益气活血汤治疗妊娠相关性子宫动静脉畸形疗效分析及超声价值研究  

Efficacy Analysis of Yiqi Huoxue Decoction in the Treatment of Pregnancy-related Uterine Arteriovenous Malformation and the Value of Ultrasonography

作　　者：刘德泉 郭丹 张秀荣 尹虹 张峰 孙健一 LIU De-quan;GUO Dan;ZHANG Xiu-rong;YIN Hong;ZHANG Feng;SUN Jian-yi(Department of Ultrasound Medicine,Shandong Maternal and Child Health Hospital,Jinan Shandong,250014,China;Department of TCM,Shandong Maternal and Child Health Hospital,Jinan Shandong,250014,China)

机构地区：[1]山东省妇幼保健院超声科,山东济南250014 [2]山东省妇幼保健院中医科,山东济南250014

出　　处：《中华养生保健》2023年第6期1-4,共4页CHINESE HEALTH CARE

基　　金：山东省中医药科技项目(2019-0325)。

摘　　要：目的分析益气活血汤治疗妊娠相关性子宫动静脉畸形(uterine arteriovenous malformation,UAVM)的疗效,探讨超声检查在妊娠相关性UAVM保守治疗中的应用价值。方法选择2019年1月-2022年6月山东省妇幼保健院经超声检查及临床表现诊断为妊娠相关性UAVM且符合保守治疗原则的78例患者为研究对象,利用抛币法随机分为治疗组和对照组,对照组(47例)采用常规治疗,治疗组(31例)在常规治疗的基础上加用益气活血汤治疗,两组最长治疗周期均为8周。观察两组患者治疗过程中在治愈率、临床症状改善情况及超声指标变化情况上的差异。结果治疗组与对照组治愈率比较,差异无统计学意义(P>0.05);治疗组患者临床症状完全消失时间显著低于对照组,经超声检查发现治疗组子宫内畸形血管团消失时间也显著低于对照组,差异有统计学意义(P<0.05)。结论益气活血汤治疗妊娠相关性子宫动静脉畸形效果显著,超声检查在其诊断、治疗方案选择及治疗效果的监测中具有重要价值。Objective To analyze the efficacy of Yiqi Huoxue Decoction in the treatment of pregnancy-related uterine arteriovenous malformations(UAVM),and to explore the application value of ultrasonography in conservative treatment of pregnancy-related UAVM.Methods A total of 78 patients diagnosed with pregnancy-related UAVM and conforming to conservative treatment principles from January 2019 to June 2022 were collected by ultrasound examination and clinical manifestations.They were randomly divided into the treatment group(31 cases)and the control group(47 cases)by coin throwing method.The control group was treated with conventional therapy,and the treatment group was treated with Yiqi Huoxue Decoction on the basis of conventional treatment.The longest treatment period of both groups was 8 weeks.The diff erences in cure rate,improvement of clinical symptoms and changes of ultrasonic indexes between the two groups were observed.Results There was no significant difference in the cure rate between the treatment group and the control group(P>0.05),but the duration of complete disappearance of clinical symptoms in the treatment group was signifi cantly lower than that in the control group,and the duration of disappearance of malformed blood vessels in the uterus in the treatment group was also signifi cantly lower than that in the control group through ultrasonic examination,both of which had signifi cant statistical signifi cance(P<0.05).Conclusion Yiqi Huoxue Decoction is eff ective in the treatment of pregnancy related UAVM,and ultrasound examination is of great value in its diagnosis,treatment options and monitoring of treatment eff ects.

关 键 词：益气活血汤 妊娠相关性子宫动静脉畸形 超声检查 疗效 

分 类 号：R445.1[医药卫生—影像医学与核医学]