Article(id=1322926812354978515, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926740955341011, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2025.10.042, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793339930857, onlineDateStr=2026-10-30, pubDate=1760025600000, pubDateStr=2025-10-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793339930857, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793339930857, creator=13701087609, updateTime=1793339930857, updator=13701087609, issue=Issue{id=1322926740955341011, tenantId=1146029695717560320, journalId=1255847919539208197, year='2025', volume='43', issue='10', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1760025600000', pubDateStr='2025-10-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793339913834, creator='13701087609', updateTime=1793340753123, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322930261259846420, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926740955341011, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322930261259846421, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926740955341011, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=224, endPage=227, ext={EN=ArticleExt(id=1322926812686328532, articleId=1322926812354978515, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Effect of Danggui Shaoyao Powder（当归芍药散）Combined with Levofloxacin on Clinical Symptoms and MMP-2/9 Levels in Patients with Endometritis, columnId=1256183365644968140, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Platform of Provincial Project, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the effect of Danggui Shaoyao Powder（当归芍药散）combined with levofloxacin on clinical symptoms and matrix metalloproteinase-2/9（MMP-2/9）levels in patients with endometritis.
Methods One hundred and twelve patients with endometritis in Reproductive Medicine Department of the hospital from January 2019 to January 2021 were enrolled and divided into two groups according to different treatment methods.The control group（52 cases）received levofloxacin therapy，while the observation group（60 cases）received Danggui Shaoyao Powder combined with levofloxacin.Then the comparison was conducted on serum inflammatory factors，MMP-2/9 levels，Visual Analogue Scale（VAS）score，Female Sexual Function Index（FSFI）score，sex hormone levels，clinical pregnancy outcome，the disappearance time of pelvic pain，leucorrhea and pelvic inflammation，the clinical efficacy and incidence of adverse reactions.
Results The levels of interleukin-4（IL-4），interleukin-6（IL-6），C-reactive protein（CRP），MMP-9 and MMP-2 at baseline yielded no statistical difference（P>0.05），while the above inflammation factors were significantly decreased in the observation group compared with those in the control group after treatment（P<0.05）.The scores of VASand FSFI yielded no statistical difference between two groups before treatment（P>0.05），while the observation group scored lower in VASand FSFI than the control group after treatment（P<0.05）.The disappearance time of pelvic pain，leucorrhea and pelvic inflammation was significantly shorted in the observation group compared with that in the control group（P<0.05）.The overall efficacy rate was 91.67%（55/60）in the observation group，which was significantly higher than 76.92%（40/52）in the control group，with statistical difference（χ2＝4.703，P=0.030）.The total adverse reaction rate was 5.00%（3/60）in the observation group，which was slightly lower than 7.69%（4/52）in the control group，with no statistical difference（χ2＝0.344，P=0.557）.The abortion rate was 0.00%（0/60）in the observation group，which was slightly lower than 1.92%（1/52）in the control group，with no statistical difference（χ2＝1.164，P=0.280）.The timing of pregnancy shortened in the observation group compared with that in the control group（P<0.05），and the clinical pregnancy rate was 83.00%（50/60）in the observation group，and was higher than 59.62%（31/52）in the control group，with statistical difference（χ2＝7.828，P=0.005）.The ectopic pregnancy rate was 0.00% in both groups，with no statistical difference.
Conclusion The application of Danggui Shaoyao Powder combined with levofloxacin in the treatment of endometritis can effectively attenuate the inflammation response，down-regulate the serum levels of MMP-2/9，accelerate the disappearance time of pelvic pain and leucorrhea，reduce the levels of sex hormones，ameliorate the infertility symptoms，decrease the adverse reactions and improve the quality of life in patients.
