益肾活血方加宫腔镜宫腔粘连分离术治疗人流后月经过少的临床探究.pdfVIP

提 要 目的：观察益肾活血方加 TCRA 治疗肾虚血瘀型人流后月经过少的临床疗效并 探讨其作用机理。方法：观察患者60例，治疗组30例，TCRA 后予益肾活血方加减， 对照组 30 例，TCRA 后口服坤灵丸，观察两组患者疗效及对血液流变学、全血 T 细 胞亚群及子宫内膜 MMP-9 的影响。结果：两组患者治疗后症状明显改善，疗效比较 有显著性差异（P0.05）；IUA减轻明显（P0.01），较对照组差异显著（P0.01）；T 细胞亚群CD3、CD4、CD4/CD8明显增高，CD8 显著降低，较疗前有显著差异（ P0.01）； 血液流变学有改善，较对照组有显著性差异（P0.01 或 P0.05）；MMP-9 升高明显 （ P0.01），较对照组显著（P0.05）。结论：益肾活血方加 TCRA 治疗人流继发 IUA 所致月经过少疗效好，机理可能与调节机体免疫失衡，改善血液高凝状态，平衡蛋白 水解与合成，防止 IUA 再形成有关。 关键词 月经过少；宫腔粘连；益肾活血方；宫腔镜宫腔粘连分离术；临床研究 Clinical Study on the Effect of Transcervical Resection of Adhesion and YiShen HuoXueFang in Treating Scancy Menstruation Caused by Induced Abortion Speciality: Gynecology of TCM,The study of menstruation sickness and sterility Tutor: Professor Ye Qing Author: Xu Huiying Abstract Objective: To observe the clinical treatment of YiShenHuoXueFang(YSHXF) treating kidney deficiency and blood stasis scancy menstruation caused by induced abortion after TCRA and explore its mechanism. Methods: 60 patients were randomized, after TCRA 30 patients of therapy group were treated with YSHXF, the control group were treated with KunLingPill, to observe treatment efficacy and affection on hemorheology 、T lymphocyte subsets and MMP-9. Results: their symptoms were obviously improved,the totle effects were difference(P0.05); there was significant difference in reducing the degree of IUA (P0.01),the therapy group were obvious (P0.05); the level of CD3,CD4, CD4