自拟止痛散结汤治疗子宫内膜异位症的临床疗效观察.docVIP

自拟止痛散结汤治疗子宫内膜异位症的临床疗效观察 　　【摘要】 目的 观察并分析自拟止痛散结汤治疗子宫内膜异位症的疗效。方法 102例子宫内膜异位症患者， 随机分成对照组和观察组， 每组51例， 对照组予以口服甲羟孕酮片， 观察组予以自拟止痛散结汤煎服， 比较两组疗效及随访结果。结果 观察组总改善率94.12% 高于对照组的78.43%（P0.05）；观察组的全血粘度（低切）、全血粘度（高切）及血浆粘度等血液流变指标均低于对照组（P0.05）；随访患者， 观察组妊娠率高于对照组， 复发率低于对照组（P0.05）。结论 自拟止痛散结汤治疗子宫内膜异位症的临床疗效显著， 既能减小盆腔包块， 又可增加妊娠率， 且复发率较低。 　　【关键词】 自拟止痛散结汤；子宫内膜异位症；临床疗效 　　DOI：10.14163/j.cnki.11-5547/r.2015.14.010 　　Observation of clinical effect by self-made analgesic and stasis removing decoction in the treatment of endometriosis RUAN Qiao-zi， LI Feng-yi. Guangdong Taishan City Hospital of Traditional Chinese Medicine， Jiangmen 529200， China 　　【Abstract】 Objective To observe and analyze the clinical effect by self-made analgesic and stasis removing decoction in the treatment of endometriosis. Methods A total of 102 endometriosis patients were randomly divided into control group and observation group， with 51 cases in each group. The control group was given medroxyprogesterone tablets by oral administration， and the observation group received self-made analgesic and stasis removing decoction. Curative effects and follow-up outcomes of the two groups were compared. Results The total rate of improvement in the observation group as 94.12% was higher than 78.43% in the control group （P0.05）. The observation group had lower indexes of whole blood viscosity （low-cut）， whole blood viscosity （high-cut）， and plasma viscosity than the control group （P0.05）. Follow-up showed that the observation group had higher pregnancy rate and lower relapse rate than the control group （P0.05）. Conclusion Self-made analgesic and stasis removing decoction provides significant clinical effect in treating endometriosis. It can decrease pelvic mass， and increase pregnancy rate with low relapse rate as well. 　　【Key words】 Self-made analgesic and stasis removing decoction； Endometriosis； Clinical effect 　　子宫内膜异位症（EM）是指原本生长于子宫腔内的内膜组织经由输卵管进入盆腔后异位生长的常见妇科良性疾病， 其主要临床症状包括痛经、不孕以及月经异常等， 对患者生活质量造成不良影响[1]。本研究主要对51例EM患者给予自拟止痛散