祛瘀化痰汤治疗痰瘀互结型子宫肌瘤临床观察  

Clinical Observation on Removing Stasis And Resolving Phlegm Decoction in Treating Phlegm and Blood Stasis Type Uterine Fibroids

作　　者：郜宇[1] 

机构地区：[1]长春市中医院妇科,吉林长春130000

出　　处：《中国中医药现代远程教育》2017年第15期104-106,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察祛瘀化痰汤治疗痰瘀互结型子宫肌瘤的临床疗效。方法选择子宫肌瘤患者86例,中医辨证分型均为痰瘀互结型,随机分为试验组和对照组,对照组采用米非司酮治疗,试验组采用祛瘀化痰汤治疗,比较2组患者的临床效果。结果试验组治疗总有效率(88.4%)高于对照组(67.4%),不良反应发生率(0.0%)低于对照组(9.3%),试验组治疗后子宫肌瘤体积明显小于治疗前和对照组,血清雌二醇(E_2)水平低于治疗前和对照组,上述指标差异有统计学意义(P<0.05);而孕酮(P)则无明显变化(P>0.05)。结论祛瘀化痰汤治疗痰瘀互结型子宫肌瘤,能够缩小子宫肌瘤体积、降低雌二醇水平,提高治疗效果。Objective To observe the clinical effect of removing stasis and resolving phlegm decoction in treating phlegm and blood stasis type uterine fibroids. Methods 86 patients with uterine leiomyoma were divided into experimental group and control group. The control group was treated with mifepristone. The experimental group was treated with removing stasis and resolving phlegm decoction.Clinical effect of both groups was compared. Results The total effective rate（88.4%） was higher in the experimental group than in the control group（67.4%）,the incidence of adverse reactions（0.0%） was lower than that of the control group（9.3%）, the volume of uterine fibroids in the experimental group was significantly lower than that before treatment and the control group, the serum estradiol（E_2） level was lower than that before treatment and the control group,the above indexes were statistically significant（ P〈0.05）, while progesterone（P） did not change significantly（ P〈0.05）. Conclusion The treatment of removing stasis and resolving phlegm decoction of phlegm and blood stasis type uterine fibroids can reduce the volume of uterine fibroids, reduce the level of estradiol and improve the therapeutic effect.

关 键 词：祛瘀化痰汤 痰瘀互结 子宫肌瘤 癥瘕 

分 类 号：R273[医药卫生—中西医结合]