化痰祛瘀法联合黄体酮胶囊治疗子宫内膜息肉术后痰湿瘀结证患者的疗效观察(1)
摘要 目的：通过观察化痰祛瘀法联合黄体酮胶囊口服治疗子宫内膜息肉术后患者(痰湿瘀结证)的临床症状改善及复发情况，评估中西结合治疗的疗效，为子宫内膜息肉术后患者的防治提供新的诊疗思路及方法。方法：选取2016年1月至2018年12月中山市黄圃人民医院收治的子宫内膜息肉宫腔镜术后患者(痰湿瘀结证)60例作為研究对象，按照随机数字表法随机分为观察组和对照组，每组30例。观察组患者在术后口服黄体酮胶囊的基础上给予化痰祛瘀法(中药桂枝茯苓汤加减)治疗，对照组单纯予以黄体酮胶囊治疗，比较2组的临床疗效。结果：观察组复发率低于对照组，差异无统计学意义(P>0.05)，2组在改善子宫内膜厚度方面效果相当，观察组对月经异常改善的情况优于对照组，2组比较差异有统计学意义(P<0.05)。在不良反应方面，观察组明显低于对照组，差异有统计学意义(P<0.05);在改善中医证候方面，观察组优于对照组。结论：子宫内膜息肉患者经宫腔镜手术治疗后的防治，予以化痰祛瘀中药联合黄体酮胶囊口服，优于单纯使用黄体酮胶囊。
关键词 化痰祛瘀法;子宫内膜息肉术后;复发;痰湿瘀结证;桂枝茯苓汤加减;黄体酮胶囊
Abstract Objective：To study the improvement of clinical symptoms and relapse in patients after endometrial polyp surgery after oral treatment with dissipating phlegm and stasis method combined with progesterone capsule，to evaluate the efficacy of Chinese and Western combined treatment methods，and to provides new diagnosis and treatment ideas and methods of prevention for patients after endometrial polyp operation.Methods：A total of 60 patients，admitted to Huangpu People′s Hospital of Zhongshan with endometrial polyp after hysteroscopy surgery (phlegm and dampness stasis syndrome) were randomly divided into 2 groups，with 30 cases in each group.The treatment group was treated with dissipating phlegm and stasis method (modified Guizhi Fuling Decoction) on the basis of oral progesterone capsules after surgery，and the control group was treated solely with progesterone capsules.The clinical effects of the 2 groups were compared.Results：The recurrence rate of treatment group was lower than that of control group，but there was no significant difference(P>0.05).The 2 groups had the same effects in improving the thickness of the endometrium.The treatment group was superior to the control group in improving the abnormal menstrual period.The difference between the 2 groups was statistically significant(P<0.05).In terms of side effects，the treatment group was significantly lower than the control group，and the difference was statistically significant (P<0.05) In the improvement of TCM symptoms，the treatment group was superior to the control group.Conclusion：The treatment of endometrial polyp patients after hysteroscopic surgery was better than the sole use of progesterone capsules.
Keywords Dissipating phlegm and stasis method; After endometrial polyp surgery; Relapse; Recurrence of phlegm and dampness stasis syndrome; Modified Guizhi Fuling Decoction; Progesterone capsule
目前宫腔镜下子宫内膜息肉切除术为治疗子宫内膜息肉的主要方法，但宫腔镜下子宫内膜息肉切除术后复发率高[1]，因此术后多用激素药物进行辅助治疗，但存在较多不良反应。而中医治病求本，着重从整体改善患者的症状和体征，达到治病防病的目的。对于宫腔镜下子宫内膜息肉切除术术后的患者可考虑运用中西医结合方法进行防治，中医治疗疾病因人制宜，因地制宜，因时制宜，根据患者所处的地理位置及饮食生活习惯的不同，辨证论治。因中山地处岭南地区，气候炎热并且潮湿，人们喜食冷饮、凉茶及糖水，根据本地的气候及人们的饮食生活习惯，患者多有痰湿瘀结证，故采取化痰祛瘀法进行治疗，本次研究采用中药方剂桂枝茯苓汤加减配合黄体酮胶囊口服对子宫内膜息肉手术后患者(痰湿瘀结证)进行治疗，取得了较好的效果，现报道如下。, 百拇医药(张曾玲)
关键词 化痰祛瘀法;子宫内膜息肉术后;复发;痰湿瘀结证;桂枝茯苓汤加减;黄体酮胶囊
Abstract Objective：To study the improvement of clinical symptoms and relapse in patients after endometrial polyp surgery after oral treatment with dissipating phlegm and stasis method combined with progesterone capsule，to evaluate the efficacy of Chinese and Western combined treatment methods，and to provides new diagnosis and treatment ideas and methods of prevention for patients after endometrial polyp operation.Methods：A total of 60 patients，admitted to Huangpu People′s Hospital of Zhongshan with endometrial polyp after hysteroscopy surgery (phlegm and dampness stasis syndrome) were randomly divided into 2 groups，with 30 cases in each group.The treatment group was treated with dissipating phlegm and stasis method (modified Guizhi Fuling Decoction) on the basis of oral progesterone capsules after surgery，and the control group was treated solely with progesterone capsules.The clinical effects of the 2 groups were compared.Results：The recurrence rate of treatment group was lower than that of control group，but there was no significant difference(P>0.05).The 2 groups had the same effects in improving the thickness of the endometrium.The treatment group was superior to the control group in improving the abnormal menstrual period.The difference between the 2 groups was statistically significant(P<0.05).In terms of side effects，the treatment group was significantly lower than the control group，and the difference was statistically significant (P<0.05) In the improvement of TCM symptoms，the treatment group was superior to the control group.Conclusion：The treatment of endometrial polyp patients after hysteroscopic surgery was better than the sole use of progesterone capsules.
Keywords Dissipating phlegm and stasis method; After endometrial polyp surgery; Relapse; Recurrence of phlegm and dampness stasis syndrome; Modified Guizhi Fuling Decoction; Progesterone capsule
目前宫腔镜下子宫内膜息肉切除术为治疗子宫内膜息肉的主要方法，但宫腔镜下子宫内膜息肉切除术后复发率高[1]，因此术后多用激素药物进行辅助治疗，但存在较多不良反应。而中医治病求本，着重从整体改善患者的症状和体征，达到治病防病的目的。对于宫腔镜下子宫内膜息肉切除术术后的患者可考虑运用中西医结合方法进行防治，中医治疗疾病因人制宜，因地制宜，因时制宜，根据患者所处的地理位置及饮食生活习惯的不同，辨证论治。因中山地处岭南地区，气候炎热并且潮湿，人们喜食冷饮、凉茶及糖水，根据本地的气候及人们的饮食生活习惯，患者多有痰湿瘀结证，故采取化痰祛瘀法进行治疗，本次研究采用中药方剂桂枝茯苓汤加减配合黄体酮胶囊口服对子宫内膜息肉手术后患者(痰湿瘀结证)进行治疗，取得了较好的效果，现报道如下。, 百拇医药(张曾玲)
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