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目的:探讨中西医结合治疗妇科子宫肌瘤的临床疗效与安全性。方法:将88例绝经前期子宫肌瘤患者随机分为观察组与对照组,每组各44例。对照组予以抗生素加抗厌氧菌对症治疗,观察组在对照组的基础上,口服活血祛瘀中药,连续使用3个月,治疗结束后随访6个月。观察各评价指标、患者主观不良感受或不良反应。结果:治疗后观察组与对照组患者的子宫肌瘤平均体积均较治疗前缩小,缩小率分别为56.12%、42.30%,总有效率分别为88.63%、75.00%,随访6个月观察组子宫肌瘤反弹率低于对照组,差异均具有统计学意义(P<0.05),但两组不良反应比较,差异无统计学意义(P>0.05)。结论:中西医结合治疗妇科子宫肌瘤具有较高的临床有效率,明显缓解了患者的临床症状,复发反弹率低,远期疗效确切,值得临床推广应用。
Objective: To investigate the clinical efficacy and safety of integrated traditional Chinese and western medicine in the treatment of gynecologic uterine fibroids. Methods: 88 cases of premenopausal uterine fibroids were randomly divided into observation group and control group, 44 cases in each group. The control group was given antibiotics and anti-anaerobic symptomatic treatment. The observation group was treated with oral administration of blood stasis and stasis for 3 months on the basis of the control group. After the treatment, the patients were followed up for 6 months. Observation of the evaluation indicators, patients with subjective adverse feelings or adverse reactions. Results: After treatment, the average volume of uterine fibroids in the observation group and the control group decreased compared with that before treatment. The reduction rates were 56.12% and 42.30% respectively. The total effective rates were 88.63% and 75.00% respectively. The uterus of the observation group Fibroid rebound rate was lower than the control group, the difference was statistically significant (P <0.05), but there was no significant difference in adverse reactions between the two groups (P> 0.05). Conclusion: Integrative Medicine gynecological uterine fibroids have a high clinical efficiency, and significantly alleviate the clinical symptoms of patients with low recurrence rate, the long-term curative effect is indeed worthy of clinical promotion and application.