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目的探讨补肾化瘀方对行中重度宫腔粘连分离术(TCRA)的宫颈粘连患者复发的预防作用。方法选取2014年6月—2016年3月广州中医药大学第二附属医院收治的43例经宫腔镜检查确诊为中重度宫腔粘连并行TCRA术患者,随机分为治疗组21例,患者行人工周期和中药补肾化瘀方治疗;对照组22例,人工周期治疗3个月经周期。采用SPSS 19.0统计软件比较两组患者的术后月经恢复、宫腔粘连程度改善情况。结果治疗3个月后,两组月经症状都有所恢复,治疗组经量、色质改善有效率更高(P<0.01)。两组患者治疗后IUA积分均较治疗前显著降低,且治疗组低于对照组,差异有统计学意义(P<0.01)。结论补肾化瘀方可有效改善中重度宫腔粘连分离术后月经状况,有利于预防宫颈粘连复发。
Objective To investigate the preventive effect of Bushen Huayu Recipe on recurrent cervical adhesions in patients with moderate to severe intrauterine adhesions (TCRA). Methods From June 2014 to March 2016, 43 patients admitted to the Second Affiliated Hospital of Guangzhou University of Chinese Medicine diagnosed as moderate-to-severe intrauterine adhesions with TCRA were randomly divided into treatment group (n = 21) and patients Artificial cycle and Chinese medicine Bushen Huayu Fang treatment; control group of 22 cases, artificial cycle of treatment of three menstrual cycles. Using SPSS 19.0 statistical software to compare the two groups of patients with postoperative menstrual recovery, intrauterine adhesions to improve the situation. Results After 3 months of treatment, the symptoms of menstruation in both groups recovered, and the volume and quality of the treatment group improved more effectively (P <0.01). The IUA scores of both groups were significantly lower than those before treatment, and the treatment group was lower than the control group, the difference was statistically significant (P <0.01). Conclusion Bushen Huayu decoction can effectively improve menstrual status after moderate and severe adhesion of intrauterine adhesions, which is helpful to prevent recurrence of cervical adhesion.