中药灌肠疗法预防宫腔粘连分离术后复粘临床研究

Clinical Study on Chinese Herbal Enema Therapy in Preventing Recurrent Adhesions after Intrauterine Adhesion Separation Surgery

目的:观察中药灌肠疗法对预防宫腔粘连分离术后复粘的临床疗效。方法:将符合纳入标准的60例患者随机分为2组各30例。2组均实施宫腔镜下宫腔粘连分离术,对照组术后单纯予西药人工周期疗法治疗;治疗组术后予人工周期疗法联合中药灌肠治疗。2组均治疗3个月经周期,比较其临床疗效。结果:临床疗效总有效率治疗组90.00%,对照组66.67%;中医证候疗效总有效率治疗组90.00%,对照组60.00%;子宫内膜形态疗效总有效率治疗组93.33%,对照组60.00%;2组临床疗效、中医证候、子宫内膜形态总疗效分别比较,差异均有统计学意义(P<0.05)。治疗后,2组中医症状量化评分、子宫内膜厚度分别比较,差异均有统计学意义(P<0.05)。结论:运用中药灌肠结合人工周期疗法治疗宫腔粘连分离术后患者,临床疗效显著,优于单纯人工周期疗法治疗。

Objective:To observe the clinical effect of Chinese herbal enema therapy in preventing recurrent adhesions after intrauterine adhesion separation surgery.Methods:Divided 60 cases of patients who met the inclusive criteria into two groups randomly,30 cases in each group.Both groups received intrauterine adhesion separation surgery under hysteroscope.After surgery,the control group received simple artificial cycle therapy with western medicine,while the treatment group received artificial cycle therapy combined with Chinese herbal enema.The treatment of both groups lasted for 3 menstrual cycles.Compared the clinical effect in both groups.Results:The total effective rate of clinical effect was 90.00% in the treatment group and 66.67% in the control group;the total effective rate of Chinese medicine syndrome was 90.00% in the treatment group and 60.00% in the control group;the total effective rate of endometrial morphology was 93.33% in the treatment group and 60.00% in the control group;comparing the total effective rates of clinical effect,Chinese medicine syndrome and endometrial morphology in both groups,there were significant differences being found(P<0.05).After treatment comparing the quantitative scores of Chinese medicine symptoms and endometrial thickness in both groups,there were significant differences being found(P<0.05).Conclusion:The application of Chinese herbal enema therapy combined with artificial cycle therapy has significant clinical effect in treating patients after intrauterine adhesion separation surgery,being better than the treatment with simple artificial cycle therapy.