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专栏:民族医药研究 | 更新时间:2024-03-12
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定坤丹联合宫腔灌注自体富血小板血浆治疗对薄型子宫内膜患者的影响▲
Impact of Dingkundan combined with intrauterine perfusion of autologous platelet-rich plasma treatment on patients with thin endometrium

内科 202419卷01期 页码:53-57

作者机构:广西科技大学第一附属医院妇科,柳州市 545002

基金信息:▲基金项目:广西医疗卫生适宜技术开发与推广应用项目(S2019004)

DOI:10.16121/j.cnki.cn45-1347/r.2024.01.11

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  • 英文简介
  • 参考文献

目的 探讨定坤丹联合宫腔灌注自体富血小板血浆(PRP)治疗改善薄型子宫内膜患者的效果。方法 选取60例薄型子宫内膜患者作为研究对象,将其随机分为对照组和研究组,每组30例。对照组行宫腔灌注自体PRP治疗,研究组在对照组的基础上行定坤丹治疗。比较两组患者治疗总有效率,治疗前后子宫动脉血流参数、子宫内膜厚度和血清因子指标,以及治疗期间的不良反应发生率。结果 治疗后,研究组治疗总有效率、子宫内膜厚度,以及血清血小板衍生生长因子‑AB、血小板衍生因子‑BB、血管内皮生长因子和转化生长因子‑β1水平均高/大于对照组,子宫动脉血流搏动指数、子宫动脉血流阻力指数、子宫动脉血流收缩期峰值流速/舒张末期流速均低于对照组(均P<0.05)。治疗期间,研究组不良反应总发生率低于对照组(P<0.05)。结论 定坤丹联合宫腔灌注自体PRP治疗可改善薄型子宫内膜患者的子宫动脉血流和子宫内膜厚度,并增加血清细胞生长因子的表达水平,且不良反应小。


Objective To investigate the effect of Dingkundan combined with intrauterine perfusion of autologous platelet-rich plasma (PRP) treatment on patients with thin endometrium. Methods A total of 60 patients with thin endometrium were selected as research subjects and randomly divided into the control group or the study group, with 30 cases in each group. The control group was given intrauterine perfusion of autologous PRP treatment, based on which the study group was treated with Dingkundan additionally. The total effective rate of treatment, as well as uterine artery blood flow parameters, endometrial thickness, serum factors levels before and after treatment, and the incidence of adverse reactions during treatment were compared between the two groups. Results After treatment, the total effective rate of treatment, endometrial thickness, serum levels of platelet‑derived growth factor-AB, platelet‑derived growth factor-BB, vascular endothelial growth factor, and transforming growth factor-β1 in the study group were higher/greater than those in the control group, and the uterine artery pulsatility index, uterine artery blood flow resistance index, and uterine artery systolic peak blood flow velocity/end diastolic velocity were lower than those in the control group (all P<0.05). During treatment, the total incidence of adverse reactions in the study group was lower than that in the control group (P<0.05). Conclusion Dingkundan combined with intrauterine perfusion of autologous PRP treatment can improve uterine artery blood flow and endometrial thickness in patients with thin endometrium and increase their serum cell growth factors expression levels, with mild adverse reactions.


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