滋肾理血汤联合宫腔镜技术治疗宫腔粘连随机平行对照研究

Zishen Lixue Method Combined with Hysteroscopy in the Treatment of Intrauterine Adhesions Randomized Controlled Study

[目的]观察滋肾理血汤联合宫腔镜技术治疗宫腔粘连疗效。[方法]使用随机平行对照方法,将68例住院患者按抽签法随机分为两组。对照组36例西药联合宫腔镜技术,术后第2d服用戊酸雌二醇2mg/次,2次/d,连服21d,后5天加服醋酸甲羟孕酮6mg/次,2次/d。治疗组32例滋肾理血汤联合宫腔镜技术,术后第2d服用滋肾理血汤(菟丝子30g,紫河车15g,鹿角胶、党参各20g,桃仁10g,红花6g,丹参10g,川芎、生山楂各6g,川牛膝10g),1剂/d、水煎400mL,2次/d,自月经第5天开始口服。连续治疗21d为1疗程。观测临床症状、术后恢复时间、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈9例,显效13例,有效8例,无效2例,总有效率93.70%。对照组痊愈11例,显效12例,有效9例,无效4例,总有效率88.90%。临床疗效两组无明显差异(P>0.05)。病情恢复时间治疗组优于对照组(P<0.05)。[结论]滋肾理血汤联合宫腔镜技术治疗宫腔粘连效果显著,值得推广。

[Objective] observe Zishen Lixue Method combined with hysteroscopy in the treatment efficacy of intrauterine adhesions.[ Methods] Using randomized controlled method,68 cases of hospitalized patients were randomly divided into two groups.Control group,36 cases of medicine combined with hysteroscopy techniques,postoperative 2d taking estradiol valerate(progynova)2mg/time,2times/d,even serving 21d,after five days plus service medroxyprogesterone acetate 6mg/time,2times/d.Treatment group 32 cases Zishen Lixue Method combined with hysteroscopy techniques,postoperative management of blood soup 2d taking Zishen Lixue Method(Tusizi 30g,Zihechen 15g,Lujiaojiao,Dangshen each 20g,Taoren 10g,Honghua 6g,Danshen 10g,Chuanxiong,Shengshanzha each 6g,Chuanniuxi 10g),1 does / d,decoction 400mL,2 times / d,the first five days since menstruation begins orally.21d is a course of continuous treatment.Observation of clinical symptoms,postoperative recovery time,adverse reactions.2 courses of continuous treatment,to determine efficacy.[ Results] The cure nine cases,effective in 13 cases,8 cases,2 cases,the total efficiency of 93.70%.Control group cured 11 cases,12 cases markedly effective in 9 cases,4 cases,the total efficiency of 88.90%.There was no significant difference in clinical efficacy(P> 0.05).Illness recovery time treatment group than the control group(P <0.05).[ Conclusion] ney management of blood soup combined with hysteroscopy.