桃红四物汤治疗女性黄褐斑伴月经不调30例

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1、桃红四物汤治疗女性黄褐斑伴月经不调30例郭群先崇州市中医医院四川崇州622230摘要：目的探析消癥汤联合米非司酮治疗气虚血瘀型子宫肌瘤的临床疗效及安全性，为今后中丙医结合治疗子宫肌瘤提供新的思路和参考。方法随机选取木院妇科2013年2月~2015年2月期间收治的160确诊为子宫肌瘤患者，采用随机数字表法将其分为对照组和治疗组，每组80例，对照组单纯给予米非司酮治疗，治疗组在此基础上给予消癥汤治疗，3月为1疗程，对比观察两组患者临床症状改善情况以及肌瘤和子宫体积变化情况，评估治疗效果。结果两组患者经完成3月治疗，中医症候积分较治疗前均明显减少(P<0.05),治疗组改善

2、情况明显优于对照组(P<0.05)；治疗组总有效率为明显高于对照组的(χ2=7.9638，P=0.0048)，治疗后肌瘤和子宫体积较治疗前明显缩小(P<0.05),治疗组改善情况明显优于对照组(P<0.05),均未发生严重不良反应。结论消癥汤联合米非司酮治疗子宫肌瘤疗效确切，可明显改善患者的临床症状和体征，缩小肌瘤和子宫体积，可作为临床首选的治疗方案。关键词：子宫肌瘤；米非司酮；气虚血瘀型；消癥汤；疗效Objectiveanalysisoffiredecoctioncombinedwithmifepristoneclinicalefficacyandsafet

3、yoftreatmentofuterinemyomaofqideficiencyandbloodstasistype，forthefutureoftraditionalChinesemedicineandWesternmedicinecombinationinthetreatmentofuterinefibroidstoprovidenewideasandreferences.MethodsrandomlyselectedinthehospitaldepartmentofgynaecologyinFebruary2013and2015duringFebruary201

4、0werediagnosedin160patientswithmyomaofuterus,usingrandomnumbertablemethod,thedividedintocontrolgroupandtreatmentgroup,80casesineachgroup,inthecontrolgroupweretreatedwithmifepristoneinthetreatment，thetreatmentgroupbasedongivenconsumersdiseaseDecoctioninthetreatmentof，3monthsforacourseoft

5、reatment,comparativeobservationoftwogroupsofpatientswithclinicalsymptomsimprovedandmyomaanduterinevolumechangesituation，evaluationthetherapeuticeffect.Resultstwogroupsofpatientswascompleted3monthsoftreatment,TCMsyndromescorebeforetreatmentweresignificantlyreduced(P<0.05),thetreatment

6、groupimprovedwassignificantlybetterthanthecontrolgroup(P<0.05).Thetreatmentgrouptotaleffectiveratewassignificantlyhigherthancontrolgroupof(x2=7.9638,P=0.0048)，hysteromyomaanduterinevolumeaftertreatmentcomparedwiththosebeforetreatmentwassignificantlyreduced(P<0.05),thetreatmentgrou

7、pimprovedwassignificantlybetterthanthecontrolgroup(P<0.05)didnotoccurinalltheseriousadversereaction.ConclusionXiao)decoctioncombinedwithmifepristoneinthetreatmentofuterinefibroidscurativeeffect，cansignificantlyimprovethepatientsclinicalsymptomsandsigns，reducethevolumeoftheut