首页|通脉化癥合剂治疗阳虚血瘀型子宫腺肌病的疗效评价

通脉化癥合剂治疗阳虚血瘀型子宫腺肌病的疗效评价

Efficacy evaluation of Tongmai Huazheng Mixture on adenomyosis of yang deficiency and blood stasis syndrome

扫码查看
目的:观察通脉化癥合剂对阳虚血瘀型子宫腺肌病的临床疗效.方法:采用病例自身前后对照,观察63例阳虚血瘀证子宫腺肌病患者经通脉化癥合剂治疗后的中医证候、子宫体积,以及痛经、月经量、慢性盆腔疼痛(CPP)、血清糖类抗原125(CA125)、催乳素、血红蛋白的改善情况.结果:痛经、月经量、CPP、中医证候、血红蛋白等治疗后与治疗前相比均有改善,与时间效应相关.治疗第3、6个周期与治疗前相比,痛经持续天数、CPP评分、CPP持续天数、月经量评分、中医证候评分、血红蛋白均有明显改善(均P<0.01);治疗第3个周期与治疗前相比,视觉模拟量表(VAS)评分差异无统计学意义(P>0.05),而在治疗第6个周期与治疗前、治疗第3个周期相比,差异均有统计学意义(均P<0.01);子宫体积、催乳素、CA125治疗前后差异均无统计学意义(均P>0.05).结论:通脉化癥合剂能显著改善子宫腺肌病导致的痛经等疼痛症状及月经量多.
Objective:To observe the clinical efficacy of Tongmai Huazheng Mixture in treating adenomyosis of yang deficiency and blood stasis syndrome.Methods:63 patients with uterine adenomyosis were treated with Tongmai Huazheng Mixture,and the TCM symptom,uterine volume,dysmenorrheal,menstrual volume,chronic pelvic pain(CPP),CA125,prolactin and hemoglobin were observed and analyzed before and after treatment.Results:After treatment,there were improvements in dysmenorrhea,menstrual volume,CPP,TCM syndrome,hemoglobin compared to before treatment,which were correlated with the treatment course.Compared with before treatment,the dysmenorrhea duration,CPP score,CPP duration,menstrual volume score,TCM syndrome score,and hemoglobin were significantly improved in the third and sixth cycles of treatment,with statistical significances(all P<0.01).There was no statistical difference in the dysmenorrhea score between the third cycle of treatment and before treatment(P>0.05),but there were statistical differences between the sixth cycle of treatment and before treatment and the third cycle of treatment(both P<0.01).There were no statistical differences in uterine volume,prolactin and CA125 before and after treatment(all P>0.05).Conclusion:Tongmai Huazheng Mixture can significantly improve dysmenorrhea and the increased menstrual volume in adenomyosis.

AdenomyosisDysmenorrheaMenorrhagiaYang deficiency and blood stasis syndromeTongmai Huazheng Mixture

王领弟、刘洋、石雅馨、王子璐、徐丽、师伟

展开 >

山东中医药大学附属医院妇科,山东 济南 250014

山东中医药大学第一临床医学院,山东 济南 250014

山东中医药大学第二附属医院妇产科,山东 济南 250001

子宫腺肌病 痛经 月经量多 阳虚血瘀证 通脉化癥合剂

济南市科技发展计划山东省"泰山学者"青年专家基金山东省中医药高层次人才培育项目山东省自然科学基金山东省中医药科技项目

202225006tsqn201909185鲁卫函[2022]73号ZR2021MH1982021M186

2024

中国中西医结合影像学杂志
中国中西医结合学会,山东中医药大学附属医院

中国中西医结合影像学杂志

CSTPCD
影响因子:0.857
ISSN:1672-0512
年,卷(期):2024.22(1)
  • 8