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目的比较3种不同中医方案治疗湿热瘀阻型子宫内膜异位症的临床疗效。方法将117例病例随机分为中药口服(红藤方)组31例、中药灌肠(内异灌肠方)组27例、中药灌肠加口服组29例、西药组(达那唑)30例。疗程均为3个月。观察临床疗效、症状评分、内膜异位灶等变化情况。结果各组临床疗效差异无统计学意义(P>0.05)。3个中医治疗组治疗后及停药3个月后痛经评分均显著降低(P<0.05);中药口服组、中药口服加灌肠组治疗后内膜异位灶均缩小(P<0.05);中药灌肠组与中药口服组、中药口服加灌肠组治疗后评分差异有统计学意义(P<0.05)。结论内异灌肠方、红藤方能不同程度地改善子宫内膜异位症患者的临床症状,缩小病灶;中药口服、中药口服结合灌肠治疗在改善痛经症状方面优于单纯中药灌肠。
Objective To compare the clinical effects of three different Chinese medicine regimens in the treatment of damp-heat stasis endometriosis. Methods A total of 117 cases were randomly divided into three groups: oral administration of Chinese herbs (red vine) group (n = 31), nausea and enema group (n = 27), Chinese medicine enema plus oral group (n = 29) and western medicine group (danazol) Treatment are 3 months. Observation of clinical efficacy, symptom score, endometriosis and other changes. Results There was no significant difference in clinical efficacy between the two groups (P> 0.05). Dysmenorrhea scores of three Chinese medicine treatment groups were significantly decreased after treatment and 3 months after stopping drug treatment (P <0.05); Chinese medicine Enema group and traditional Chinese medicine oral group, traditional Chinese medicine plus enema group after treatment, the difference was statistically significant (P <0.05). Conclusion Nei Yi enema Fang, red vine can improve the clinical symptoms of patients with endometriosis to reduce the lesion; oral administration of traditional Chinese medicine, oral administration of enema in improving the symptoms of dysmenorrhea is better than simple Chinese enema.