性激素水平及不良反应.结果 治疗后,实验组总有效率高于对照组,主要症状与次要症状评分低于对照组,血液流变学指标、性激素水平均低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 理气散结方联合米非司酮治疗气滞血瘀证子宫肌瘤疗效显著,能降低患者性激素水平,改善其血液流变学指标,安全性高.
Clinical curative effect of Liqi Sanjie Prescription combined with mifepristone and its influences on levels of sex hormones and hemorheology in uterine fibroid of Qi stagnation blood stasis syndrome
Objective To investigate the clinical curative effect of Liqi Sanjie Prescription combined with mifepristone and its influences on levels of sex hormones and hemorheology in uterine fibroid of Qi stagnation blood stasis syndrome.Methods A total of 96 patients with uterine fibroids of Qi stagnation blood stasis syndrome in Handan People's Hospital were enrolled as the research objects between January 2022 and January 2023.They were divided into experimental group(n=48,tamoxifen+Liqi Sanjie Prescription+mifepristone)and control group(n=48,tamoxifen+mifepristone)by random number table method.The patients in both groups were intervened for 3 months(treatment termination during menstruation).The clinical curative effect,scores of traditional Chinese medicine(TCM)symptoms,hemorheology indexes,levels of sex hormones and adverse reactions in the two groups were compared.Results After treatment,total response rate in experimental group was higher than that in control group,scores of main and secondary symptoms were lower than those in control group,hemorheology indexes and levels of sex hormones were lower than those in control group(P<0.05).The difference in incidence of adverse reactions between the two groups was not statistically significant(P>0.05).Conclusions The curative effect of Liqi Sanjie Prescription combined with mifepristone is significant in uterine fibroid of Qi stagnation blood stasis syndrome,which can reduce levels of sex hormones and improve hemorheology,with high safety.

Liqi Sanjie PrescriptionMifepristoneUterine fibroidQi stagnation blood stasis syndromeCurative effect

王志红、洪领俊、王菊荣

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邯郸市人民医院妇产科,河北邯郸 056001

邯郸市人民医院中医科,河北邯郸 056001

邯郸市人民医院妇一科,河北邯郸 056001

理气散结方 米非司酮 子宫肌瘤 气滞血瘀证 疗效

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(4)
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