本文關(guān)鍵詞：中藥補(bǔ)腎化瘀法對(duì)子宮內(nèi)膜異位囊腫術(shù)后（腎虛血瘀證）的臨床研究　出處：《長春中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 子宮內(nèi)膜異位囊腫 腎虛血瘀證 術(shù)后 補(bǔ)腎化瘀法

【摘要】：目的:探討中藥補(bǔ)腎化瘀法對(duì)子宮內(nèi)膜異位囊腫術(shù)后(腎虛血瘀證)的作用機(jī)制,以尋求治療該疾病的安全有效的方案。方法:將72例OEC術(shù)后患者隨機(jī)分為兩組,對(duì)照組36例,在術(shù)后1周給予米非司酮口服,10mg/次,1次/日。治療組在其基礎(chǔ)上,予以補(bǔ)腎益氣、化瘀止痛中藥免煎顆粒口服,1劑/日,早晚溫服,兩組均服藥3個(gè)月,1個(gè)療程,共觀察1個(gè)療程;并系統(tǒng)觀察兩組患者痛經(jīng)改善情況、中醫(yī)證候積分、體征的變化,彩超前后對(duì)比,用藥不良反應(yīng)及復(fù)發(fā)率等,進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:臨床研究顯示,兩種治療方法均能有效改善臨床癥狀、痛經(jīng)程度、降低血清CA1 2 5水平及復(fù)發(fā)率,兩組比較,差異無顯著性意義(P0.05);而在改善中醫(yī)證候、體征方面,用藥期間的不良反應(yīng)方面比較,差異有顯著性意義(P0.05),中藥可有效改善患者的中醫(yī)證候、體征,且沒有不良反應(yīng)。結(jié)論:中藥補(bǔ)腎化瘀法聯(lián)合米非司酮片對(duì)于OEC術(shù)后腎虛血瘀證的患者療效有效,能夠改善臨床癥狀、體征、痛經(jīng)程度、降低血清CA1 2 5水平及術(shù)后的復(fù)發(fā)率,且不良反應(yīng)小,值得在臨床使用。
[Abstract]:Objective: to explore the mechanism of traditional Chinese medicine Bushen Huayu method on endometriosis after operation (kidney deficiency and blood stasis syndrome). Methods: 72 patients with OEC were randomly divided into two groups: the control group (36 cases) was given mifepristone orally 10 mg / time at one week after operation. Once a day. On the basis of the treatment group, the treatment group was treated with tonifying kidney and tonifying qi, removing blood stasis and relieving pain by taking one dose per day, taking warm medicine in the morning and evening, both groups taking medicine for 3 months, a course of treatment, and observing a course of treatment altogether; And the two groups of patients with dysmenorrhea improvement, TCM syndromes score, changes of signs, color ultrasound before and after contrast, drug adverse reactions and recurrence rate, statistical analysis. Results: clinical study showed. The two treatment methods can effectively improve clinical symptoms, dysmenorrhea, reduce serum CA1 25 level and recurrence rate, there is no significant difference between the two groups (P 0.05). In improving TCM syndromes, signs, adverse reactions during medication, the difference is significant (P0.05A), Chinese medicine can effectively improve the TCM syndromes, signs. Conclusion: traditional Chinese medicine Bushen Huayu method combined with mifepristone tablet is effective for patients with kidney deficiency and blood stasis syndrome after OEC, and can improve clinical symptoms, signs and dysmenorrhea. The level of serum CA1 25 and the recurrence rate after operation were decreased, and the adverse reaction was small, which was worthy of clinical use.
【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R271.9

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