Kidney-tonifying blood-activating collateral-unblocking method for thin endometrium of the kidney deficiency and blood stasis pattern

Jing Jia; Yunbo Li; Xiaona Ma; Xiufang Hao; Mengmeng Shen; Zheng Wang; Xiangyu He

doi:10.3969/j.issn.2095-6606.2021.05.004

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Kidney-tonifying blood-activating collateral-unblocking method for thin endometrium of the kidney deficiency and blood stasis pattern

更新时间：2021-10-19

- Kidney-tonifying blood-activating collateral-unblocking method for thin endometrium of the kidney deficiency and blood stasis pattern
- Modern Chinese Clinical Medicine Vol. 28, Issue 5, Pages: 14-19(2021)
- 作者机构：
  
  北京中医药大学第三附属医院妇科　北京　 100029
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2021.05.004
  CLC： R271.9
- Published：30 September 2021，
  
  Received：24 September 2020，
- 稿件说明：
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Jing Jia, Yunbo Li, Xiaona Ma, et al. Kidney-tonifying blood-activating collateral-unblocking method for thin endometrium of the kidney deficiency and blood stasis pattern. [J]. Modern Chinese Clinical Medicine 28(5):14-19(2021)
DOI：

Jing Jia, Yunbo Li, Xiaona Ma, et al. Kidney-tonifying blood-activating collateral-unblocking method for thin endometrium of the kidney deficiency and blood stasis pattern. [J]. Modern Chinese Clinical Medicine 28(5):14-19(2021) DOI： 10.3969/j.issn.2095-6606.2021.05.004.

摘要

目的

观察补肾活血通络法治疗薄型子宫内膜肾虚血瘀证的临床疗效。

方法

选取68例薄型子宫内膜患者，采用随机数字表法将入组患者随机分为治疗组34例、对照组34例。剔除脱落病例后，治疗组30例、对照组30例。治疗组予补肾活血通络方加减治疗，对照组予口服戊酸雌二醇加黄体酮胶囊治疗。观察子宫内膜厚度、子宫内膜类型、子宫内膜血流类型、子宫内膜血流阻力指数(RI)和搏动指数(PI)值、子宫动脉RI和PI值、中医症状评分。

结果

治疗后2组子宫内膜厚度均较治疗前增厚，差异均有统计学意义(

0.05)。治疗后治疗组A型内膜比例高于对照组、C型内膜比例低于对照组，差异均有统计学意义(

0.05)，治疗组优于对照组。治疗后2组子宫内膜血流类型均较治疗前改善(

0.05)，治疗组优于对照组，差异均有统计学意义(

0.05)。治疗后，治疗组患者子宫内膜血流RI，PI较治疗前降低(

0.05)，治疗后2组患者子宫动脉血流RI，PI较治疗前降低(

0.05)。治疗后2组月经量、行经时间评分较本组治疗前均降低，差异均有统计学意义(

0.05)。治疗后，治疗组月经色质、腰膝酸软、头晕耳鸣、行经腹痛评分较本组治疗前均降低，差异均有统计学意义(

0.05)。治疗后，治疗组各症状及总积分较对照组降低明显，治疗前后症状评分差值比较，差异均有统计学意义(

0.05)。

结论

补肾活血通络法治疗薄型子宫内膜肾虚血瘀证具有较好的临床效果。

Abstract

Objective

To observe the clinical efficacy of kidney-tonifying blood-activating collateral-unblocking method for thin endometrium of the kidney deficiency and blood stasis pattern.

Methods

Sixty-eight patients with thin endometrium were randomly assigned to the treatment group (34 cases) and the control group (34 cases). With the withdrawal and drop-outs excluded

there were 30 cases in the treatment group and 30 cases in the control group. The treatment group was treated with modified

Bushen Huoxue Tongluo

Decoction

and the control group was treated with Estradiol Valerate and Progesterone Capsule. Endometrial thickness

endometrial type

endometrial blood flow type

resistant index(RI)and pulse index(PI) value of endometrial blood flow

RI and PI value of uterine artery and TCM symptom score were observed.

Results

The endometrial thickness was thicker after treatment than before treatment in both groups