疏肝活血化湿法治疗子宫内膜异位症临床分析.docVIP

疏肝活血化湿法治疗子宫内膜异位症临床分析 　　[摘要] 目的 探讨疏肝活血化湿法治疗子宫内膜异位症的临床效果。 方法 选取2012年1月～2015年8月在本院中医妇科门诊就诊的70例子宫内膜异位症患者作为研究对象，随机分为治疗组和对照组，各35例。对照组给予孕三烯酮，治疗组采用疏肝活血化湿法之中药疏肝活化汤治疗。比较两组治疗前后的疼痛评分、CA125和PRL水平、盆腔包块变化以及不良反应发生率。 结果 两组治疗后的疼痛评分显著低于治疗前，差异有统计学意义（P0.05）。治疗组治疗期间未发现明显不良反应。 结论 疏肝活血化湿法之中药疏肝活化汤治疗子宫内膜异位症效果显著，值得临床推广应用。 　　[关键词] 疏肝活血化湿；孕三烯酮；CA125；泌乳素；盆腔包块；疼痛指数；子宫内膜异位症 　　[中图分类号] R711.71 [文献标识码] A [文章编号] 1674-4721（2016）05（c）-0094-04 　　Clinical analysis on methods of Sugan Huoxue with Huashi in the treatment of endometriosis 　　CAO Yi-jun XU Mei-yan ZHONG Yun-lan 　　Department of Traditional Chinese Medicine，Jiangyin Hospital Affiliated to Southeast University，Jiangyin 214400，China 　　[Abstrcst] Objective To explore the clinical effect on methods of Sugan Huoxue with Huashi in the treatment of endometriosis. Methods 70 cases of endometriosis in our hospital from January 2012 to August 2015 were selected and randomly divided into the treatment group and the control group，35 cases in each group.The control group was given gestrinone，the treatment group was given Sugan Huohua decoction of Sugan Huoxue with Huashi.The score of pain，the level of CA125 and PRL，the change of pelvic mass before and after treatment，the incidence rate of adverse reaction in the two groups was compared. Results The score of pain after treatment in the two groups was lower than that before treatment，with significant difference （P0.05）.There was no obvious adverse reaction in the treatment group during the treatment period. Conclusion The effect of Shugan Huohua decoction of Sugan Huoxue with Huashi in the treatment of endometriosis is significant，it is worthy of clinical promotion and application. 　　[Key words] Sugan Huoxue with Huashi；Gestrinone；CA125；Prolactin；Pelvic mass；Pain index；Endometriosis 　　子宫内膜异位症（endometriosis）是指有功能的子宫内膜腺体和间质异位出现在子宫腔及肌层以外的部位，是生育年龄妇女日趋增多的常见病，盆腔疼痛和不孕是本病的最主要表现。子宫内膜异位症虽属良性病变，但却表现出细胞增生、浸润、复发等恶性行为，因此成为难治之症和现代医学研究的重点疾病之一。瘀血是子宫内膜异位症的基本发病机制已得到中医界公认，但是子宫内膜异位症的发病远不止瘀血这一基本病机，越来越多的临床病例和研究[1-2]显示，“肝郁、