中国药业2024,Vol.33Issue(18) :101-104.DOI:10.3969/j.issn.1006-4931.2024.18.024

少腹逐瘀汤佐治气滞血瘀型子宫肌瘤临床观察

Clinical Observation of Shaofu Zhuyu Decoction in the Adjuvant Treatment of Uterine Fibroids of Qi-Stagnation and Blood-Stasis Syndrome

周丽娜 邰静茹 贾子亮 黄向东 苏佩清
中国药业2024,Vol.33Issue(18) :101-104.DOI:10.3969/j.issn.1006-4931.2024.18.024

少腹逐瘀汤佐治气滞血瘀型子宫肌瘤临床观察

Clinical Observation of Shaofu Zhuyu Decoction in the Adjuvant Treatment of Uterine Fibroids of Qi-Stagnation and Blood-Stasis Syndrome

周丽娜 1邰静茹 1贾子亮 1黄向东 1苏佩清2
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作者信息

  • 1. 河北省张家口市中医院,河北 张家口 075000
  • 2. 江苏省扬州市中医院,江苏 扬州 225000
  • 折叠

摘要

目的 探讨少腹逐瘀汤佐治气滞血瘀型子宫肌瘤的临床疗效.方法 选取张家口市中医院 2021 年 10 月至 2022 年 11 月收治的气滞血瘀型子宫肌瘤患者 90 例,按治疗方案的不同分为对照组(44 例)和观察组(46 例).两组患者均予米非司酮片口服,观察组患者加服少腹逐瘀汤.两组患者均连续治疗 1个月.结果 与对照组比较,观察组患者治疗后的中医证候积分显著降低;子宫体积及子宫肌瘤体积显著减小;卵泡刺激素、黄体生成素、雌二醇、孕酮、睾酮水平显著降低;血管内皮生长因子、基质金属蛋白酶-2(MMP-2)水平显著降低,基质金属蛋白酶组织抑制因子-2(TIMP-2)水平显著升高,MMP-2/TIMP-2比值显著降低(P<0.05).结论 少腹逐瘀汤佐治气滞血瘀型子宫肌瘤,可明显减小患者子宫及子宫肌瘤的体积,调节性激素水平,降低MMP-2/TIMP-2比值,改善卵巢功能.

Abstract

Objective To investigate the clinical efficacy of Shaofu Zhuyu Decoction in the adjuvant treatment of uterine fibroids of Qi-stagnation and blood-stasis syndrome.Methods Ninety patients with uterine fibroids of Qi-stagnation and blood-stasis syndrome admitted to the Zhangjiakou Hospital of Traditional Chinese Medicine from October 2021 to November 2022 were selected and divided into the control group(44 cases)and the observation group(46 cases)according to different treatment regimens.The patients in the two groups were given oral Mifepristone Tablets,on this basis,the patients in the observation group were given Shaofu Zhuyu Decoction.Both groups received continuous treatment for one month.Results Compared with those in the control group,the traditional Chinese medicine(TCM)syndrome score in the observation group significantly decreased after treatment;the volumes of the uterus and uterine fibroids significantly decreased;the follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),progesterone(P),and testosterone(T)levels significantly decreased;the vascular endothelial growth factor(VEGF)and matrix metalloproteinase-2(MMP-2)levels significantly decreased,the tissue inhibitor of metalloproteinase-2(TIMP-2)level significantly increased,the MMP-2/TIMP-2 significantly decreased(P<0.05).Conclusion The adjuvant treatment of Shaofu Zhuyu Decoction can significantly decrease the volumes of uterus and uterine fibroids,regulate sex hormone levels,decrease the MMP-2/TIMP-2,and improve the ovarian function in patients with uterine fibroids of Qi-stagnation and blood-stasis syndrome.

关键词

少腹逐瘀汤/气滞血瘀型/子宫肌瘤/辅助治疗/性激素

Key words

Shaofu Zhuyu Decoction/Qi-stagnation and blood-stasis syndrome/uterine fibroid/adjuvant treatment/sex hormone

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基金项目

河北省中医药管理局科研计划项目(2020366)

河北省张家口市科技计划自筹经费项目(2221094D)

出版年

2024
中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
参考文献量15
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