摘要
目的观察清热化瘀方治疗血瘀型子宫肌腺病的临床疗效。方法将60例血瘀型子宫腺肌病患者随机分为治疗组和对照组,每组30例。治疗组予清热化瘀方,对照组予血府逐瘀胶囊。两组疗程均为3个月,观察月经不调疗效,比较痛经程度评分、血清CA125水平及子宫体积的变化情况。结果 1治疗组、对照组临床总有效率分别为90.00%和66.67%;组间月经不调疗效比较,差异有统计学意义(P<0.05)。2组间治疗前后痛经程度评分差值比较,差异有统计学意义(P<0.05)。3治疗前后CA125水平差值比较,差异有统计学意义(P<0.05)。组间CA125水平差值比较,差异无统计学意义(P>0.05)。4组间治疗前后子宫体积差值比较,差异有统计学意义(P<0.05)。结论清热化瘀方治疗血瘀型子宫肌腺病的疗效满意。
Objective To observe the clinical effect of clearing heat and resolving stasis method in the treatment of adenomyosis with blood stasis syndrome. Methods 60 patients （blood stasis syndrome） were randomly divided into treatment group and control group, 30 cases in each group. The treatment group was given clearing heat and resolving stasis prescription while the control group was treated with Xue Fu Zhu Yu capsule. Both groups were medicated for 3 months in succession. The degree of dysmenorrhea, the change in menstruation cycle, blood CA125 and uterine volume were observed after treatment. Results （1）The total efficacy rate in the improvement of menstrual cycle was 90.00% in the treatment group and 66.67% in the control group. There had statistical difference between the groups （ P 〈0.05 ）. （2）Both groups had significant difference in relieving dysmenorrheal （ P 〈0.05 ） , and there had significantly difference between the two group s （P 〈 0.05 ）. （3）Serum CA125 levels were significantly decreased in both groups after the treatment （P 〈 0.05 ） , but the two groups did not differ significantly（ P 〉0.05 ）. （4）Both groups had significant difference in controlling uterus volume（ P 〈0.05 ） , and there had significantly difference between the two groups （ P 〈0.05 ）. Conclusion Clearing heat and resolving stasis method could effectively improve the clinical symptoms of adenomyosis patients with blood stasis syndrome.
出处
《上海中医药杂志》
2015年第12期52-55,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫生局中医药事业发展三年行动计划项目(ZYSNXD-CC-MZY050)
关键词
子宫腺肌病
血瘀证
清热化瘀方
失笑散
痛经程度
子宫体积
adenomyosis
blood stasis syndrome
Clearing Heat and Resolving Stasis Therapy
Shi Xiao San
dysmenorrhea degree
uterus volume
