中西医结合治疗宫腔粘连分解术后临床观察

The Clinical Observation of Intrauterine Adhesions After Hysteroscopy Surgery Treated with Combine Traditional Chinese and Western Medicine

目的观察中西医结合治疗宫腔粘连分解术后临床疗效。方法将宫腔镜下宫腔粘连分解术后患者40例随机分为西药组、中西医组,各20例,西药组采用芬吗通治疗,中西医组在西药组的基础上加用中药汤剂口服治疗,两组均每次治疗28 d,连续治疗3个疗程。结果治疗后两组月经症状积分均较治疗前减少(P<0.01),两组子宫内膜的厚度较治疗前均增加(P<0.05);两组比较,中西医组月经症状积分、子宫内膜的厚度变化情况均优于西药组(P<0.01)。治疗后中西医组、西药组的证侯积分分别为(6.10±1.21)分、(11.40±1.79)分,分别低于治疗前的(18.50±2.65)分、(18.95±2.76)分,与治疗前比较差异均有统计学意义(P<0.01);两组比较,中西医组降低更加明显(P<0.01)。治疗后中西医组中医证候总有效率为85.00%,高于西药组的60.00%(P<0.01)。两组综合疗效比较,中西医组总有效率75.00%,高于西药组的55.00%。结论中西医结合治疗本病临床疗效显著。

Objective： To observe the clinical results of the postoperative intrauterine adhesions treated with combined traditional Chinese and western medicine. Methods： 40 patients with selection caused by intrauterine adhesions decomposed under hysteroseopy surgery were randomly divided into western medicine group and the combination group, 20 cases in each group. Western medicine group was treated with Femoston,while the combi- nation group was treated with oral Chinese traditional medicine based on the treatment of western medicine group. The treatment course lasted for 28 days and there was 3 courses. Results： After treatment,the menstrual symp- toms integral of two groups reduced （P〈 0.01 ）;compared with that before treatment,the endometrium thickness of two groups increased （P〈 0.05）. Compared with two groups,the menstrual symptoms integral and the changes of endometrial thickness of the combination group were superior to western medicine group （P〈 0.01 ）. The syndrome integral after treatment of two grops was （6.10±1.21） points, （11.40±1.79） points respectively and that was lower than before treatment （18.50±2.65） points, （18.95±2.76） points respectively,with statistically significant differ- ence, and the combination group reduced more significantly （P〈 0.01 ）. The total effective rate of syndromes in the combination group after treatment was 85.00% ,higher than the western medicine group 60.00% （P〈 0.01 ）. Com- pared with the comprehensive curative effect of two groups,the total effective rate of the combination group was 75.00% ,higher than western medicine group 55.00% （P 〈 0.01）. Conclusion： The clinical curative effect of the traatment combining traditional Chinese and western medicine is distinct.