PMID- 23275012 OWN - NLM STAT- MEDLINE DCOM- 20130722 LR - 20211021 IS - 1993-0402 (Electronic) IS - 1672-0415 (Linking) VI - 19 IP - 1 DP - 2013 Jan TI - Chinese medicine improves postoperative quality of life in endometriosis patients: a randomized controlled trial. PG - 15-21 LID - 10.1007/s11655-012-1196-6 [doi] AB - OBJECTIVE: To investigate the effect of Chinese medicine (CM) and Western medicine (WM) on quality of life (QOL) after conservative surgery for endometriosis. METHODS: A total of 320 patients with endometriosis were randomized into two groups by using random block design, CM group (160 cases, activating blood circulation and removing blood stasis treatment based on syndrome differentiation) and WM group (160 cases, gonadotropin-releasing hormone agonist or gestrinone treatment) after conservative surgery. Treatment was given for 3-6 months (according to the revised American Fertility Society scoring system stage), and the World Health Organization QOL-BREF (WHOQOL-BREF) was applied to patients before and after treatment to assess QOL. RESULTS: There were 136 cases in the CM group and 141 cases in the WM group completing therapy. In the CM group, the use of the WHOQOL-BREF showed that the physical, psychological and environmental scores posttreatment were significantly higher than those at pre-treatment (P < 0.05), and for 12 items (pain and discomfort, energy and fatigue, sleep and rest, mobility, activities of daily living, work capacity, negative feelings, health and social care: accessibility and quality, participation in and opportunities for recreation/leisure activities, appetite, QOL score, overall health status and QOL), the difference in scores was significant (P < 0.05). In the WM group, 4 items (pain and discomfort, opportunities for acquiring new information and skills, QOL score, overall health status and QOL) had significantly different scores post-treatment compared with those at pre-treatment (P < 0.05). Before treatment, the QOL in the two groups of patients showed no significant difference (P > 0.05). After treatment, the scores for physical health in the CM group were significantly higher than those of the WM group (P < 0.05) and the scores of 4 items (mobility, activities of daily living, sexual activity, QOL score) in the CM group were significantly higher than those in the WM group (P < 0.05). CONCLUSIONS: CM and WM treatment could improve the QOL of patients with endometriosis after conservative surgery. CM treatment is more effective than WM. FAU - Zhao, Rui-Hua AU - Zhao RH AD - Shandong University of Traditional Chinese Medicine, Jinan, 250355, China. rhzh801@sohu.com FAU - Liu, Yong AU - Liu Y FAU - Tan, Yong AU - Tan Y FAU - Hao, Zeng-Ping AU - Hao ZP FAU - Meng, Qing-Wei AU - Meng QW FAU - Wang, Rui AU - Wang R FAU - Long, Di AU - Long D FAU - Ding, Yong-Fen AU - Ding YF FAU - Song, Dian-Rong AU - Song DR FAU - Xu, Cai AU - Xu C FAU - Ren, Zhi-Zhen AU - Ren ZZ FAU - Yang, Yan-Huan AU - Yang YH FAU - Wang, Ai-Ming AU - Wang AM LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20121229 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 RN - 0 (Drugs, Chinese Herbal) RN - 33515-09-2 (Gonadotropin-Releasing Hormone) SB - IM MH - Adolescent MH - Adult MH - China MH - Drugs, Chinese Herbal/*therapeutic use MH - Endometriosis/diagnosis/*surgery MH - Female MH - Follow-Up Studies MH - Gonadotropin-Releasing Hormone/*antagonists & inhibitors/therapeutic use MH - Humans MH - Middle Aged MH - Pain Measurement MH - Pain, Postoperative/*drug therapy/physiopathology MH - Patient Satisfaction/statistics & numerical data MH - Postoperative Care/methods MH - Prospective Studies MH - *Quality of Life MH - Reference Values MH - Risk Assessment MH - Treatment Outcome MH - Young Adult EDAT- 2013/01/01 06:00 MHDA- 2013/07/23 06:00 CRDT- 2013/01/01 06:00 PHST- 2012/05/05 00:00 [received] PHST- 2013/01/01 06:00 [entrez] PHST- 2013/01/01 06:00 [pubmed] PHST- 2013/07/23 06:00 [medline] AID - 10.1007/s11655-012-1196-6 [doi] PST - ppublish SO - Chin J Integr Med. 2013 Jan;19(1):15-21. doi: 10.1007/s11655-012-1196-6. Epub 2012 Dec 29.