补肾活血方联合人工周期在宫腔粘连术后的应用效果  

Application Effect of Bushen Huoxue Prescription Combined with Artificial Cycle after Intrauterine Adhesion

作　　者：徐颖[1] 邱剑萍 XU Ying;QIU Jian-ping(Department of Obstetrics and Gynecology,Suzhou Hospital,Nanjing Medical University,Suzhou215000,Jiangsu,China)

机构地区：[1]南京医科大学附属苏州医院妇产科,江苏苏州215000

出　　处：《医学信息》2020年第18期159-161,共3页Journal of Medical Information

摘　　要：目的评价补肾活血方联合人工周期治疗行宫腔粘连分离术患者的临床疗效。方法选择2016年3月~2019年12月在南京医科大学附属苏州医院进行宫腔粘连手术的患者62例,随机分为实验组和对照组,各31例,对照组给予戊酸雌二醇、地屈孕酮周期治疗;实验组在对照组基础上加用补肾活血方治疗。比较两组治疗前后子宫内膜厚度变化、月经和宫腔粘连评分情况、妊娠率、活产率等。结果治疗后两组子宫内膜厚度均较治疗前增厚,且实验组大于对照组,差异有统计学意义(P<0.05);两组轻度宫腔粘连患者月经改善效果比较,差异无统计学意义(P>0.05);实验组中度、重度粘连患者月经改善效果优于对照组,差异有统计学意义(P<0.05);实验组妊娠率、活产率均高于对照组,差异有统计学意义(P<0.05)。结论补肾活血方联合人工周期能改善宫腔粘连术后患者子宫内膜厚度,有利于月经恢复,提高妊娠率和活产率。Objective To evaluate the clinical efficacy of Bushen Huoxue prescription combined with artificial cycles in the treatment of patients undergoing intrauterine adhesion separation.Methods 62 patients who underwent intrauterine adhesion surgery in Suzhou Hospital of Nanjing Medical University from March 2016 to December 2019 were randomly divided into experimental group and control group,each with 31 cases.The control group was given estradiol valerate,dydrogesterone cycle treatment;the experimental group was treated with Bushen Huoxue prescription on the basis of the control group.The changes of endometrial thickness,menstrual and intrauterine adhesion scores,pregnancy rate,live birth rate,etc.were compared between the two groups before and after treatment.Results After treatment,the endometrial thickness of the two groups was thicker than before treatment,and the experimental group was larger than the control group,the difference was statistically significant(P<0.05);There was no significant difference in menstrual improvement between the two groups of patients with mild intrauterine adhesions(P>0.05);the experimental group had better menstrual improvement effects in patients with moderate and severe adhesions than the control group,the difference was statistically significant(P<0.05);The pregnancy rate and live birth rate of the experimental group were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion The Bushen Huoxue prescription combined with artificial cycles could improve the thickness of the endometrium in patients after intrauterine adhesions,which was beneficial to the recovery of menstruation and the pregnancy rate and live birth rate.

关 键 词：宫腔粘连 宫腔粘连分离术 补肾活血方 人工周期 

分 类 号：R713[医药卫生—妇产科学]