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Effect of Yishen Zhuyu Decoction combined with Leuprolide Acetate Microspheres in the treatment of endometriosis with kidney deficiency and phlegm stasis #br# |
CHEN Jingxian1 LIN Haipeng2 LIANG Xuefang3 WANG Yongxia3 TAN Xixi4 |
1.Department of Obstetrics and Gynecology, Yangjiang Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Guangdong Province, Yangjiang 529500, China;
2.Ward Two, Department of Internal Medicine, People’s Hospital of Yangjiang Affiliated to Guangdong Medical University, Guangdong Province, Yangjiang 529500, China;
3.Department of Gynecology, Traditional Chinese Medicine Hospital of Guangdong Province, Guangdong Province, Guangzhou 510000, China;
4.Department of Medicine, People’s Hospital of Yangjiang Affiliated to Guangzhou Medical University, Guangdong Province, Yangjiang 529500, China |
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Abstract Objective To analyze the clinical effect of Yishen Zhuyu Decoction combined with Leuprorelin Acetate Microspheres in the treatment of endometriosis (EMT) of kidney deficiency and phlegm stasis. Methods From June 2018 to June 2020, 80 patients with EMT treated in Yangjiang Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine were selected as the research objects, according to random number table method, they were divided into two groups, with 40 cases in each group. The control group was treated with Leuprorelin Acetate Microspheres, and the study group was treated with Yishen Zhuyu Decoction on the basis of control group. The clinical efficacy, the levels of matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1) before and after treatment and the occurrence of adverse reactions in two groups were observed and recorded. Results The clinical effect of study group was better than that of control group (P < 0.05). After treatment, MMP-9 levels between two groups were lower than those before treatment, and TIMP-1 levels between two groups were higher than those before treatment (P < 0.05); MMP-9 level in study group was lower than that in control group, and TIMP-1 level was higher than that in control group (P < 0.05). The total incidence of adverse reactions in study group was lower than that in control group (P < 0.05). Conclusion The application of Yishen Zhuyu Decoction combined with Leuprorelin Acetate Microspheres in EMT is helpful to improve the therapeutic effect, regulate the levels of TIMP-1 and MMP-9 and reduce adverse reactions.
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[1] 杨慧君,赵鲜.藏红花加温胆汤对子宫内膜异位症患者外周血基质金属蛋白酶9水平的影响[J].中国生化药物杂志,2016,36(9):104-107.
[2] Zondervan KT,Becker CM,Kog AK,et al. Endometriosis [J]. Nat Rev Dis Prim,2018,4(1):9.
[3] 孙秋峰.复方莪术散对子宫内膜异位症患者cAMP-PKA信号通路及MMP-2和TIMP-2表达的影响[J].中医学报,2017,32(9):1745-1748.
[4] Shigesi N,Kvaskoff M,Kirtley S,et al. The association between endometriosis and autoimmune diseases:a systematic review and meta-analysis [J]. Human Repro Update,2019,25(4):486-503.
[5] 胡江辉,吴春丽,吴丽华.注射用醋酸曲普瑞林联合丹那唑对子宫内膜异位症患者基质金属蛋白酶水平的影响[J].广东医学,2020,41(12):1268-1271.
[6] 杜小琴.腹腔镜手术联合戈舍瑞林治疗子宫内膜异位症合并不孕症的疗效及对血清MMP-9、TIMP-1水平的影响[J].中国妇幼保健,2017,32(18):4486-4489.
[7] 张雯碧,徐丛剑.子宫内膜异位症对胚胎和子宫内膜的影响[J].中国计划生育和妇产科,2017,9(2):1-3.
[8] 武梅,程雯,张丹英,等.子宫内膜异位症中医证型研究进展[J].中华中医药杂志,2019,34(1):253-255.
[9] 中华医学会妇产科学分会子宫内膜异位症协作组.子宫内膜异位症的诊治指南[J].中华妇产科杂志,2015,50(3):161-169.
