摘要
目的:探究中药汤剂四期调周疗法、中药外敷联合人工周期对肾虚湿热型宫腔粘连分离术后患者的影响。方法:选取2021年1月—2022年8月海宁市第二人民医院收治的80例肾虚湿热型宫腔粘连分离术后患者作为研究对象,根据随机数表法将其分为治疗组和对照组,各40例。对照组给予人工周期治疗,治疗组在对照组基础上给予中药汤剂四期调周疗法、中药外敷。比较两组治疗前及治疗3个月经周期后宫腔粘连严重程度、子宫内膜厚度、月经量,临床疗效及不良反应。结果:治疗3个月经周期后,两组美国生育协会(AFS)评分明显低于治疗前,且治疗组AFS评分明显低于对照组,差异有统计学意义(P<0.05)。治疗3个月经周期后,两组子宫内膜厚度、月经量均明显高于治疗前,治疗组子宫内膜厚度、月经量均明显高于对照组,差异有统计学意义(P<0.05)。治疗组总有效率明显高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:中药汤剂四期调周疗法、中药外敷联合人工周期治疗肾虚湿热型宫腔粘连分离术后患者具有较好的临床效果,可减轻宫腔粘连严重程度,改善子宫及月经情况,且对不良反应无明显影响。
Objective:To investigate effect of Chinese herbal decoction four stage cycle adjustment therapy,Chinese external application combined with artificial cycle on kidney deficiency damp heat type patients after intrauterine adhesion surgery.Method:A total of 80 kidney deficiency damp heat type patients after intrauterine adhesion separation surgery who treated in Haining Second People's Hospital from January 2021 to August 2022 were selected as the study objects,the patients were divided into the treatment group and the control group according to random number table method,40 cases in each group.The control group was given artificial periodic treatment,and the treatment group was given Chinese herbal decoction four stage cycle adjustment therapy,Chinese herbal external application on the basis of control group.The severity of uterine adhesion,endometrial thickness,menstrual volume before treatment and after 3 menstrual cycles of treatment,clinical efficacy and adverse reactions were compared between two groups.Result:After 3 menstrual cycles of treatment,the American fertility society(AFS)scores of two groups were significantly lower than those before treatment,and the AFS score of the treatment group was significantly lower than that of the control group,the differences were statistically significant(P<0.05).After 3 menstrual cycles of treatment,the endometrial thickness and menstrual volume in two groups were significantly higher than those before treatment,and the endometrial thickness and menstrual volume in the treatment group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the treatment group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:In the treatment of kidney deficiency damp heat type patients after intrauterine adhesion separation surgery,Chinese herbal decoction four stage cycle adjustment therapy,Chinese herbal external application combined with artificial cycle have good clinical efficacy,which can reduce the severity of uterine adhesion,improve uterine and menstrual conditions,and have no obvious effect on adverse reactions.
作者
史婵
王靖宇
俞陈珠
金琴叶
SHI Chan;WANG Jingyu;YU Chenzhu;JIN Qinye(Haining Second People's Hospital,Haining 314419,China)
出处
《中外医学研究》
2024年第18期28-32,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
中药汤剂四期调周疗法
人工周期
肾虚湿热型
宫腔粘连分离术
复发
Chinese herbal decoction four stage cycle adjustment therapy
Artificial cycle
Kidney deficiency dampness heat type
Intrauterine adhesion separation surgery
Recurrence