化积止痛汤治疗子宫腺肌病痛经的临床观察
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摘 要 目的：观察化积止痛汤治疗子宫腺肌病的疗效和安全性。方法：根据纳入标准，随机将符合标准的子宫腺肌病70例平均分为化积止痛汤治疗组和止痛化癥胶囊对照组。观察比较两组患者治疗前及治疗1疗程后痛经积分、月经量评分、子宫体积、CA125水平以及不良反应情况。结果：治疗后3个月，治疗组痛经VAS评分明显低于对照组（P<0.05）；治疗组月经量PBAC评分、CA125水平下降显著（P<0.05）；两组均未见子宫体积明显缩小。结论：化积止痛汤可以改善子宫腺肌病患者痛经程度、降低月经量及CA125水平，有良好的临床应用价值。
关键词 子宫肌腺病 化积止痛汤 止痛化癥胶囊 临床观察
中图分类号：R289.5； R271.9 文献标志码：B 文章编号：1006-1533（2019）11-0034-03
Clinical observation of Huaji Zhitong decoction in the treatment of adenomyosis
JI Hua1*， CHEN Xiaozhi2， ZHANG Cuiying2**（1. Department of Gynecology and Obstetrics， the Integrated Traditional Chinese and Western Medicine Hospital of Jinshan District， Shanghai 201501， China； 2. Department of Traditional Medicine Gynecology， Guangming Chinese Medicine Hospital of Pudong New Area， Shanghai 201399， China）
ABSTRACT Objective： To observe the efficacy and safety of Huaji Zhitong decoction in the treatment of adenomyosis. Methods： Seventy cases of patients with adenomyosis were randomly divided into a treatment group （oral Huaji Zhitong decoction） and a control group （oral Zhitong Huazheng capsule） based on the inclusion criteria. The dysmenorrhea score， menstrual volume score， uterine volume， CA125 level and adverse reactions were observed before treatment and 1 course after and compared between the two groups. Results： The VAS score of dysmenorrhea in the treatment group was significantly...
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