中药辨证治疗子宫腺肌症的临床研究

Clinical Research of Treating Adenomyosis With The Method of Syndrome Differentiation and Treatment of Traditional Chinese Medicine

目的:观察中药辨证治疗子宫腺肌症的临床疗效。方法:采用辨证论治,将符合研究要求的入组病例分为寒凝血瘀型、气虚血瘀型、气滞血瘀型3型,分别给予桂附饮、芪丹饮、丹赤饮加减。结合患者具体情况,配合采用中药保留灌肠或阴道穹窿上药。疗程6个月,观察临床疗效、不良反应及安全性。结果:采用积分比法评定综合疗效,总有效率为61.5%。结论:中药辨证治疗子宫腺肌症临床疗效肯定,可显著改善患者临床症状,提高患者生存质量,值得临床推广。

Objective ： To evaluate the clinical effects of treating adenomyosis with the method of syndrome differentiation and treatment. Methods ：The research was based on patients suffering from adenomyosis and accorded with the requests of research. They were divided into three styles,including syndrome of coagulation and blood stasis, syndrome of qi stagnation and blood stasis ,syndrome of qi asthenia and blood stasis. According the patients＇ different syndrome, give them different therapy, including guifuyin, danchiyin, and qidanyin. According the symptoms of patients, add the external treatments such as clyster and pessary if it is necessary. The course was six months. During the research, we observed the effects of the treatments, ill responds, and security targets. Results：Through the ratio of integrational marks to evaluate the synthetical curative effect,the total effective rate of the adenomyosis is 61.5%. Conclusion ： The methods of syndrome differentiation and treatment of TCM can effectively alleviate the symptoms of the patients of the adenomyosis,improve the patients＇quality of life,and it is worth to be promoted.