针药治疗痰瘀互结型卵巢巧克力样囊肿的疗效观察
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摘要
目的:观察针药治疗痰瘀互结型卵巢巧克力样囊肿的临床疗效。方法:60例符合诊断标准的痰瘀互结型卵巢巧克力样囊肿患者,随机分为治疗组30例和对照组30例,对照组给予中药丹溪治湿痰方合桃红四物汤加减治疗;治疗组在口服中药基础上,同时配合针刺治疗,经期停止针刺,3个月后分别观察两组治疗前后的临床疗效并进行比较。结果:治疗组总有效率明显高于对照组,治疗组的血清CA125水平、囊肿最大径线及症状改善情况明显优于对照组。结论:针药治疗痰瘀互结型卵巢巧克力样囊肿临床疗效满意。
Objective:To observe the clinical efficacy of acupuncture and medicine in the treatment of ovarian chocolate cysts with stagnation of phlegm and blood stasis type.Methods:Sixty patients with corresponding ovarian chocolate-like cysts complying with diagnostic criteria were randomly divided into treatment group 30 cases and control group 30 cases. The control group was treated with traditional Chinese medicine Danxi Zhishi Decoction and Taohong Siwu Decoction. The treatment group based on oral medicine,was cooperated with acupuncture treatment, stopping during the menstrual period. After 3 months, the clinical efficacy before and after treatment in both groups was observed and compared.Results:The total effective rate in the treatment group was significantly higher than that in the control group. Serum CA125 levels, cyst diameterand symptom improvement in the treatment groupwere significantly better than those in the control group.Conclusion:The clinical efficacy of acupuncture and medicine in the treatment of ovarianchocolate-like cysts with stagnation of phlegm and blood stasis issatisfactory.
Objective:To observe the clinical efficacy of acupuncture and medicine in the treatment of ovarian chocolate cysts with stagnation of phlegm and blood stasis type.Methods:Sixty patients with corresponding ovarian chocolate-like cysts complying with diagnostic criteria were randomly divided into treatment group 30 cases and control group 30 cases. The control group was treated with traditional Chinese medicine Danxi Zhishi Decoction and Taohong Siwu Decoction. The treatment group based on oral medicine,was cooperated with acupuncture treatment, stopping during the menstrual period. After 3 months, the clinical efficacy before and after treatment in both groups was observed and compared.Results:The total effective rate in the treatment group was significantly higher than that in the control group. Serum CA125 levels, cyst diameterand symptom improvement in the treatment groupwere significantly better than those in the control group.Conclusion:The clinical efficacy of acupuncture and medicine in the treatment of ovarianchocolate-like cysts with stagnation of phlegm and blood stasis issatisfactory.
引文
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[22] 李沛,吴荔琼,徐文倩,等.针刺对健康女性生殖内分泌影响的实验研究[J].中国针灸,2003(5):44-45.
[23] 王燕平,赵吉平.血海穴探析[J].中国针灸,1998(11):17-18.
[2] 陈玉清,裴慧慧,常亚杰. 卵巢巧克力囊肿对卵巢储备功能的影响分析[J]. 中山大学学报(医学科学版),2014,35(5):744-747.
[3] Stilley JA,Birt JA,Sharpe-Timms KL.Cellular and molecular basis for endometriosis-associated infertility[J].Cell Tissue Res,2012,349(3):849-862.
[4] 赵雅芳,李春华,嵇波,等.电针三阴交、血海对痛经模型大鼠子宫微循环的影响[J].微循环学杂志,2011,21(2):4-10.
[5] 郑筱萸.中药新药临床研究指导原则[S].北京:中华人民共和国卫生部,1993.
[6] 谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:271.
[7] 中国中西医结合学会妇产科专业委员会.子宫内膜异位症、妊娠高血压综合征及女性不孕症的中西医结合诊疗标准[S].中西医结合杂志,1991,11(6):376-379.
[8] 中国中医研究院广安门医院.中医诊疗常规[M].北京:中医古籍出版社,1989:186.
[9] Kataoka T,Watanabe Y,Hoshiai H.Retrospective evaluation of tumor markers inovarian mature cystic teratoma and ovarian endometrioma[J].Obstet Gynaecol Res,2012,38:1071-1076.
[10] 周溶,王广贤,万柏建,等.血清CA125对妇科肿瘤临床应用的意义[J].临床肿瘤学杂志,1999(3):32-34.
[11] 闫玲,王霭明,张彦春.子宫内膜异位症患者血清CA125表达研究[J].武警医学,2011,22(4):320-322,325.
[12] 梁志斌.超声诊断妇科急腹症的临床效果分析[J].医学信息,2015,16(4):184.
[13] 卢红蓉,杜松,胡镜清.痰瘀互结证治理论源流考[J].中医杂志,2015,56(10):812.
[14] 高月平,徐嘉.温肾疏肝、祛痰化瘀法治疗盆腔子宫内膜异位症37例[J].南京中医药大学学报,1996,12(5):55-56.
[15] 赵红艳,刘金星.从痰瘀论治子宫内膜异位症[J].辽宁中医药大学学报,2010,12(6):154-155.
[16] 高月平.从痰瘀论治妇科疾病之机理及其证治浅析[J].中医药学刊,2002(4):486-492.
[17] 蔡宇萍,曹佃贵,陈颖异.陈颖异治疗子宫内膜异位症思路和方法[J].中华中医药杂志,2011,26(7):1552-1554.
[18] Iréne Lund, Thomas Lundeberg.Is acupuncture effective in the treatment of pain in endometriosis?[J].J Pain Res,2016,9:157-165.
[19] 沈群,陆菁.针灸治疗子宫内膜异位症临床观察[D].上海:同济大学附属同济医院,2017:714.
[20] 杜松,胡镜清,卢红蓉. 痰瘀互结证现代理论研究进展述评[J].中国中医基础医学杂志,2015,21(4):480.
[21] 陈旭,解秸萍,朱江,等.针灸治疗痛经取穴规律探究[J].上海针灸杂志,2008(6):45-46.
[22] 李沛,吴荔琼,徐文倩,等.针刺对健康女性生殖内分泌影响的实验研究[J].中国针灸,2003(5):44-45.
[23] 王燕平,赵吉平.血海穴探析[J].中国针灸,1998(11):17-18.