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本溪市红十字会医院妇产科
纸质出版日期:2016,
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[1]林娟.药物、手术联合理疗治疗卵巢残留综合征的疗效分析[J].保健医学研究与实践,2016,13(05):37-39+42.
Lin Juan. Efficacy of Physiotherapy Added to Medication and Surgery in the Treatment of Ovarian Residual Syndrome[J]. Health Medicine Research and Practice, 2016,13(5):37-39.
目的探讨药物、手术联合理疗治疗卵巢残留综合征(ORS)的临床效果。方法选取2008年3月-2014年3月在本溪市某医院行双侧卵巢输卵管切除术后并发ORS的56例患者作为研究对象
随机分为对照组和研究组
每组28例。对照组患者采用常规治疗
研究组患者在常规治疗的基础上对腹部及腰骶部进行理疗。比较治疗前及治疗10d时2组患者的视觉模拟评分法(VAS)评分、预后营养指数(OPNI)、中性粒细胞-淋巴细胞比例(NLR);比较治疗前及治疗2个月时2组患者体内激素[促卵泡生成激素(FSH)、促黄体生成素(LH)、雌二醇(E2)、孕酮(P)、睾酮(T)]水平;比较2组患者治疗10d时的治疗效果。结果治疗前
2组患者VAS评分、OPNI和NLR比较
差异无统计学意义(P>0.05);治疗10d时
2组患者VAS评分和NLR均低于治疗前
差异有统计学意义(P<0.05)
且研究组患者VAS评分和NLR均低于对照组
差异有统计学意义(P<0.05);治疗10d时
2组患者OPNI均高于治疗前
差异具有统计学意义(P<0.05)
且研究组患者OPNI高于对照组
差异具有统计学意义(P<0.05)。治疗前
2组患者FSH
LH
E2
P
T水平比较
差异无统计学意义(P>0.05);治疗2个月时
2组患者FSH
LH水平均高于治疗前
差异具有统计学意义(P<0.05)
且研究组患者FSH
LH水平均高于对照组
差异具有统计学意义(P<0.05);治疗2个月时
2组患者E2
P
T水平均低于治疗前
差异具有统计学意义(P<0.05)
且研究组患者E2
P
T水平低于对照组
差异具有统计学意义(P<0.05)。研究组患者治疗总有效率为92.86%
高于对照组(71.43%)
差异有统计学意义(P<0.05)。结论药物和手术治疗ORS的同时辅以腹部及腰骶部理疗
可以提高临床治疗效果
减少并发症的发生
值得临床推广应用。
Objective To investigate the clinical efficacy of physiotherapy added to medication and surgery in the treatment of ovarian residual syndrome(ORS).Methods A total of 56 patients treated at a single hospital of Benxi between March 2008 and March 2014 were included in the study.All patients experienced ORS after bilateral salpingo-oophorectomy.Patients were randomized into the physiotherapy group(routine treatment plus abdominal and lumbosacral physiotherapy)or the control group(routine treatment alone)
28 patients in each group.The visual analogue scale(VAS)score
Onodera prognostic nutrition index(OPNI)
neutrophilto-lymphocyte ratio(NLR)were measured at baseline and after 10 days of treatment;while the levels of hormones[follicle-stimulating hormone(FSH)
luteotropic hormone
estradiol(E2)
progesterone(P)
and testosterone(T)]were determined at baseline and after 2 months of treatment;All of these parameters were compared between the two groups.Results At baseline
the VAS score
OPNI and NLR were comparable between the two groups(P>0.05).After 10 days of treatment
the VAS score and NLR were significantly decreased compared with their baseline levels in both groups(P<0.05);the VAS score and NLR were significantly lower in the physiotherapy group than those in the control group(P<0.05).At Day 10
the OPNI was significantly increased compared with its baseline level in both groups(P<0.05);the OPNI was significantly higher in the physiotherapy group than that in the control group(P<0.05).In terms of FSH
LH
E2
P and T levels
no significant differences were observed between the two groups at baseline(P >0.05).After 2months of treatment
the FSH and LH levels were significantly increased compared with their baseline levels in both groups(P<0.05);the FSH and LH levels were significantly higher in the physiotherapy group than those in the control group(P<0.05).Also at this time point
the E2
P and T levels were significantly decreased compared with their baseline levels in both groups(P<0.05);the E2
P and T levels were significantly lower in the physiotherapy group than those in the control group(P<0.05).The overall effective rate in the physiotherapy group was 92.86%
significantly higher than that in the control group(71.43%)(P<0.05).Conclusion When added to medication and surgery in treating patients with ORS
abdominal and lumbosacral physiotherapy is associated with improved clinical efficacy and a lower risk of complications
supporting its use in clinical practice.
卵巢残留综合征激素理疗
Ovarian residual syndromeHormonePhysiotherapy
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