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目的:观察腹腔镜联合活血化瘀汤治疗轻型子宫内膜异位症(EMs)不孕的疗效及对患者机体氧化应激状态的影响。方法:将84例轻型EMs不孕患者随机分为A组与B组各42例,2组均实施腹腔镜手术治疗,B组术后加用常规西药治疗,A组在B组治疗的基础上加用活血化瘀汤治疗,观察比较2组临床疗效及氧化应激指标水平变化。结果:总有效率A组为95.24%,B组为80.95%,2组比较,差异有统计学意义(P<0.05)。术后6月,受孕率A组为64.29%,B组为42.86%,2组比较,差异有统计学意义(P<0.05)。治疗后2组血清活性氧簇(ROS)水平较治疗前降低,血清超氧化物歧化酶(SOD)、维生素E(Vit E)水平较治疗前升高,差异均有统计学意义(P<0.05);且A组上述指标改善较B组更显著(P<0.05)。结论:腹腔镜联合活血化瘀汤治疗轻型EMs不孕可调节氧化应激状态,改善临床症状,提高疗效及妊娠率,值得推广应用。
Objective: To observe the curative effect of laparoscopy combined with activating blood-activating blood stasis decoction on the treatment of infertility with light endometriosis (EMs) and its effect on oxidative stress in the patient’s body. Methods: A total of 84 patients with mild EMs infertility were randomly divided into group A and group B, 42 cases. Both groups were treated with laparoscopic surgery. Group B was treated with conventional western medicine. Group A was treated with group B Plus the treatment of promoting blood circulation to eliminate blood stasis, observe and compare the clinical curative effect and the level of oxidative stress in the two groups. Results: The total effective rate was 95.24% in group A and 80.95% in group B, and the difference was statistically significant (P <0.05). At 6 months after operation, the rate of conception was 64.29% in group A and 42.86% in group B, respectively. There was significant difference between the two groups (P <0.05). After treatment, the level of reactive oxygen species (ROS) in the two groups was lower than before treatment, and the levels of serum superoxide dismutase (SOD) and vitamin E were significantly higher than those before treatment (P <0.05 ), And the above indexes in group A improved more significantly than those in group B (P <0.05). Conclusion: Laparoscopy combined with Huoxue Huayu Decoction in the treatment of mild EMs infertility can adjust the status of oxidative stress, improve clinical symptoms and improve the efficacy and pregnancy rate, which deserved to be popularized and applied.