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促性腺释放激素激动剂联合补肾活血散瘀汤治疗子宫腺肌病的临床效果

成臣 桂涛 周文娟 黄美华 张蕾 张丽华 孙家莉 朱利 杨桂云 万贵平

妇儿健康导刊2024,Vol.3Issue(6):10-13,17,5.
妇儿健康导刊2024,Vol.3Issue(6):10-13,17,5.

促性腺释放激素激动剂联合补肾活血散瘀汤治疗子宫腺肌病的临床效果

Clinical effect of gonadotropin releasing hormone agonist combined with Bushen Huoxue Sanyu Decoction in the treatment of adenomyosis

成臣 1桂涛 1周文娟 1黄美华 1张蕾 1张丽华 1孙家莉 1朱利 1杨桂云 1万贵平1

作者信息

  • 1. 南京中医药大学附属江苏省中西医结合医院妇产科,江苏南京 210028
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect of gonadotropin releasing hormone agonist combined with Bushen Huoxue Sanyu Decoction in the treatment of adenomyosis.Methods A total of 44 patients with kidney deficiency and blood stasis type adenomyosis from 6 hospitals of Jiangsu Province Hospital of Integrative Chinese and Western Medicine Affiliated to Nanjing University of Chinese Medicine,Liyang Hospital of Chinese Medicine,Taizhou Hospital of Traditional Chinese Medicine,Nantong Hospital of Traditional Chinese Medicine,Suzhou Hospital of Integrated Traditional Chinese and Western Medicine and Zhenjiang Hospital of Integrated Traditional Chinese and Western Medicine from 2018 to 2022 were selected and divided into three groups according to random envelope method.Group A was given gonadotropin releasing hormone agonist(15 cases),group B was given Bushen Huoxue Sanyu Decoction(21 cases),group C was given gonadotropin releasing hormone agonist combined with Bushen Huoxue Sanyu Decoction(8 cases).Excluding shedding cases,the final included cases were 14 cases in group A,19 cases in group B and 7 cases in group C.The uterine volume,dysmenorrhea score,menstrual volume score and kidney deficiency lumbago score of all groups were compared.Results After treatment,the uterine volume of the three groups was smaller than that before treatment(P<0.05).After treatment,there was no significant difference in uterine volume among the three groups(P>0.05).After treatment,dysmenorrhea score in group C was lower than that in groups A and B(P<0.05).After treatment,the score of menstrual volume in group C was lower than that in group B(P<0.05).After treatment,the score of kidney deficiency lumbago in group B was lower than that in group A(P<0.05).No abnormal clinical test indexes(blood routine,biochemistry,urine routine)and related adverse drug reactions were found in the three groups.Conclusion Gonadotropin releasing hormone agonist combined with Bushen Huoxue Sanyu Decoction in the treatment of adenomyosis can reduce uterine volume,improve dysmenorrhea,kidney deficiency lumbago symptoms,reduce menstrual volume,and have safety,which can be widely used.

关键词

子宫腺肌病/补肾活血散瘀汤/促性腺释放激素激动剂

Key words

Adenomyosis/Bushen Huoxue Sanyu Decoction/Gonadotropin releasing hormone agonist

分类

医药卫生

引用本文复制引用

成臣,桂涛,周文娟,黄美华,张蕾,张丽华,孙家莉,朱利,杨桂云,万贵平..促性腺释放激素激动剂联合补肾活血散瘀汤治疗子宫腺肌病的临床效果[J].妇儿健康导刊,2024,3(6):10-13,17,5.

基金项目

江苏省中医药科技发展计划项目(MS202 3039) (MS202 3039)

江苏省科技计划项目(BE2015729). (BE2015729)

妇儿健康导刊

2097-115X

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