中西医结合治疗子宫肌瘤

郭冰杰，杨彩梅

(北京中医医院顺义医院，北京 101300)

摘要：目的观察中西医结合治疗子宫肌瘤的临床疗效。方法50例子宫肌瘤患者，随机分为观察组和对照组,每组25例。对照组患者单纯西医治疗。从月经第1天起每晚睡前口服10 mg的米非司酮，1次/d，3个月为1个疗程；观察组患者中西医结合治疗：在对照组治疗的基础上，服用桂枝茯苓丸加味和少腹逐瘀汤加减，1剂/d，2次/d，3个月为1个疗程。结果观察组痊愈率和总有效率56%(14/25)和96%(24/25),明显比对照组24%(6/25)和72%(18/25)高(P<0.05);治疗前2组患者的子宫肌瘤平均体积之间的差异无统计学意义(P>0.05)，治疗后观察组患者的子宫肌瘤平均体积明显比对照组小(P<0.05)，平均缩小率明显比对照组高(P<0.05)。结论桂枝茯苓丸、少腹逐瘀汤化瘀消，对少腹胀痛等进行有效的治疗，平衡内分泌，对肌瘤生长进行有效抑制，从而恢复子宫常态。

关键词：子宫肌瘤；化瘀消;桂枝茯苓丸；少腹逐瘀汤

DOI:10.13463/j.cnki.jlzyy.2015.05.015

中图分类号：R711文献标志码： A

文章编号：1003-5699(2015)05-0483-03

基金项目:北京市中医药科技项目(JJ2001-35)。

作者简介:郭冰杰(1970-),女,医师,硕士,主要从事中医妇科研究。

收稿日期:(责任编辑：张晔2014-11-06)

Integrative Chinese and Western medicine in treatment of uterine fibroids

GUO Bingjie,YANG Caimei

(Shunyi Hospital of Beijing Chinese Medicine Hospital,Beijing 101300,China)

Abstract:ObjectiveTo investigate the clinical efficacy of combination therapy of uterine fibroids.MethodsThe 50 cases of uterine fibroids patients were divided into observation group and control group according to a random number table,25 cases in each group.The control group of patients were given western medicine,this group of patients from menstruation once a day from 10 mg of mifepristone orally at bedtime,3 months for a course of treatment;while the observation group of patients were given western medicine combination therapy.In the control group on the basis of this group of patients using traditional Chinese medicine treatment plus,so this group of patients taking GFW flavored and Shaofuzhuyu decoction,1 day,2 times a day,for a 3-month course of treatment.ResultsThe overall cure rate of patients in the observation group and treatment efficiency of 56%(14/25) and 96%(24/25) were significantly higher than the control group,24%(6/25) and 72%(18/25)(P<0.05);differences in the treatment of uterine fibroids average volume between the two groups of patients before were not significant (P>0.05);uterine fibroids average volume observed in patients after treatment was significantly lower than the control group (P<0.05),The average reduction rate was significantly higher than the control group (P<0.05).ConclusionGFW flavored main role for stasis eliminate disease,lower abdomen by silt soup can on the lower abdomen pain and other effective treatment,Treating can effectively balance the endocrine,effectively inhibit the growth of fibroids,which effectively restored normal uterus.

Keywords:uterine fibroids;eliminate stasis;GFW flavored;Shaofuzhuyu decoction

子宫肌瘤是女性多发的良性肿瘤，极为常见。近代医学研究表明，性激素直接而深刻地影响着子宫肌瘤的发生和发展，临床可给予患者雄激素丙酸睾丸酮等治疗，以对患者体内激素水平进行有效的调节。近年来，相关医学研究表明，米非司酮能够对子宫肌瘤的生长产生抑制，具有令人满意的近期疗效，但是停药后可能复发。本研究对我院收治50例子宫肌瘤患者的临床资料进行了统计分析，观察中西医结合治疗子宫肌瘤的临床疗效。现将结果报告如下。

1资料与方法

1.1一般资料2012年1月—2014年1月我院共收治50例子宫肌瘤患者，所有患者均经妇科B超诊断为子宫肌瘤[1]，均有一定程度的月经量增多、不规则出血、少腹胀痛、贫血等临床症状。……