目的 探讨加味生化汤序贯治疗对无痛人流术后子宫修复的影响.方法 选取就诊于江苏省中西医结合医院妇产科行无痛人流术患者300例,随机分为3组,各100例.对照组予预防感染治疗,西药组在对照组基础上予雌二醇片/雌二醇地屈孕酮片治疗,中药组在对照组基础上予加味生化汤治疗.比较3组术后阴道出血量及时间、首次月经复潮时间、子宫内膜厚度,并记录各组术后并发症及不良反应.结果 中药组在控制阴道出血量、出血持续时间及首次月经复潮时间优于其他2组,差异有统计学意义(P＜0.05).术后3周时,中药组和西药组在改善子宫内膜厚度优于对照组,差异有统计学意义(P＜0.05).对照组、西药组和中药组的术后并发症发生率分别为9.0％、2.0％、1.0％.西药组共7例出现不良事件反应,而中药组和对照组无不良反应发生.结论 加味生化汤可以减少无痛人流术后出血时间及出血量,促进子宫修复、月经按期复潮,降低术后并发症,且安全性好.

目的:探讨中药离子导入对于慢性盆腔炎性疾病的治疗效果.方法:将90例慢性盆腔炎性疾病患者随机分为基础治疗组、中药外敷组和离子导入组,每组30例,3组均予抗生素+中药口服+中药灌肠冶疗.在此基础上,中药外敷组同时使用中药外敷下腹部;离子导入组同时应用中药离子导入法作用于下腹部.结果:治疗结束时,3组患者的盆腔疼痛等不适症状均有所改善,其总有效率依次为76.7％、80.0％及90.0％.中药外敷组及离子导入组疗效均优于基础治疗组,而其中以离子导入组患者临床症状改善更显著,差异均有统计学意义(P＜0.05).结论:在常规治疗基础上运用中药外治法,应用于患者下腹部盆腔范围内相应穴位,能够在一定程度上提高临床疗效.离子导入法较之中药外敷法可更为显著地改善患者不适症状,缩短病程,值得临床推广应用.

<正>卵巢恶性肿瘤是女性生殖系统常见的三大恶性肿瘤之一,由于早期症状不典型,确诊时60%～70%已至晚期,其病死率位于女性癌症患者病死率的第5位,并高居妇科恶性肿瘤首位。目前对于卵巢癌的治疗仍采用以手术为主的综合治疗。由于卵巢癌对化疗中度敏感,所以化疗在晚期卵巢癌的治疗中占有重要的地位。即使是行满意减瘤术后的患者

<正>多囊卵巢综合征(polycystic ovary syndrome,PCOS)是女性常见的生殖内分泌疾病,其发生率占生育年龄妇女的5%～10%,在育龄期尤以生殖障碍者居多。现代医学认为,PCOS是由下丘脑—垂体—卵巢轴系统功能失调引起,临床表现为月经稀发,无排卵,不孕,高雄激素血症,肥胖,血清黄体生成激素(LH)水平升高,组织学显示双侧卵巢呈多囊性改变。西医治疗副反应较多,可能加重内分泌紊乱,引起卵泡过度刺激征等严重并发症,以及高促排卵率、低妊娠率。王佩娟为江苏省中医药研究院、江苏省中西医

The causes of premature ovarian failure are complex,and autoimmunity is an important reason causing premature ovarian failure.T lymphocytes can be divided into helper T cells,cytotoxic T cells and regulatory T cells according to their function.Research shows that premature ovarian failure is closely related with T lymphocyte subsets.However,there is no agreement about the relationship between premature ovarian failure and each subset of T lymphocytes.Especially the connection between premature ovarian failure and helper T cells and cytotoxic T cells is controversial,and there is no report about premature ovarian failure and regulatory T cells.Therefore,it is particularly significant to explore the relationship between autoimmune premature ovarian failure and T lymphocyte subsets.

Objective:To explore the research progress of pathogenesis of autoimmune premature ovarian failure by integrated traditional Chinese and western medicine.Methods:The pathogenesis of autoimmune premature ovarian failure by integrated traditional Chinese and western medicine was explored through summary,induction and analysis the related literatures in recent years.Results:The pathogenesis of premature ovarian failure is complex,among which,autoimmunity plays an important role in causing premature ovarian failure.However,the pathogenesis of autoimmunity resulting in premature ovarian failure is undefined.Researches have shown that autoimmune premature ovarian failure patients often occur in the dysfunction of cellular immunity and humoral inmunity and it is also generally associated with other autoimmune diseases.Traditional Chinese medicine consider that the basic pathogenesis of autoimmune premature ovarian failure mainly is kidney weakness and blood stasis,so that,the therapeutic method is tonifying kidney and activating blood circulation.However,the associated immune mechanism of tonifying kidney and activating blood circulation method in treating this disease is nubilous.Conclusion:Exploring the pathogenesis of autoimmune premature ovarian failure by integrated traditional Chinese and western medicine has great significance.