温经汤加减对子宫内膜单纯增生的治疗作用
Chinese Journal of Experimental Traditional Medical Formulae(2012)
Abstract
目的:探讨温经汤对子宫内膜单纯增生的治疗效果。方法:将108例子宫内膜单纯不典型增生患者随机分为两组,其中对照组患者(54例)给予炔诺酮治疗,首剂量5 mg,1次/8 h,2~3 d血止后每隔3天减1/3量,直至维持量2.5~5.0mg.d-1,持续用至血止后21 d停药,停药后3~7 d发生撤药性出血,治疗组患者(54例)给予温经汤加减治疗。治疗后3~6个月观察患者症状改善情况,记录用药前后月经或阴道出血情况,应用超声测量子宫内膜厚度,治疗后月经评分(PBAC评分)。结果:治疗组症状缓解率为88.89%,高于对照组的74.07%(P<0.05);治疗前后内膜厚度治疗组为(5.82±1.86),(1.42±1.44)mm,对照组(5.78±1.52),(5.43±1.72)mm,治疗组改善优于对照组;PBAC治疗组为(31.48±9.41)分,对照组为(64.56±12.52)分,治疗组改善优于对照组(P<0.05)。结论:温经汤治疗子宫内膜单纯增生具有显著疗效,值得临床应用推广。
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