摘要
目的观察疏肝理气化瘀法治疗复发性卵巢子宫内膜异位囊肿的临床疗效。方法采用随机对照的方法将70例辨证为肝郁气滞、瘀血内阻的复发性卵巢子宫内膜异位囊肿患者分为中药治疗组和西药对照组(各35例)。中药组口服木达汤,西药组口服孕三烯酮,连续用药6个月。观察两组患者盆腔痛的改善情况、囊肿变化、血清CA125水平及副作用的发生率。结果治疗6个月后,木达汤组患者盆腔痛症状明显缓解,盆腔痛发生率从80.64%下降至41.94%,卵巢巧克力囊肿明显缩小(P<0.05);血清CA125水平明显降低(P<0.05);并且副作用的发生率低于对照组(P<0.05)。结论疏肝理气化瘀的木达汤可明显缓解子宫内膜异位囊肿患者盆腔痛症状、缩小囊肿及改善患者的CA125水平,并且具有副作用小的优点,是复发性卵巢子宫内膜异位囊肿的有效方法之一。
Objective To evaluate the efficacy of The sparse liver regulates the flow of vital energy removing extravasted blood law in recurrence ovary endometriosis cyst.Methods 70 recurrent ovary endometriosis cyst patients with liver-qi blocked and ecchymosis interface syndrome were enrolled.Thirty-five patients were divided into he group therpied by Mu Da Decoction（treatment group） by randomized controlled method,while the other-five patients were divided into the group therapied by gestrinone（control group）,continual medication for 6 months.Their pelvic cavity pain improvement situationthe change of cyst,the serum level of CA-125,the incidence of rateadverse reaction were observed.Results After 6 months＇treatment,The patients who had pelvic cavity pain in the Chinese medicine group were obviously allevated and the incidence of pelvic cavity pain was reduced from 80.64% to 41.94%.The level of the ovarian cyst was obvious contraction（p0.05）.The level of CA-125 in blood was obviously reduced（P0.05）.And also the incidence of rateadverse reaction in treatment group was lower than the other group（P0.05）.Conclusions Mu Da Decoction can be effectively relieved the level of pelvic cavity pain,contracted the ovarian cyst,reduced the level of CA-125 in blood,and also has less rateadverse reaction,It is one of the effective methods to treat recurrence ovary endometriosis cyst.
出处
《光明中医》
2011年第7期1364-1366,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
癥瘕
疏肝理气化瘀法
复发性
子宫内膜异位囊肿
木达汤
dispersing liver
invigorating qi and eliminating stasis
recurrence
ovary womb internal membrane dystopia cyst
Mu Da Decontion
