Analysis on the Application Effect of the Clinical Decision-making System of Traditional Chinese Medicine in Moderate or Se-vere Intrauterine Adhesion
10.16466/j.issn1005-5509.2024.03.008
- VernacularTitle:中重度宫腔粘连应用中医临床决策系统效果分析
- Author:
Yi SHEN
1
;
Jing MA
;
Jin LI
Author Information
1. 浙江中医药大学附属杭州市中医院 杭州 310007
- Keywords:
intrauterine adhesion;
TCM clinical decision-making system;
syndrome differentiation and treatment;
clinical application;
effect;
informatization
- From:
Journal of Zhejiang Chinese Medical University
2024;48(3):300-306
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the application and effect of traditional Chinese medicine(TCM)clinical decision-making system in the treatment of moderate or severe intrauterine adhesion(IUA).[Methods]A prospective randomized controlled trial was conducted.Patients with moderate or severe IUA who underwent hysteroscopic uterine adhesiolysis in a tertiary hospital of TCM in Hangzhou from January 2022 to December 2022 were selected.The patients were divided into control group(51 cases),decision system group(53 cases)and clinician group(54 cases)according to whether they were treated by TCM dominant disease clinical decision-making system.The improvement of menstrual volume,American Fertility Society(AFS)score,endometrial thickness,endometrial blood flow parameters and the efficacy of TCM accompanying symptoms were compared among the three groups before and after treatment.[Results]Compared with control group,the menstrual volume of decision system group and clinician group were significantly improved(P＜0.05),but there was no significant difference between decision system group and clinician group(P＞0.05).Compared with control group,the AFS scores of uterine cavity in decision system group and clinician group were significantly decreased(P＜0.01),and there was no significant difference between decision system group and clinician group(P＞0.05).The endometrial thickness was significantly increased and the endometrial blood flow parameters were significantly decreased in the three groups after treatment,and the differences were statistically significant(P＜0.01),but there was no significant difference among the three groups before and after treatment(P＞0.05).Compared with control group and decision system group,the clinical physician group had significantly improved efficacy of TCM accompanying symptoms(P＜0.05),and there was no significant difference between control group and decision system group(P＞0.05).[Conclusion]TCM clinical decision system for IUA can significantly improve the menstrual volume of patients with moderate or severe IUA,reduce postoperative AFS score and prevent the recurrence of adhesion.
