盆腔淤血综合征中西医结合治疗的临床研究.pdfVIP

1864 实用预防医学 2007年 12月 第 14卷 第6期 Practical Preventive Medicine，Dec．2007，Vol 14，No．6 文章编号：1006—3110(2007)06～1864—03 盆腔淤血综合征中西医结合治疗的临床研究 吴凯新 ，陆宝明 摘要： 目的 探讨中西医结合治疗盆腔淤血综合征的疗效。 方法 将我院妇科门诊的90例盆腔瘀血综合征患 者随机分为中西医结合治疗组(结合组)和西医常规治疗组(对照组)。对照组口服甲孕酮，结合组在此基础上加服自拟益 气化瘀汤。对二组患者治疗后的临床症状缓解情况，盆腔静脉内径、盆腔静脉流速变化及医院焦虑抑郁评分(HADS)改变 进行综合比较。 结果 两组患者治疗后临床症状均有明显改善，其中结合组在改善下腹痛、痛经、疲劳症状上明显优 于对照组(P0．05或0．叭)；两组患者治疗后盆腔静脉内径显著缩小(P0．叭)、盆腔静脉流速显著增快(P0．叭)、 HADS评分显著降低(P0．叭)，且结合组优于对照组，差异有统计学意义(P0．叭)。 结论 中西医结合治疗盆腔淤 血综合征能明显改善临床症状，很好的缓解盆腔淤血和改善焦虑及抑郁状况。 关键词： 盆腔淤血综合征；中西医结合治疗；甲孕酮；益气化瘀汤 中图分类号：R711 文献标识码：A Clinical Study on Combination Treatment of TraditionaI Chinese Medicine and Western Medicine for Pelvic Congestion Syn- drome WU Kai—xin，LU Bao～ming(Department of Gynaecology and Obstetrics，Third People’s Hospital of Meizhou， Meizhou 514089，Guangdong，China) Abstract： Objective To study the therapeutic efficacy of combined traditional Chinese medicine and western medicine on pelvic congestion syndrome． Methods Ninety OPD patients with pelvic congestion syndrome were divided into 2 groups．Forty—five patients of control group were administered with western medicine of MedrOxyprOgesterOne Acetate，and 45 patients of combined treatment group were administered with Medroxyprogesterone Acetate and TOM herbal regimens which benefit vital energy and promote blood flow．The treatment period of the 2 groups was both 3 months．The data of clini- cal symptoms were recorded．Inner diameter of pelvic vein and venous blood flow speed were monitored with color Doppler． The scores of hospital anxiety and depression scale(HADS)were used to evaluate the psychological status． Results The patients in these two groups were both improved significantly after 3一month treatment(P0．01)．The combined treatment