中药保留灌肠在子宫内膜异位症痛经中的应用

The application of TCM retention enema in treating endometriosis dysmenorrhea

目的:探讨中药保留灌肠在湿热瘀结型子宫内膜异位症痛经中的应用效果。方法:将2018年2月-2020年9月广东省佛山复星禅诚医院中西医结合科收治的湿热瘀结型子宫内膜异位症患者94例随机分为对照组和观察组,对照组给予常规治疗和护理,观察组在对照组的基础上加用中药保留灌肠,疗程为3个月经周期。分析两组的临床疗效,比较两组治疗前后的疼痛视觉模拟评分法(Visual Analogy Score,VAS)评分、中医症状评分及总积分、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-rating Depression Scale,SDS)评分以及病变部位子宫内膜厚度的变化。结果:观察组的中医证候总有效率显著高于对照组(P <0.05);两组VAS评分、中医症状评分及总积分、SDS评分、SAS评分以及病变部位子宫内膜厚度均低于治疗前(P <0.05),且观察组低于对照组(P <0.05)。结论:中药保留灌肠治疗子宫内膜异位症痛经可以提高疗效,缓解疼痛。

Objective: To explore the effects of TCM retention enema on endometriosis dysmenorrhea of the damp-heat stasis type.Methods: 94 cases from February 2018 to September 2020 were randomly divided into the control group and the observation group. The control group received conventional treatment and nursing care. The observation group received TCM retention enema plus conventional treatment and nursing care. The treatment course was 3 menstrual cycles. Results: The total efficiency of TCM syndromes in the observation group was significantly higher than that in the control group(P<0.05). The VAS score, TCM syndrome scores, total TCM syndrome score,SDS score, SAS score and lesion site endometrial thickness in the two groups were all lower than before treatment(P<0.05), and in the observation group were lower than the control group(P<0.05). Conclusion: TCM retention enema can improve the curative effect, and relieve pain of endometriosis dysmenorrhea patients.