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桃核承气汤联合西药治疗子宫内膜异位症效果的Meta分析

陆黎娟 曾薇薇 王靖雯 徐雯 张露蓉

广西医学2025,Vol.47Issue(4):585-592,8.
广西医学2025,Vol.47Issue(4):585-592,8.DOI:10.11675/j.issn.0253-4304.2025.04.16

桃核承气汤联合西药治疗子宫内膜异位症效果的Meta分析

Effect of Taohe Chengqi Decoction combined with Western Medicine for the treatment of endometriosis:a Meta-analysis

陆黎娟 1曾薇薇 2王靖雯 3徐雯 4张露蓉5

作者信息

  • 1. 南京中医药大学附属苏州市中医医院妇科,江苏省 苏州市 215000
  • 2. 上海中医药大学附属曙光医院妇科,上海市 200212
  • 3. 江苏省中医院妇科,江苏省 南京市 210029
  • 4. 南京中医药大学附属苏州市中医医院病理科,江苏省 苏州市 215000
  • 5. 南京中医药大学附属苏州市中医医院吴门医派研究院,江苏省 苏州市 215000
  • 折叠

摘要

Abstract

Objective To systematically evaluate the effect of Taohe Chengqi Decoction combined with Western Medicine for the treatment of endometriosis.Methods Randomized controlled trials related to Taohe Chengqi Decoction combined with Western Medicine for the treatment of endometriosis were collected by retrieving from the databases of China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,VIP,PubMed,Web of Science,Embase,and The Cochrane Library,etc.After screening enrolled literature,extracting data,and evaluating quality,Meta-analysis was performed using the RevMan 5.4 software.Results A total of 9 randomized controlled trials were enrolled.The results of Meta-analysis revealed that the observation group exhibited a higher total clinical effectiveness rate compared to the control group.Additionally,the observation group interpreted lower serum estradiol,progesterone,and carbohydrate antigen 125 levels,as well as reduced ovarian artery pulsatility index and resistance index,while demonstrating superior ovarian artery peak systolic velocity and mean follicular growth rate as compared with the control group(P<0.05).Conclusion Taohe Chengqi Decoction combined with Western Medicine can decrease serum estradiol,progesterone,and carbohydrate antigen 125 levels in endometriosis patients,promote follicular development to a certain extent,improve ovarian artery hemodynamics,and enhance therapeutic effects.It is worthy of clinical application and promotion.

关键词

子宫内膜异位症/桃核承气汤/下焦蓄血证/瘀热互结/联合治疗/临床疗效/Meta分析

Key words

Endometriosis/Taohe Chengqi Decoction/Low-energizer blood stasis syndrome/Intermingled stagnant heat/Combined therapy/Clinical efficacy/Meta-analysis

分类

医药卫生

引用本文复制引用

陆黎娟,曾薇薇,王靖雯,徐雯,张露蓉..桃核承气汤联合西药治疗子宫内膜异位症效果的Meta分析[J].广西医学,2025,47(4):585-592,8.

基金项目

国家自然科学基金(82004398) (82004398)

苏州市科技计划项目(SKY2022205、SKY2023213) (SKY2022205、SKY2023213)

苏州市吴门医派科研专项研究基金科技项目(SKYXD2022058) (SKYXD2022058)

苏州市卫生青年骨干人才"全国导师制"培训项目(苏卫健科教[2020]7号) (苏卫健科教[2020]7号)

广西医学

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