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自拟益气散结方辨证加减治疗卵巢囊肿疗效观察 被引量:4

Therapeutic Effect of Using Self-made Yiqi Sanjie Recipe in the Treatment of Ovarian Cysts
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摘要 目的:研究自拟益气散结方辨证加减治疗卵巢囊肿疗效。方法:选取我院2016年12月~2018年12月收治的卵巢囊肿患者62例,使用随机数字表法进行分组,分为西医组31例,中医组31例。西医组使用常规西医治疗,中医组在其基础上加用笔者自拟益气散结方辨证加减治疗。比较两组治疗疗效及治疗前后囊肿直径、体积、血液流变学、卵巢储备功能相关指标水平。结果:治疗前两组CA125水平差异不显著(P>0.05),治疗后中医组CA125水平显著低于西医组,中医组治疗有效率显著高于西医组(P<0.05);治疗前,两组囊肿直径及体积差异不显著(P>0.05),治疗后,中医组囊肿直径及体积显著低于对照组(P<0.05);治疗前两组血还原粘度、全血比粘度及纤维蛋白原、血沉水平差异不显著(P>0.05),治疗后,中医组全血还原粘度、全血比粘度及纤维蛋白原、血沉水平显著低于西医组(P<0.05);治疗前两组卵巢储备功能相关指标水平差异不显著(P>0.05),治疗后中医组AMH、雌激素水平显著高于西医组,FSH、E2水平显著低于西医组(P<0.05。结论:自拟益气散结方辨证加减治疗卵巢囊肿能有效提高患者治疗有效率,减小患者囊肿直径及体积,改善患者血流流变学及卵巢功能。 Objective:To study the effect of using Self-made Yiqi Sanjie Recipe in the treatment of ovarian cysts.Methods:Sixty-two patients with ovarian cysts admitted to our hospital from December 2016 to December 2018 were enrolled in the hospital.They were randomly divided into three groups:western medicine group(31 cases)and Chinese medicine group(31 cases).The western medicine group used conventional western medicine treatment,and the Chinese medicine group added the author to Self-made Yiqi Sanjie dialectical addition and subtraction treatment.The therapeutic effects of the two groups and the levels of cyst diameter,volume,hemorheology,and ovarian reserve function were compared before and after treatment.Results:There was no significant difference in CA125 levels between the two groups before treatment(P>0.05).After treatment,the level of CA125 in the Chinese medicine group was significantly lower than that in the western medicine group.The treatment efficiency of the Chinese medicine group was significantly higher than that of the western medicine group(P<0.05).Before treatment,the two groups of the diameter and volume of cysts were not significantly different(P>0.05).After treatment,the diameter and volume of cysts in the TCM group were significantly lower than those in the controlled group(P<0.05).Before treatment,blood reduction viscosity,whole blood specific viscosity and fibrinogen.The difference of erythrocyte sedimentation level was not significant(P>0.05).After treatment,the whole blood reduction viscosity,whole blood specific viscosity,fibrinogen and erythrocyte sedimentation level of the traditional Chinese medicine group were significantly lower than those of the western medicine group(P<0.05).The level of related indicators was not significantly different(P>0.05).After treatment,the AMH and estrogen levels in the TCM group were significantly higher than those in the Western medicine group,and the FSH and E2 levels were significantly lower than those in the Western medicine group(P<0.05).Conclusion:Self-made Yiqi Sanjie Dialectical addition and subtraction treatment of ovarian cysts can effectively improve the treatment efficiency of patients,reduce the diameter and volume of patients with cysts,and can improve blood flow rheology and ovarian function.
作者 穆晓翌 MU Xiaoyi(Department of Gynaecology,the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610072,China)
出处 《四川中医》 2019年第9期148-151,共4页 Journal of Sichuan of Traditional Chinese Medicine
关键词 益气散节方 辨证加减 卵巢囊肿 疗效 Yiqi Sanjie Recipe Dialectical addition and subtraction Ovarian cysts Efficacy
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