, authors=Liyuan DONG, Xiao LI, Xinxin CHEN, Xinfang SHANG, Junyue HUO, authorsList=Liyuan DONG, Xiao LI, Xinxin CHEN, Xinfang SHANG, Junyue HUO, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322926816368927461, articleId=1322926812354978515, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=当归芍药散联合左氧氟沙星对不孕症子宫内膜炎MMP-2/9水平变化及妊娠率的影响, columnId=1256183369033965799, journalTitle=中华中医药学刊, columnName=省级项目平台, runingTitle=null, highlight=null, articleAbstract=
目的 探究当归芍药散联合左氧氟沙星对不孕症子宫内膜炎患者基质金属蛋白酶2/9（matrix metalloproteinase-2/9，MMP-2/9）水平变化及妊娠率影响。
方法 选取医院2019年1月—2021年1月诊治的112例不孕症子宫内膜炎患者为研究对象，根据治疗方法分为观察组（60例）与对照组（52例），对照组采用左氧氟沙星治疗，观察组则联合使用当归芍药散治疗。观察两组患者治疗后血清炎症因子、MMP-2/9水平变化及临床妊娠情况比较。
结果 两组患者治疗前白细胞介素4（Interleukin-4，IL-4）、白细胞介素6（Interleukin-6，IL-6）、C反应蛋白（C-reactive protein，CRP）、MMP-9、MMP-2水平差异无统计学意义（P>0.05）。治疗后观察组IL-4、IL-6、CRP、MMP-9、MMP-2水平较对照组显著降低（P<0.05）。治疗后观察组临床疗效为91.67%（55/60）显著高于对照组（76.92%，40/52）（χ2＝4.703，P=0.030）。治疗后观察组总不良反应发生率为5.00%（3/60）略低于对照组（7.69%，4/52），但两组总不良反应发生率差异无统计学意义（χ2＝0.344，P=0.557）。治疗后观察组流产率为0.00%（0/60）略低于对照组（1.92%，1/52）（χ2＝1.164，P=0.280）。治疗后观察组妊娠发生时间显著低于对照组（P<0.05）。观察组临床妊娠率为83.00%（50/60）显著高于对照组（59.62%，31/52）（χ2＝7.828，P=0.005）。两组患者异位妊娠发生率为0.00%，无差异性。
结论 当归芍药散联合左氧氟沙星能有效降低子宫内膜患者炎症反应与MMP-2/9水平、减少不良反应发生率、提高临床妊娠率、临床疗效与患者生活质量。
, authors=董立园, 李晓, 陈欣欣, 尚新芳, 霍军月, authorsList=董立园, 李晓, 陈欣欣, 尚新芳, 霍军月, authorCompany=null, correspAuthors=null, authorNote=
董立园（1985-），女，河北邢台人，副主任医师，硕士，研究方向：妇产科。
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董立园（1985-），女，河北邢台人，副主任医师，硕士，研究方向：妇产科。
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| 组别 | 例数 | 年龄/
（岁， ） | 病程/
（年， ） | 体质量指数/
（kg/m2， ） |
|---|
| 观察组 | 60 | 34.31±2.45 | 2.11±0.21 | 23.14±1.22 |
| 对照组 | 52 | 34.26±2.52 | 2.02±0.12 | 23.05±1.36 |
| χ2/t值 | | 0.106 | 2.727 | 0.369 |
| P值 | | >0.05 | >0.05 | >0.05 |
), ArticleFig(id=1322926820722615055, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表1, caption=
两组不孕症子宫内膜炎患者一般资料比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 年龄/
（岁，） | 病程/
（年，） | 体质量指数/
（kg/m2，） |
|---|
| 观察组 | 60 | 34.31±2.45 | 2.11±0.21 | 23.14±1.22 |
| 对照组 | 52 | 34.26±2.52 | 2.02±0.12 | 23.05±1.36 |
| χ2/t值 | | 0.106 | 2.727 | 0.369 |
| P值 | | >0.05 | >0.05 | >0.05 |
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| 组别 | 例数 | IL-4/（μg/L） | IL-6/（pg/mL） | CRP/（mg/L） | MMP-9/（μg/L） | MMP-2/（μg/L） |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 60 | 12.36±2.15 | 6.48±1.54 | 83.56±5.69 | 63.59±6.24 | 12.05±1.34 | 3.46±0.24 | 0.59±0.21 | 0.22±0.11 | 0.76±0.05 | 0.23±0.06 |
