妇科洗液成分专业解读

调查显示，全世界约87％的成年女性不同程度的感染过妇科炎症，临床常见的妇科炎症有阴道炎、宫颈炎、子宫内膜炎等。临床上妇科炎症主要表现为阴部瘙痒、灼热肿痛、白带增多、尿频、尿急、尿痛等症状，反复发作，经久不愈，影响生活质量和夫妻生活。     

多途径给药中医综合治疗慢性盆腔炎临床疗效观察

目的:观察多途径给药中医综合治疗慢性盆腔炎的临床疗效,为临床提供一种无明显不良反应,价廉有效的治疗方法。方法:治疗组35例辨证论治的基础上采用同一剂中药分别口服、外敷、灌肠,月经干净后开始用药,14天为1个疗程,经期停药,连用3个月经周期;对照组35例阿莫西林胶囊0.5g,日3次口服;同时服甲硝唑片0.2g,每日3次,7日为1个疗程。治疗3个月后评定综合疗效。分别于治疗开始及疗程结束时做妇科检查、盆腔B超。结果:治疗组总有效率94.3%,对照组总有效率85.7%,两组比较有显著性差异。结论:多途径给药中医综合治疗慢性盆腔炎临床疗效确切,明显优于西药对照组。     

温阳祛痰法治疗肾虚痰凝型多囊卵巢综合征的临床体会

多囊卵巢综合征(PCOS)是妇科常见的内分泌疾病,临床以月经不调、肥胖、多毛、不孕、痤疮及黑棘皮症为常见表现,是不孕症患者的常见病因,严重影响生育年龄妇女的生殖健康,可归于中医"闭经""月经后期""崩漏""不孕""癥瘕"等范畴。笔者认为肾阳虚是PCOS的致病之本,痰湿阻滞是发病的关键,临床上以阳和汤加减治疗,收效颇丰。     

中医综合治疗慢性盆腔炎的临床疗效评价研究

目的：评价中医综合治疗慢性盆腔炎的临床综合疗效,探讨基于症状变化的中医证候疗效评价方法。方法：将慢性盆腔炎患者121例随机分成中医综合治疗组、西药组,比较各组的综合疗效及证候疗效情况。结果：中医综合治疗组总有效率95．8％,西药组总有效率86％,2组差异无统计学意义（P〉0．05）。症状等级分组资料的H检验结果表明气滞血瘀型中医综合治疗组（中医组）显著优于西药组（P〈0．05）。湿热瘀结型中医组与西药组的差异无统计学意义。结论：中医综合治疗慢性盆腔炎的临床疗效确切,采用症状等级分组资料H检验可能为一种更好的疗效评价方法。     

补肾活血方治疗肾虚血瘀型多囊卵巢综合征80例

目的:观察补肾活血方治疗肾虚血瘀型多囊卵巢综合征(PCOS)的临床疗效。方法:将157例患者随机分为2组。观察组80例,服用补肾活血方,1剂/d,每日一次;对照组77例,予炔雌醇环丙孕酮(达英35)口服1片/次,1次/d,2组均以治疗3个月为1疗程,共治疗2个疗程,疗程结束3个月后统计临床疗效、妊娠率与基础体温双相率,检测血清睾酮(T)、黄体生成素(LH)、促卵泡素(FSH)、雌二醇(E_2)等指标。结果:总有效率观察组为90.0%,对照组为80.5%,2组比较差异无统计学意义(P0.05)。基础体温双相率观察组为30.0%,对照组为13.0%,2组比较差异有统计学意义(P0.05)。妊娠率观察组为20.0%,对照组为7.8%,2组比较差异有统计学意义(P0.05)。对照组中1例治疗1个疗程后丙氨酸转移酶升高,停药后经消化科治疗3个月后恢复正常。观察组未见异常。观察组治疗后FSH、LH、T治疗后明显下降,差异有统计学意义(P0.05)。对照组治疗后FSH水平无明显变化,差异无统计学意义(P0.05),LH、E_2、T治疗后明显下降,差异有统计学意义(P0.05)。结论:补肾活血方治疗PCOS临床疗效确切。     

