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王绍庆1△,谭枚秀2▲.从络脉理论探讨补肾活血方防治宫腔粘连复发[J].中国医药科学,2023,(1):103-106        基金项目:
从络脉理论探讨补肾活血方防治宫腔粘连复发
Investigation on prevention and treatment of relapse of intrauterine adhesion by Bushen Huoxue Prescription from collateral theory
  
DOI:
中文关键词:  宫腔粘连术后再粘连;络脉理论;肾虚血瘀证;补肾活血方
英文关键词:Postoperative re-adhesion of intrauterine adhesion; Collateral theory; Kidney deficiency and blood stasis syndrome; Bushen Huoxue Prescription
作者单位
王绍庆1△,谭枚秀2▲ 1.湖南中医药大学,湖南长沙 410208;2.湖南中医药大学第二附属医院妇科,湖南长沙 410005 
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中文摘要:
      [摘要] 宫腔粘连发病率逐年上升,是临床常见病,已成为继发性不孕的主要原因之一。目前宫腔粘连最常用的治疗方法是宫腔粘连分离术,术后配合物理屏障、药物等辅助措施,但疗效不容乐观,术后粘连复发率较高,有效妊娠率低,对女性的身心健康造成了极大影响。近年来大量研究发现,络脉理论与微循环系统、神经-内分泌-免疫系统等密切相关,中医认为宫腔粘连的主要病机为肾虚失养,胞络瘀阻,结合中西医对络脉和宫腔粘连的认识,从络脉理论来探讨防治宫腔粘连术后再粘连的机制及可行性,提出应用补肾活血方治疗宫腔粘连肾虚血瘀证,以期提高临床疗效,改善生殖预后。
英文摘要:
      [Abstract] The incidence of intrauterine adhesion is increasing year by year. It is a common clinical disease and has become one of the main causes of secondary infertility. At present, the most commonly used treatment method for intrauterine adhesion is intrauterine adhesion separation, which is combined with physical barriers, drugs and other auxiliary measures after operation. However, the therapeutic efficacy is not optimistic, the relapse rate of postoperative adhesion is relatively high, and the effective pregnancy rate is low, which has significant impact on women’s physical and mental health. In recent years, a large number of studies have found that collateral theory is closely related to microcirculation system, nerve-endocrine-immune system, etc. Traditional Chinese medicine believes that the main pathogenesis of intrauterine adhesion is kidney deficiency and blood stasis. Based on the knowledge of collaterals and intrauterine adhesion in traditional Chinese and western medicine, the mechanism and feasibility of preventing and treating postoperative re-adhesion of intrauterine adhesion from collateral theory is investigated in this paper. Meanwhile, the application of Bushen Huoxue Prescription is put forward to treat the kidney deficiency and blood stasis syndrome of intrauterine adhesion, hoping to improve the clinical efficacy and improve the reproductive prognosis.
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