| 对照组 | 52 | 12.52±2.09 | 9.69±1.62 | 82.98±6.02 | 74.02±6.39 | 12.35±1.21 | 3.77±0.25 | 0.58±0.23 | 0.41±0.13 | 0.77±0.04 | 0.48±0.07 |
| t值 | | 0.397 | 10.739 | 0.523 | 8.724 | 1.235 | 6.686 | 0.240 | 8.378 | 1.156 | 20.353 |
| P值 | | >0.05 | <0.05 | >0.05 | <0.05 | >0.05 | <0.05 | >0.05 | <0.05 | >0.05 | <0.05 |
), ArticleFig(id=1322926820894581521, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表2, caption=
两组不孕症子宫内膜炎患者IL-4、IL-6、CRP、M M P-9、M M P-2水平变化（
）
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| 组别 | 例数 | IL-4/（μg/L） | IL-6/（pg/mL） | CRP/（mg/L） | MMP-9/（μg/L） | MMP-2/（μg/L） |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 60 | 12.36±2.15 | 6.48±1.54 | 83.56±5.69 | 63.59±6.24 | 12.05±1.34 | 3.46±0.24 | 0.59±0.21 | 0.22±0.11 | 0.76±0.05 | 0.23±0.06 |
| 对照组 | 52 | 12.52±2.09 | 9.69±1.62 | 82.98±6.02 | 74.02±6.39 | 12.35±1.21 | 3.77±0.25 | 0.58±0.23 | 0.41±0.13 | 0.77±0.04 | 0.48±0.07 |
| t值 | | 0.397 | 10.739 | 0.523 | 8.724 | 1.235 | 6.686 | 0.240 | 8.378 | 1.156 | 20.353 |
| P值 | | >0.05 | <0.05 | >0.05 | <0.05 | >0.05 | <0.05 | >0.05 | <0.05 | >0.05 | <0.05 |
), ArticleFig(id=1322926820995244818, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | VAS | FSFI |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 60 | 7.62±1.38 | 1.36±0.42 | 68.25±6.57 | 32.05±5.01 |
| 对照组 | 52 | 7.59±1.42 | 3.69±0.59 | 68.05±6.62 | 49.36±6.28 |
| t值 | | 0.113 | 24.305 | 0.160 | 16.214 |
| P值 | | >0.05 | <0.05 | >0.05 | <0.05 |
), ArticleFig(id=1322926821066547987, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表3, caption=
两组不孕症子宫内膜炎患者治疗前后VAS、FSFI评分比较（
）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | VAS | FSFI |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 60 | 7.62±1.38 | 1.36±0.42 | 68.25±6.57 | 32.05±5.01 |
| 对照组 | 52 | 7.59±1.42 | 3.69±0.59 | 68.05±6.62 | 49.36±6.28 |
| t值 | | 0.113 | 24.305 | 0.160 | 16.214 |
| P值 | | >0.05 | <0.05 | >0.05 | <0.05 |
), ArticleFig(id=1322926821133656853, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 盆腔疼痛
消失时间 | 白带增多
消失时间 | 炎症消失
时间 |
|---|
| 观察组 | 60 | 6.12±0.52 | 6.34±0.42 | 7.36±1.38 |
| 对照组 | 52 | 9.26±0.29 | 9.33±0.31 | 10.02±1.08 |
| t值 | | 38.633 | 42.302 | 11.232 |
| P值 | | <0.05 | <0.05 | <0.05 |
), ArticleFig(id=1322926821200765719, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表4, caption=
两组不孕症子宫内膜炎患者盆腔疼痛消失时间、白带增多消失时间、炎症消失时间比较（
）
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| 组别 | 例数 | 盆腔疼痛
