Abstract
Objective To assess the efficacy of Bushen Yiqi Huayu Decoction on ovarian reserve and inflammatory factors in patients after hysterectomy plus salpingectomy. Methods Between January 2020 and December 2020, sixty patients with benign uterine lesions scheduled for a hysterectomy plus salpingectomy in the obstetrics and gynecology department of our hospital were recruited and assigned at a ratio of 1 : 1 via the random number table method to receive conventional therapy (control group) or conventional therapy plus Bushen Yiqi Huayu Decoction (study group) for 2 months. The traditional Chinese medicine (TCM) symptom scores, TCM efficacy, various postoperative recovery time indexes, inflammatory factor levels, and hormone levels were compared between the two groups of patients. Results The study group had lower TCM symptom scores and milder inflammatory responses compared to the control group after treatment (P < 0.05). The Bushen Yiqi Huayu Decoction plus conventional therapy achieved an efficacy of 96.67% versus the efficacy of 76.67% by conventional therapy alone (P < 0.05). In contrast to the control group, a shorter postoperative recovery duration of patients was recorded in the study group (P < 0.05). The study group showed significantly better improvement in hormone levels than the control group after treatment (P < 0.05). Conclusion Bushen Yiqi Huayu Decoction can significantly mitigate the inflammatory response of patients after hysterectomy plus salpingectomy, improve the hormone level and the ovarian reserve of patients, and promote rapid recovery, so it is worthy of clinical promotion.
Highlights
Hysterectomy is currently a common treatment for benign uterine pathologies including fibroids and endometrial polyps [1]
It has been reported that postoperative inflammatory response is one of the essential factors affecting the rapid recovery of patients after hysterectomy plus salpingectomy [5]
The study group obtained significantly lower traditional Chinese medicine (TCM) symptom scores compared to the control group (P < 0.05) (Table 2)
Summary
Hysterectomy is currently a common treatment for benign uterine pathologies including fibroids and endometrial polyps [1]. Recent studies have found that concomitant removal of the ovaries during a hysterectomy may reduce the risk of postoperative ovarian cancer in patients with benign uterine disease to some extent and may not exacerbate the ovarian decline in the immediate postoperative period [2,3]. It has been reported that postoperative inflammatory response is one of the essential factors affecting the rapid recovery of patients after hysterectomy plus salpingectomy [5]. According to TCM, postoperative patients may develop negative emotions due to their loss of the uterus and ovaries, resulting in liver qi discomfort and qi blockage. Bushen Yiqi Huayu Decoction was used for patients scheduled for a hysterectomy plus salpingectomy to explore its efficacy. Bushen Yiqi Huayu Decoction was used for patients scheduled for a hysterectomy plus salpingectomy to explore its efficacy. e results are as follows
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