子宫内膜异位症无症状患者中西医慢病管理疗效分析  

Efficacy of Chronic Disease Management of Traditional Chinese and Western Medicine in Asymptomatic Patients with Endometriosis

作　　者：史萍萍[1] 邢海燕[1] 郭杨 王晓 刘丽丽[2] 郭海龙 Shi Ping-ping;Xing Hai-yan;Guo Yang;Wang Xiao;Liu Li-li;Guo Hai-long(Second Department of Gynecology,People's Hospital of Rizhao,Rizhao 276821,Shandong Province,China;Department of Pharmacy,People's Hospital of Rizhao,Rizhao 276821,Shandong Province,China)

机构地区：[1]日照市人民医院妇二科,山东日照276821 [2]日照市人民医院药学部,山东日照276821

出　　处：《中国社区医师》2022年第14期79-81,共3页Chinese Community Doctors

基　　金：日照市人民医院科学研究项目(编号:202107)。

摘　　要：目的:对子宫内膜异位症(EM)无症状患者给予相关预防及治疗措施,分析不同管理模式的疗效。方法:选择2015年1月-2019年1月日照市人民医院收治的行妇科手术中发现的具有EM的300例患者,观察组行中西医结合慢病管理方案:口服避孕药干预和中医保健干预管理,给予三期干预管理(分别是干预12个月、24个月和36个月),对照组不给予干预管理。观察在相同干预时间周期内,出现新增病灶的概率、血清中CA125水平及患者临床表现(月经异常、痛经、性交痛、盆腔痛)。结果:观察组出现新增病灶的概率、血清中CA125水平、存在临床表现(月经异常、痛经、性交痛、盆腔痛)的患者数明显低于对照组,差异均有统计学意义(P<0.05)。结论:中西医结合的慢病干预管理方案对于提高EM无症状患者的生活质量是非常有效的,且干预管理时间越长越能够降低EM的临床发病率,具有一定的临床指导意义。Objective:To give prevention and treatment measures to asymptomatic patients with endometriosis(EM),and analyze the curative effects of different management modes.Methods:300 patients with endometriosis found during gynecological surgery in People's Hospital of Rizhao from January 2015 to January 2019 were enrolled in this study.The observation group was treated with the chronic disease management scheme of combination of traditional Chinese and Western medicine:oral contraceptive intervention and traditional Chinese medicine health care intervention management,and given three-stage intervention management(12,24,and 36 months,respectively).The control group was not given intervention management.The probability of new lesions,serum CA125 level and the clinical manifestations of patients(abnormal menstruation,dysmenorrhea,sexual intercourse pain,and pelvic pain)were observed in the same intervention time period.Results:The incidences of new lesions,serum CA125 level and clinical manifestations(abnormal menstruation,dysmenorrhea,sexual intercourse pain,and pelvic pain)in the observation group were significantly lower than those in the control group,with statistically significant difference(P<0.05).Conclusion:The combination of traditional Chinese and Western medicine in the management of chronic disease intervention is effective in improving the quality of life of asymptomatic patients with endometriosis.The longer the intervention management time,the lower the incidence rate of endometriosis,which has certain clinical guiding significance.

关 键 词：子宫内膜异位症 无症状患者 中西医慢病管理 

分 类 号：R711.71[医药卫生—妇产科学]