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目的:探讨温经活血通络方辅助治疗子宫内膜息肉切除术后的临床疗效。方法:将子宫内膜息肉患者随机分为治疗组和对照组。两组均接受手术治疗,术后予相同常规药物治疗,治疗组在此基础上,给予温经活血通络方口服。治疗后,观察两组患者治疗前后月经情况、子宫内膜、血清血红蛋白以及血液流变学相关指标改善状况,并对痊愈病例随访1年,观察分析患者月经及息肉复发情况。结果:治疗组愈显率为84.3%,总有效率为96.9%,对照组愈显率为53.1%,总有效率为81.3%,治疗组显著高于对照组(P<0.05);治疗后,两组子宫内膜厚度均显著降低(P<0.05),且治疗组治疗后3、6、12个月子宫内膜厚度均显著低于对照组(P<0.05);两组治疗后血清血红蛋白含量均显著升高(P<0.05),且治疗组治疗后3、6、12个月血清血红蛋白含量均显著高于对照组(P<0.05);治疗后痊愈病例随访中,治疗组月经失调发生率和息肉复发率均显著低于对照组(P<0.05)。结论:温经活血通络方治疗子宫内膜息肉,能够有效改善患者子宫内环境,减少复发,疗效显著。
Objective: To investigate the clinical efficacy of Wenjing Huoxue Tongluo decoction in the treatment of endometrial polyp resection. Methods: Patients with endometrial polyps were randomly divided into treatment group and control group. Both groups were treated by surgery, after the same to the same conventional drug treatment, the treatment group on the basis of this, given Wenjinghuoxuetongluo oral. After treatment, menstrual status, endometrium, serum hemoglobin and hemorrheology-related indicators were observed before and after treatment in two groups. The patients were followed up for 1 year, and the recurrence of menses and polyps were observed and analyzed. Results: The cure rate of the treatment group was 84.3%, the total effective rate was 96.9%, the control group was 53.1%, the total effective rate was 81.3%, the treatment group was significantly higher than the control group (P <0.05) The endometrial thickness of the two groups were significantly decreased (P <0.05), and the endometrial thickness of the treatment group at 3, 6 and 12 months after treatment were significantly lower than those of the control group (P <0.05). The serum hemoglobin content (P <0.05), and the hemoglobin levels in the treatment group were significantly higher than those in the control group at 3, 6 and 12 months after treatment (P <0.05). In the follow-up after treatment, the incidence of menstrual disorders And recurrence rate of polyps were significantly lower than the control group (P <0.05). Conclusion: The treatment of endometrial polyps by Wenjing Huoxue Tongluo decoction can effectively improve the intrauterine environment and reduce recurrence, and has a significant curative effect.