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加味琥珀散对寒凝血瘀型月经不调患者生殖激素水平及微循环影响的临床研究

Clinical Study on the Effects of Modified Hupo San on Reproductive Hormone Levels and Microcirculation in Patients with Menstrual Disorders of Cold Congelation and Blood Stasis Pattern.

作者信息

Ma Ran, Zhang Na, Xing Juan, Wang Yan, Zhen Xi

机构信息

Department of Infectious Diseases, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou, Hebei, People's Republic of China.

Department of Obstetrics and Gynecology, Dacheng County Hospital of Traditional Chinese Medicine, Dacheng, Hebei, People's Republic of China.

出版信息

Int J Womens Health. 2025 Sep 25;17:3271-3278. doi: 10.2147/IJWH.S539135. eCollection 2025.

Abstract

OBJECTIVE

To investigate the effects of Modified Hupo San on reproductive hormone levels and microcirculation in patients with menstrual disorders of cold congelation and blood stasis pattern.

METHODS

A total of 102 patients from the gynecological outpatient department of our hospital were randomly assigned into a control group (n=51) and a study group (n=51). Randomization was performed using a computer-generated random number table The study group was treated with Modified Hupo San for 3 cycles, while the control group received routine therapy. Blood samples were collected on the 2nd day of menstruation before treatment and again on the 2nd day of the 4th cycle. Serum levels of TXB2, 6-keto-PGF1α, t-PA, PAI-1, estradiol (E2), and progesterone (P) were measured. Safety monitoring was performed throughout the study. Statistical analysis was conducted using SPSS 22.0, with t-tests and chi-square tests applied, and P<0.05 considered statistically significant.

RESULTS

The total effective rate of Modified Hupo San in treating menstrual disorders of cold congelation and blood stasis pattern was 96.30%. Compared with baseline, serum TXB2 and PAI-1 levels significantly decreased, while 6-keto-PGF1α, t-PA, and t-PA/PAI-1 ratio significantly increased after treatment in the study group. E2 levels significantly increased after treatment, and were higher than those in the control group (P<0.05). Progesterone showed no significant difference.

CONCLUSION

Modified Hupo San demonstrated significant therapeutic effects in improving reproductive hormones and regulating microcirculation in patients with menstrual disorders of cold congelation and blood stasis pattern, with good safety.

摘要

目的

探讨加味琥珀散对寒凝血瘀型月经失调患者生殖激素水平及微循环的影响。

方法

选取我院妇科门诊102例患者,随机分为对照组(n = 51)和研究组(n = 51)。采用计算机生成随机数字表进行随机分组。研究组给予加味琥珀散治疗3个周期,对照组给予常规治疗。于治疗前月经第2天及治疗后第4周期月经第2天采集血样,检测血清TXB2、6 - 酮 - PGF1α、t - PA、PAI - 1、雌二醇(E2)和孕酮(P)水平。在整个研究过程中进行安全性监测。采用SPSS 22.0进行统计分析,应用t检验和卡方检验,P < 0.05为差异有统计学意义。

结果

加味琥珀散治疗寒凝血瘀型月经失调的总有效率为96.30%。与治疗前相比,研究组治疗后血清TXB2和PAI - 1水平显著降低,6 - 酮 - PGF1α、t - PA及t - PA/PAI - 1比值显著升高。E2水平治疗后显著升高,且高于对照组(P < 0.05)。孕酮水平差异无统计学意义。

结论

加味琥珀散对寒凝血瘀型月经失调患者改善生殖激素及调节微循环具有显著治疗作用,且安全性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e95/12478210/bc621c3124af/IJWH-17-3271-g0001.jpg

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