Clinical Study of Method of Tonifying Kidney and Regulating Menstrual Cycle Combined with Dydrogesterone Tablets to Prevent Recurrence of Endometrial Polyps after Hysteroscopy
Objective To study the effect of tonifying kidney and regulating menstrual cycle combined with Dydrogesterone Tablets on the recurrence of endometrial polyps(EP)in patients with kidney deficiency and blood stasis syndrome after hysteros-copy.Methods A total of 60 patients with EP after hysteroscopy who were confirmed to be EP by pathology and conformed to tra-ditional Chinese medicine(TCM)syndrome differentiation as kidney deficiency and blood stasis syndrome were divided into a treatment group and a control group by random number table method,30 cases in each group,and the control group was given Dydrogesterone Tablets.On the basis of the control group,the treatment group was supplemented with the method of tonifying kid-ney and regulating menstrual cycle.The diameter of EP,the average optical density of estrogen receptor(ER)and progesterone receptor(PR)before treatment,the recurrence of EP,endometrial thickness and TCM syndrome scores of the two groups after treatment were compared.Result(1)The average optical density of ER:There was no significant difference between the two groups(P＞0.05).(2)The average optical density value of PR:There was no statistical significance between the two groups(P＞0.05).(3)The diameter of EP:There was no significant difference between the two groups(P＞0.05).(4)Recurrence rate:There was no significant difference in the recurrence rate between the treatment group and the control group(P＞0.05).(5)Endometrial thickness:After treatment,the endometrial thickness of the treatment group was lower than that of the control group,and the difference was statistically significant(P＜0.05).(6)TCM syndrome score:After treatment,the TCM syndrome scores in the treatment group were lower than those in the control group,and the difference was statistically significant(P＜0.05).(7)The efficacy of TCM syndrome:After treatment,the total effective rate was 89.66％(26/29)in the treatment group,and that was 66.67％(20/30)in the control group.There was statistical significance(P＜0.05).Conclusion The Tonifying kidney and regulating menstrual cycle method combined with Dydrogesterone Tablets can effectively reduce endometrial thickness after hysteroscopy in EP patients with kidney deficiency and blood stasis syndrome and can also improve patients'symptoms and reduce TCM syndrome scores.
tonifying kidney and regulating menstrual cyclekidney deficiency and blood stasis syndromeendometrial pol-ypsrecurrence
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