扶正化瘀法治疗子宫腺肌病的临床探讨  

Clinical Observation of Adenomyosis Treated by Strengthening the Body Resistance and Removing Blood Stasis Decoction

作　　者：刘佳俐[1] 李东胜[1] 吕玲[1] 

机构地区：[1]浙江中医药大学附属第二医院妇产科,浙江杭州310005

出　　处：《中外医疗》2015年第35期14-16,40,共4页China & Foreign Medical Treatment

摘　　要：目的探讨扶正化瘀法治疗子宫腺肌病的临床疗效。方法分析该院妇科门诊2014年1—12月就诊的子宫腺肌病患者60例临床资料,随机分为2组,治疗组30例和对照组30例。治疗组围绕月经周期予以扶正化瘀法中药汤药口服治疗,对照组予以散结镇痛胶囊口服治疗。观察两组治疗前后的临床疗效总有效率、中医症状积分及痛经积分的变化等情况。结果治疗后临床疗效总有效率治疗组93.34%,对照组的73.33%,两组比较,差异有统计学意义(χ2=6.358,P<0.05),治疗组疗效优于对照组。治疗组和对照组均可明显降低患者的中医症状积分、痛经积分(P<0.01),但两组间治疗后差值比较,差异无统计学意义(P>0.05)。结论扶正化瘀法治疗子宫腺肌病总体临床疗效确切,能明显缓解痛经症状,改善月经失调,解除患者痛苦,提高生活质量,值得推广。Objective To observe the clinical effect of strengthening the body resistance and removing blood stasis decoction in the treatment of adenomyosis. Methods An analysis was conducted on the clinical data of 60 patients with adenomyosis admitted in the Gynecological Clinic of our hospital from January 2014 to December 2014. The patients were randomly divided into two groups, the treatment group（n=30） and control group（n=30）. The treatment group took the strengthening the body resistance and removing blood stasis decoction orally based on the menstrual cycle, while the control group took sanjiezhentong capsule orally. The overall clinical response rate, TCM symptom score and the score of dysmenorrhea and so on of the two groups were observed before and after treatment. Results After treatment, the overall clinical response rate was much higher in the treatment group than that in the control group （93.34% vs 73.33%）, the difference between the two groups was statistically significant（x2=6.358, P〈0.05）. The TCM symptom score and the score of dysmenorrhea decreased in both the treatment group and the control group（P〈0.01）, but the difference between the two groups after treatment was not statistically significant（P〉0.05）. Conclusion For the treatment of adenomyosis, strengthening the body resistance and removing blood stasis decoction has significant clinical effect, which can significantly relieve the dysmenorrhea, improve menstrual disorders, relieve the pain of patients and improve the quality of life, therefore it is worthy of promotion.

关 键 词：子宫腺肌病 中医药治疗 临床观察 

分 类 号：R4[医药卫生—临床医学]