首页|双花坤孕方联合雷火灸对子宫内膜异位症患者临床症状及卵巢功能的影响

双花坤孕方联合雷火灸对子宫内膜异位症患者临床症状及卵巢功能的影响

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目的 分析双花坤孕方联合雷火灸对子宫内膜异位症(EMT)患者临床症状及卵巢功能的影响。方法 回顾性选取河北省中医药科学院和石家庄市中医院2021年7月至2023年7月就诊的90例EMT患者,根据治疗方法的不同将其分为2组,每组各45例,对照组给予孕三烯酮胶囊治疗,观察组给予双花坤孕方联合雷火灸治疗,比较两组临床疗效及治疗前后的临床症状积分、卵巢功能、血清细胞因子。结果 观察组治疗总有效率[95。56%(43/45)]高于对照组[68。89%(31/45)](P<0。05)。观察组治疗后非经期肛门坠痛、性交痛、非经期下腹痛、经行腹痛积分低于对照组(均P<0。05)。观察组治疗后血清促卵泡生成激素(FSH)水平低于对照组(P<0。05),窦卵泡数量、卵巢体积大于对照组(均P<0。05)。观察组治疗后血清糖类抗原125(CA125)、肿瘤坏死因子-α(TNF-α)、血管内皮生长因子(VEGF)水平低于对照组(均P<0。05)。结论 双花坤孕方联合雷火灸可有效缓解EMT患者经行腹痛等症状,改善卵巢功能,降低血清FSH、CA125、TNF-α、VEGF水平,提高治疗效果。
The effect of Shuanghuakun pregnancy formula combined with thunder fire moxibustion on clinical symptoms and ovarian function in patients with endometriosis
Objective To analyze the effects of Shuanghuakun pregnancy formula combined with thunder fire moxibustion on clinical symptoms and ovarian function in patients with endometriosis(EMT).Methods A retrospective study was conducted on 90 patients with EMT who visited Hebei Academy of Traditional Chinese Medicine and Shijiazhuang Hospital of Traditional Chinese Medicine from July 2021 to July 2023.They were divided into two groups,with 45 patients in each group,based on different treatment methods.The control group was treated with gestrinone capsules,while the observation group was treated with Shuanghuakun pregnancy formula combined with thunder fire moxibustion.The clinical efficacy,clinical symptom scores,ovarian function,and serum cytokines before and after treatment were compared between the two groups.Results The total effective rate of the observation group[95.56%(43/45)]was higher than that of the control group[68.89%(31/45)](P<0.05).After treatment,the observation group had lower scores of non menstrual anal pain,sexual pain,non menstrual lower abdominal pain,and menstrual abdominal pain than the control group(all P<0.05).After treatment,the serum follicle stimulating hormone(FSH)level in the observation group was lower than that in the control group(P<0.05),and the number of antral follicles and ovarian volume were greater than those in the control group(all P<0.05).After treatment,the levels of serum carbohydrate antigen 125(CA125),tumor necrosis factor-α(TNF-α),and vascular endothelial growth factor(VEGF)in the observation group were lower than those in the control group(all P<0.05).Conclusions The combination of Shuanghuakun pregnancy formula and thunder fire moxibustion can effectively alleviate symptoms such as abdominal pain in EMT patients,improve ovarian function,reduce serum FSH,CA125,TNF-α,and VEGF levels,and enhance treatment efficacy.

EndometriosisShuanghuakun pregnant formulaLightning moxibustionOvarian function

卢青玉、贾红伟

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河北省中医药科学院妇科,石家庄 050011

石家庄市中医院妇科,石家庄 050011

子宫内膜异位症 双花坤孕方 雷火灸 卵巢功能

河北省中医药管理局科研计划项目

2019100

2024

中国医师杂志
中华医学会 湖南省医学会

中国医师杂志

CSTPCD
影响因子:0.876
ISSN:1008-1372
年,卷(期):2024.26(9)