补肾化瘀方对中重度宫腔粘连患者行中重度宫腔粘连分离术术后复发的预防作用

Relapse prevention of tonifying kidney and removing blood stasis recipe in patients with moderate or severe intrauterine adhesion after TCRA

目的探讨补肾化瘀方对行中重度宫腔粘连分离术(TCRA)的宫颈粘连患者复发的预防作用。方法选取2014年6月—2016年3月广州中医药大学第二附属医院收治的43例经宫腔镜检查确诊为中重度宫腔粘连并行TCRA术患者,随机分为治疗组21例,患者行人工周期和中药补肾化瘀方治疗;对照组22例,人工周期治疗3个月经周期。采用SPSS 19.0统计软件比较两组患者的术后月经恢复、宫腔粘连程度改善情况。结果治疗3个月后,两组月经症状都有所恢复,治疗组经量、色质改善有效率更高(P<0.01)。两组患者治疗后IUA积分均较治疗前显著降低,且治疗组低于对照组,差异有统计学意义(P<0.01)。结论补肾化瘀方可有效改善中重度宫腔粘连分离术后月经状况,有利于预防宫颈粘连复发。

Objective To evaluate the effect of Tonifying kidney and removing blood stasis recipe on preventing from recurrent adhesion of patients with moderate or severe intrauterine adhesions after TCRA. Methods A retrospective analysis of 43 cases within trauterine adhesions parallel TCRA from June 2014 to March 2016 was performed. Postoperative patients were dived to two groups: 21 patients in treatment grouphad to take the treatment of artificial cycle therapy and Tonifying kidney and removing blood stasis recipe; 22 patients of control group were treated with simple artificial cycle therapy for three menstrual cycles. The patient’s postoperative menstrual recovery and intrauterine adhesions degree were analyzed in two groups by SPSS 19.0 statistical software. Results After treatment of three months, menstrual symptoms of two groups were recovered, the difference was statistically significant in the quantity and color of menstruation(all P<0.01). IUA integrals in both groups were improved,and the treatment group was lower than the control group, there was statistically significant difference between two groups(P<0.01). Conclusions Tonifying kidney and removing blood stasis recipe can effectively improve menstrual symptoms of patients with moderate or severe intrauterine adhesions, help to prevent from recurrence of adhesion.