[10] 刘慧颖,韦钰颖,高颖,等.两种药物辅助腹腔镜手术对中重度子宫内膜异位症合并不孕患者妊娠率、实验室指标及不良反应的影响[J].河北医药,2017,39(21):3265-3271.
[11] Roshankhah S,Mansouri K,Bakhtiari M,et al. Synergistic effects of TIMP2-418G/C and MMP-9-1562C/T variants on the male infertility risk [J]. Mole Biol Rep,2018, 46(1):861-866.
[12] 曹军民,李娟芳,崔宇红,等.子宫内膜异位症痛经发病机制及中西医治疗研究进展[J].亚太传统医药,2018, 14(2):117-119.
[13] 邓颖,侯聪,高洪燕,等.中药复方治疗子宫内膜异位症实验研究进展[J].中医药导报,2020,26(14):121-125.
[14] 金美容,罗秋玲,黄瑜.VEGF与MMP-9在子宫内膜异位合并不孕症患者中的表达及意义[J].中外医学研究,2018,16(22):125-126.
[15] 王晓静,张旭艳,曹豆青,等.OPN、PI3K及MMP-9在子宫内膜异位症组织中的表达及意义[J].临床和实验医学杂志,2019,18(9):942-945.
[16] 高扬,朱艳.子宫内膜异位症合并不孕患者血清中基质金属蛋白酶9、基质金属蛋白酶抑制剂1、血管内皮生长因子可溶性受体、胰岛素生长因子1、单核细胞趋化蛋白1表达水平及临床意义[J].陕西医学杂志,2020, 49(4):462-465.
[17] 魏喜娇.桂香温经止痛颗粒治疗寒凝血瘀型子宫内膜异位症痛经的疗效观察[D].哈尔滨:黑龙江中医药大学,2019.
[18] 周丽,叶梅君.中西医结合对子宫内膜异位症湿热瘀阻证及基质金属蛋白酶的影响[J].中华中医药学刊,2018, 36(8):2042-2045.
[19] 胡晶国.补肾活血散瘀汤治疗卵巢型子宫内膜异位症34例[J].中国中医药现代远程教育,2017,15(4):87-88.
[20] 郎景和.对子宫内膜异位症认识的历史、现状与发展[J].中国实用妇科与产科杂志,2020,36(3):193-196.
[21] 刘影.桂莪棱乌汤治疗子宫内膜异位症寒凝血瘀型临床观察[J].实用中医药杂志,2019,35(2):142-143.
[22] 姜珊珊.桂枝茯苓丸加减治疗气滞血瘀型子宫内膜异位症所致痛经的临床观察[D].哈尔滨:黑龙江中医药大学,2019.
[23] 范莉,周琼林,缪士霞,等.桂枝茯苓丸联合孕三烯酮胶囊治疗子宫内膜异位症患者疗效观察及对血清雌二醇、孕酮及黄体生成素的影响[J].中国医药科学,2018, 8(22):40-42.
[24] 宋卫玲.中药周期治疗子宫内膜异位症术后不孕的效果及对炎性因子的影响[J].中国民间疗法,2019,27(9):38-39.
[25] Zhu GH,Jiang CH,Yan X,et al. Shaofuzhuyu decoction regresses endometriotic lesions in a rat model [J]. Evid Based Complement Alternat Med,2018,2018: 3927096.
[26] 韩倩,时光,赵瑞华.赵瑞华教授从“治未病”思想防治子宫内膜异位症[J].现代中西医结合杂志,2019,28(24):2704-2706.
[27] 杨琪.温肾化瘀法治疗肾虚血瘀型子宫内膜异位性疾病的临床观察[D].北京:北京中医药大学,2017.
[28] 薛迎春,陈立,徐雪.盆腔子宫内膜异位症患者采用中药灌肠配合穴位贴敷治疗的效果与护理[J].实用妇科内分泌电子杂志,2019,6(29):106,110. |
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