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    活血化瘀方加减联合消癥散外敷对维吾尔族子宫内膜息肉患者ER、PR、Survivin和Bcl-2的影响及与术后复发的关系

    Effects of Huoxue Huayu Recipe combined with Xiaozhi San on ER, PR, survivin and Bcl-2 in Uygur ethnic minority patients with endometrial polyps and its relationship with postoperative recurrence

    • 摘要: 目的 探讨活血化瘀方加减联合消癥散外敷对维吾尔族子宫内膜息肉患者雌激素受体(ER)、孕激素受体(PR)、Survivin和B细胞淋巴瘤-2(Bcl-2)的影响及与术后复发的关系。方法 选取2016年3月—2017年12月于新疆维吾尔自治区中医医院诊断为血瘀型子宫内膜息肉的维吾尔族患者123例。采用单盲法分为中药组62例,西药组61例。中药组术后口服活血化瘀方加减联合外敷消癥散,西药组术后口服去氧孕烯炔雌醇片,疗程为3个月。比较2组治疗后中医症候积分、ER、PR、Survivin和Bcl-2表达以及术后1年子宫内膜息肉的复发率。结果 治疗后中药组的中医症候积分低于西药组,差异有统计学意义(P<0.01)。治疗后,中药组和西药组EP表达的差异无统计学意义,而中药组PR的表达高于西药组,差异有统计学意义(P<0.01)。中药组Survivin和Bcl-2 mRNA的相对表达量低于西药组,且中药组1年子宫内膜息肉复发率(4.8%)低于西药组(16.4%),差异有统计学意义(P<0.05)。结论 活血化瘀方加减联合消癥散外敷能有效改善维吾尔族子宫息肉患者临床症状,可能通过纠正PR、Survivin和Bcl-2表达,从而降低子宫内膜息肉的复发率。

       

      Abstract: Objective To observe the effects of Huoxue Huayu Recipe combined with Xiaozhi San on estrogen receptor (ER), progestron receptor (PR), survivin and B-cell lymphoma-2 (Bcl-2) in Uygur ethnic minority patients with endometrial polyps and its relationship with postoperative recurrence. Methods A total of 123 Uygur ethnic minority patients were enrolled, who were diagnosed with bloody endometrial polyps in Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from March 2016 to December 2017. They were randomly divided into two groups: a Chinese medicine group (n=62) and a Western medicine group (n=61). After operation, the Chinese medicine group was orally administrated with Huoxue Huayu decoction and treated with Xiaozheng San. The Western medicine group was orally treated with desogestrel and ethinylestradiol tablets for three months. Both groups were compared for their Chinese medicine syndrome scores, the levels of ER, PR, survivin and Bcl-2 and the recurrence rate of endometrial polyps one year after surgery. Results After treatment, the Chinese medicine group presented remarkably lower scores of Chinese medicine syndrome than the Western medicine group (P<0.01). After treatment, there was no difference in the expression of EP between the two groups, while the level of PR significantly increased in the Chinese medicine group compared with those in the Western medicine group (P<0.01). The Chinese medicine group produced relatively lower levels of survivin and Bcl-2 mRNA than the Western medicine group, and the recurrence rate of endometrial polyps was in the Chinese medicine group (4.8%) was markedly lower than that in the Western medicine group (16.4%). Conclusions The combined use of Huoxue Huayu Recipe and Xiaozheng San can effectively improve the clinical symptoms of Uygur ethic minority EP patients, which may be related with its effects on the expression of PR, survivin and Bcl-2, so as to reduce the recurrence of endometrial polyps.

       

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