育肾方联合微波治疗仪对肾虚型月经过少患者子宫内膜容受性的影响

Effect of Yushen recipe combined with microwave therapy instrument on endometrial receptivity of hypomenorrhea patients with kidney deficiency type

目的观察育肾方联合微波治疗仪对肾虚型月经过少患者子宫内膜容受性的影响。方法将90例肾虚型月经过少患者按照随机数字表法分为3组。中药组30例予育肾方口服治疗;理疗组30例予微波治疗仪治疗;联合组30例予育肾方联合微波治疗仪治疗。3组均连续治疗3个月经周期。比较3组中医证候疗效、子宫内膜容受性疗效;观察3组治疗前后月经失血图评分、Salle评分变化;观察3组治疗前后子宫内膜类型变化;比较3组治疗前后子宫内膜厚度变化。结果中药组中医证候总有效率83.3%,理疗组中医证候总有效率66.7%,联合组中医证候总有效率90.0%,3组总有效率两两比较差异均有统计学意义,联合组总有效率高于中药组和理疗组(P<0.05),中药组总有效率高于理疗组(P<0.05)。中药组、理疗组及联合组子宫内膜容受性总有效率分别为80.0%、70.0%、86.6%,3组两两比较差异均有统计学意义(P<0.05),联合组高于中药组和理疗组(P<0.05),中药组高于理疗组(P<0.05)。3组治疗后月经失血图评分、Salle评分均较本组治疗前升高(P<0.05);3组治疗后月经失血图评分、Salle评分两两比较差异均有统计学意义(P<0.05),联合组月经失血图评分、Salle评分均高于中药组和理疗组(P<0.05),中药组月经失血图评分、Salle评分高于理疗组(P<0.05)。中药组、联合组治疗后A型子宫内膜患者比例增多(P<0.05),C型子宫内膜患者比例减少(P<0.05),且联合组优于中药组(P<0.05)。理疗组治疗前后子宫内膜类型比较差异无统计学意义(P>0.05)。3组治疗后子宫内膜厚度均较本组治疗前增加(P<0.05),且联合组子宫内膜厚度增加最明显(P<0.05),中药组治疗后子宫内膜厚度大于理疗组(P<0.05)。结论育肾方联合微波治疗仪能有效促进肾虚型月经过少患者子宫内膜发育,改善子宫内膜厚度及类型,缓解肾虚症状,并提高子宫内膜容受性。

Objective To observe the effect of Yushen recipe combined with microwave therapy instrument on endometrial receptivity of hypomenorrhea patients with kidney deficiency type. Methods 90 patients with hypomenorrhea of kidney deficiency type were divided into two groups according to random number table method. 30 cases in Chinese medicine group were treated by Yushen recipe orally. 30 cases in physical therapy group were treated by microwave therapeutic apparatus. 30 cases in combined group were treated by Yushen recipe and microwave therapeutic apparatus. The three groups were treated for three menstrual cycles. The therapeutic effect of TCM syndromes and endometrial receptivity were compared in the three groups. The changes of menstrual bleeding chart score and Salle score before and after treatment in the three groups were observed. The changes of endometrial types before and after treatment in the three groups were observed. The changes of endometrial thickness before and after treatment in the three groups were compared. Results The total effective rate was 83.3% in the Chinese medicine group, 66.7% in the physical therapy group and 90.0% in the combined group. The total effective rate in the combined group was higher than that in the other two groups(P<0.05). The total effective rate in the Chinese medicine group was higher than that in the physical therapy group(P<0.05). The total effective rate of endometrial recepitity was 80.0% in the chinese medicine group,70.0% in the physical therapy grooup and 86.6% in the combined group.The total effective rate of endometrial recepitity in the combined group was higher than that in the other two groups(P<0.05).The total effective rate of endometrial recepitity in the Chinese medicine group was higher than that in the physical therapy group(P<0.05). After treatment, the scores of menstrual bleeding chart and Salle in the three groups were higher than those in the group before treatment(P<0.05). After treatment, there were significant differences between the three groups in the scores of menstrual bleeding chart and Salle(P<0.05). The scores of menstrual bleeding chart and Salle in the combined group were higher than those in the other two groups(P<0.05), and the Chinese medicine group was higher than the physical therapy group(P<0.05). After treatment, the proportion of patients with type A endometrium was increased in Chinese medicine group and combined group(P<0.05), the proportion of patients with type C endometrium was decreased(P<0.05). The combined group was better than the Chinese medicine group(P<0.05). There was no significant difference in endometrial types before and after treatment in physical therapy group(P>0.05). The endometrial thickness of the three groups were increased after treatment(P<0.05), and the increase in the combined group was more significant(P<0.05), and the Chinese medicine group was greater than the physical therapy group(P<0.05). Conclusion Yushen recipe combined with microwave therapy instrument can effectively promote the development of endometrium, improve the thickness and type of endometrium, relieve the symptoms of kidney deficiency, and improve the endometrial receptivity.