首页|益生菌颗粒联合腹腔镜手术治疗子宫内膜异位症患者的效果及对妊娠的影响

益生菌颗粒联合腹腔镜手术治疗子宫内膜异位症患者的效果及对妊娠的影响

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目的 探讨益生菌颗粒联合腹腔镜手术治疗子宫内膜异位症(EMS)患者的效果及对妊娠的影响.方法 选取2021 年3 月—2022 年5 月接受腹腔镜手术的EMS 100 例,采用随机数字表法将其分为对照组和研究组,每组50 例.2 组均接受腹腔镜手术,对照组在术后使用醋酸戈舍瑞林治疗,研究组在对照组基础上联合益生菌颗粒治疗.比较2 组的妊娠率、生活质量(健康调查简表SF-36 评分)、性激素指标[卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、孕酮(P)、睾酮(T)、泌乳素(PRL)]、炎性因子[白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)]及不良反应.结果 研究组总妊娠率高于对照组(P<0.05).治疗后,2 组健康调查简表SF-36 各项目评分均高于治疗前,且研究组高于对照组(P<0.05).治疗后,2 组血清FSH、LH、E2、P、T、PRL、IL-6 及TNF-α水平均低于治疗前,且研究组低于对照组(P<0.05).2 组不良反应发生率比较差异无统计学意义(P>0.05).结论 EMS患者接受腹腔镜手术治疗后,应用醋酸戈舍瑞林联合益生菌颗粒,可提升妊娠率及生活质量,还能降低血清性激素及炎性因子水平.
Effect of Probiotic Granule Combined with Laparoscopic Surgery on Pa-tients with Endometriosis and Its Influence on Pregnancy
Objective To investigate the effect of probiotic granules combined with laparoscopic surgery on patients with endometriosis(EMS)and its influence on pregnancy.Methods A total of 100 EMS patients who received laparoscopic surgery from March 2021 to May 2022 were selected and divided into control group and research group by random number table method,with 50 cases in each group.The two groups received laparoscopic surgery,the control group was treated with goser-relin acetate after surgery,and the research group was treated with probiotic granules on the basis of the control group.The pregnancy rate,quality of life[the MOS 36-item short-form health survey(SF-36)score],sex hormone indexes[follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),progesterone(P),testosterone(T),prolactin(PRL)]and inflammatory factors[interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)]as well as adverse reactions were compared between the two groups.Results The total pregnancy rate of research group was significantly higher than that of control group(P<0.05).After treatment,the scores of each item of SF-36 of the two groups were higher than those before treatment,which were higher in the research group than in the control group(P<0.05).After treatment,serum levels of FSH,LH,E2,P,T,PRL,IL-6 and TNF-α in the two groups were significantly lower than those before treatment,which were lower in the research group than in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion After laparoscopic surgery in EMS patients,goserrelin acetate combined with probiotic granules can significantly improve the pregnancy rate and quality of life,and also reduce the levels of serum sex hormone indexes and inflammatory factors.

EndometriosisProbiotic granulesLaparoscopic surgeryGoserelin acetatePregnancyQuality of lifeSex hormonesTumour necrosis factor-α

黄维、刘亚、王萍、郝丽、成刚、王倩楠、彭嘉文、成少华

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073000 河北 定州,定州市人民医院妇产科

073000 河北 定州,定州市人民医院麻醉科

073009 河北 定州,定州市中医医院超声科

子宫内膜异位症 益生菌颗粒 腹腔镜手术 醋酸戈舍瑞林 妊娠 生活质量 性激素 肿瘤坏死因子-α

河北省医学科学研究重点课题(2023)

20232204

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(1)
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