消失时间 | 白带增多
消失时间 | 炎症消失
时间 |
|---|
| 观察组 | 60 | 6.12±0.52 | 6.34±0.42 | 7.36±1.38 |
| 对照组 | 52 | 9.26±0.29 | 9.33±0.31 | 10.02±1.08 |
| t值 | | 38.633 | 42.302 | 11.232 |
| P值 | | <0.05 | <0.05 | <0.05 |
), ArticleFig(id=1322926821427258136, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 治愈 | 未治愈 | 临床疗
效 |
|---|
| 观察组 | 60 | 55（91.67） | 5（8.33） | 55（91.6
7） |
| 对照组 | 52 | 40（76.92） | 12（23.08） | 40（76.9
2） |
| χ2值 | | - | - | 4.703 |
| P值 | | - | - | 0.030 |
), ArticleFig(id=1322926821502755609, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表5, caption=
两组不孕症子宫内膜炎患者治疗前后临床疗效
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 治愈 | 未治愈 | 临床疗
效 |
|---|
| 观察组 | 60 | 55（91.67） | 5（8.33） | 55（91.6
7） |
| 对照组 | 52 | 40（76.92） | 12（23.08） | 40（76.9
2） |
| χ2值 | | - | - | 4.703 |
| P值 | | - | - | 0.030 |
), ArticleFig(id=1322926821582447386, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 腹泻腹胀 | 头晕头痛 | 皮疹 | 总不良反应
发生情况 |
|---|
| 观察组 | 60 | 1（1.66） | 1（1.66） | 1（1.66） | 3（5.00） |
| 对照组 | 52 | 2（3.85） | 1（1.92） | 1（1.92） | 4（7.69） |
| χ2值 | | - | - | - | 0.344 |
| P值 | | - | - | - | 0.557 |
), ArticleFig(id=1322926821691499291, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表6, caption=
两组不孕症子宫内膜炎患者不良反应比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 腹泻腹胀 | 头晕头痛 | 皮疹 | 总不良反应
发生情况 |
|---|
| 观察组 | 60 | 1（1.66） | 1（1.66） | 1（1.66） | 3（5.00） |
| 对照组 | 52 | 2（3.85） | 1（1.92） | 1（1.92） | 4（7.69） |
| χ2值 | | - | - | - | 0.344 |
| P值 | | - | - | - | 0.557 |
), ArticleFig(id=1322926821796356892, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 妊娠发生时间/
（月， ） | 临床妊娠率/
[例（%）] | 异位妊娠/
[例（%）] | 流产率/
[例（%）] |
|---|
| 观察组 | 60 | 4.39±2.13 | 50（83.00） | 0（0.00） | 0（0.00） |
| 对照组 | 52 | 5.74±2.82 | 31（59.62） | 0（0.00） | 1（1.92） |
| t/χ2值 | | 2.880 | 7.828 | - | 1.164 |
| P值 | | <0.05 | 0.005 | - | 0.280 |
), ArticleFig(id=1322926821884437277, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322926812354978515, language=CN, label=表7, caption=
两组不孕症子宫内膜炎患者治疗后临床结局比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 妊娠发生时间/
（月，） | 临床妊娠率/
[例（%）] | 异位妊娠/
[例（%）] | 流产率/
[例（%）] |
|---|
| 观察组 | 60 | 4.39±2.13 | 50（83.00） | 0（0.00） | 0（0.00） |
| 对照组 | 52 | 5.74±2.82 | 31（59.62） | 0（0.00） | 1（1.92） |
| t/χ2值 | | 2.880 | 7.828 | - | 1.164 |
| P值 | | <0.05 | 0.005 | - | 0.280 |
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北京市海淀区学院南路86号
010-62662699（运营及技术支持）
qkjq@cast.org.cn
