目的 探討佳蓉片聯(lián)合注射用醋酸曲普瑞林治療子宮內(nèi)膜異位癥的臨床療效。方法 選取2016年9月-2017年10月峨眉山市中醫(yī)醫(yī)院收治的子宮內(nèi)膜異位癥患者94例為研究對(duì)象，按照隨機(jī)數(shù)字表法分為對(duì)照組和治療組，每組各47例。對(duì)照組于月經(jīng)來(lái)潮第1天肌肉注射注射用醋酸曲普瑞林，3.75 mg/次，1次/4周。治療組在對(duì)照組治療的基礎(chǔ)上口服佳蓉片，4片/次，3次/d。兩組均連續(xù)治療12周。觀察兩組的臨床療效，比較兩組的性激素、竇卵泡計(jì)數(shù)（AFC）、更年期綜合征評(píng)定量表（Kupperman）評(píng)分和視覺(jué)模擬評(píng)分法（VAS）評(píng)分。結(jié)果 治療后，對(duì)照組和治療組的總有效率分別為78.72%、93.62%，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療后，兩組促卵泡成熟素（FSH）、促黃體生成素（LH）、雌二醇（E₂）、AFC顯著降低，同組治療前后比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；且治療組性激素和AFC明顯低于對(duì)照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療后，兩組Kupperman評(píng)分、VAS評(píng)分明顯降低，同組治療前后比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；且治療組這些觀察指標(biāo)明顯低于對(duì)照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 佳蓉片聯(lián)合注射用醋酸曲普瑞林治療子宮內(nèi)膜異位癥具有較好的臨床療效，可改善臨床癥狀，調(diào)節(jié)性激素水平，具有一定的臨床推廣應(yīng)用價(jià)值。

Objective To investigate the clinical efficacy of Jiarong Tablets combined with Triptorelin Acetate for injection in treatment of endometriosis. Methods Patients (94 cases) with endometriosis in Mount Emei Hospital of Traditional Chinese Medicine from September 2016 to October 2017 were randomly divided into control and treatment groups, and each group had 47 cases. Patients in the control group were im administered with Triptorelin Acetate for injection at the first day of menstruation, 3.75 mg/time, once every 4 weeks. Patients in the treatment group were po administered with Jiarong Tablets on the basis of the control group, 4 tablets/time, three times daily. Patients in two groups were treated for 12 weeks. After treatment, the clinical efficacies were evaluated, and sex hormone, AFC, Kupperman scores, and VAS scores in two groups were compared. Results After treatment, the clinical efficacies in the control and treatment groups were 78.72% and 93.62%, respectively, and there was difference between two groups (P<0.05). After treatment, FSH, LH, E₂, and AFC in two groups were significantly decreased, and the difference was statistically significant in the same group (P<0.05). And the observational indexes in the treatment group were significantly lower than those in the control group, with significant difference between two groups (P<0.05). After treatment, Kupperman scores and VAS scores in two groups were significantly decreased, and the difference was statistically significant in the same group (P<0.05). And the observational indexes in the treatment group were significantly lower than those in the control group, with significant difference between two groups (P<0.05). Conclusion Jiarong Tablets combined with Triptorelin Acetate for injection has clinical curative effect in treatment of endometriosis, can improve clinical symptoms, and regulate sex hormone level, which has a certain clinical application value.