姜黄素的体外杀利什曼原虫作用

在寻找天然抗寄生虫剂的研究中,发现姜黄(Curcuma longa)的主要活性成分姜黄素在体外具有杀利什曼原虫的活性。 材料与方法:硕大利什曼原虫前鞭毛体于SDM-79培养基中,在27℃、5％CO_2-95％空气条件     

李光荣辨治妇科病医案3则

<正>李光荣教授为国家中医药管理局第三批名老中医,博士生导师,临床治疗中强调辨证与辨病相结合,重视中医理论,重视妇科疾病的特殊性和女性的生理特点,强调理论对实践的指导作用,从医50余载,积累了丰富的临床经验。1病案分析1.1益气活血法治疗子宫内膜异位症女性多虚多瘀,因虚致瘀,李光荣教授创制"消异饮"方,方中黄芪益气健脾,丹参养血活血;生蒲黄行血散瘀,五灵脂活血化瘀止痛,蒲     

桂附胶囊对子官内膜异位症（寒凝血瘀型）外周血EMAb、CA125、TNF—α、NK细胞影响的临床研究

目的：观察桂附胶囊对子宫内膜异位症（内异症）患者免疫功能的影响。方法：入选36例内异症患者均口服桂附胶囊（由桂枝、附子、三棱、莪术等组成）治疗，3月为1疗程，共治疗2疗程。观察治疗前后外周血抗子宫内膜抗体（EMAb）、肿瘤坏死因子-α（TNF—α）、卵巢肿瘤相关抗原125（CA125）、自然杀伤细胞（NK细胞）活性的变化。结果：痊愈8例，显效9例，有效16例，无效3例，愈显率为47．22％，总有效率为91．67％。治疗后EMAb阳性率、TNF—α水平明显下降，与治疗前比较，差异均有显著性意义（P〈0．05）；而外周血CA125水平也降低，NK细胞活性则提高，与治疗前比较，差异均有非常显著性意义（P〈0．01）。结论：子宫内膜异位症患者机体内存在免疫功能的失调，桂附胶囊能从多方面调节机体的免疫失调，可能是其取得临床疗效的机理之一。     

Chinese Medicine Improves Postoperative Quality of Life in Endometriosis Patients: A Randomized Controlled Trial

Objective:To investigate the effect of Chinese medicine(CM) and Western medicine(WM) on quality of life(QOL) after conservative surgery for endometriosis.Methods:A total of 320 patients with endometriosis were randomized into two groups by using random block design,CM group(160 cases,activating blood circulation and removing blood stasis treatment based on syndrome differentiation) and WM group(160 cases,gonadotropin-releasing hormone agonist or gestrinone treatment) after conservative surgery.Treatment was given for 3-6 months(according to the revised American Fertility Society scoring system stage),and the World Health Organization QOL-BREF(WHOQOL-BREF) was applied to patients before and after treatment to assess QOL.Results:There were 136 cases in the CM group and 141 cases in the WM group completing therapy.In the CM group,the use of the WHOQOL-BREF showed that the physical,psychological and environmental scores post- treatment were significantly higher than those at pre-treatment(P<0.05),and for 12 items(pain and discomfort, energy and fatigue,sleep and rest,mobility,activities of daily living,work capacity,negative feelings,health and social care:accessibility and quality,participation in and opportunities for recreation/leisure activities,appetite, QOL score,overall health status and QOL),the difference in scores was significant(P<0.05).In the WM group,4 items(pain and discomfort,opportunities for acquiring new information and skills,QOL score,overall health status and QOL) had significantly different scores post-treatment compared with those at pre-treatment(P<0.05).Before treatment,the QOL in the two groups of patients showed no significant difference(P>0.05).After treatment,the scores for physical health in the CM group were significantly higher than those of the WM group(P<0.05) and the scores of 4 items(mobility,activities of daily living,sexual activity,QOL score) in the CM group were significantly higher than those in the WM group(P<0.05).Conclusions:CM and WM treatment could improve the QOL of patients with endometriosis after conservative surgery.CM treatment is more effective than WM.