止血组方治疗功能失调性子宫出血35例临床观察
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摘要
目的:观察止血组方治疗功能失调性子宫出血(寒凝血瘀型)的临床疗效,探讨本病与中医体质的相关性。方法:将71例功能失调性子宫出血(寒凝血瘀型)患者随机分为2组,治疗组35例采用止血组方治疗,对照组36例口服妈富隆治疗。结果:首次服药后止血天数治疗组为(9. 14±2. 07) d,对照组为(5. 78±2. 09) d,组间比较,差异有统计学意义(P <0. 01);痊愈率治疗组为80. 0%,对照组为52. 8%,组间比较,差异有统计学意义(P <0. 05);停药6个月后,2组月经周期、经期天数、经期延长率、子宫内膜厚度及血红蛋白含量比较,差异均有统计学意义(P <0. 05,P <0. 01)。结论:止血组方治疗功能性子宫出血(寒凝血瘀型)有较好的临床疗效。
Objective: To investigate the clinical effect of hemostatic prescription in the treatment of dysfunctional uterine bleeding with blood stasis due to cold accumulation and the association between dysfunctional uterine bleeding and traditional Chinese medicine constitution. Methods: A total of 71 patients with dysfunctional uterine bleeding with blood stasis due to cold accumulation were randomly divided into treatment group with 35 patients treated with hemostatic prescription and control group with 36 patients treated with oral Marvelon. Results: There were significant differences between the treatment group and the control group in the number of days to achieve hemostasis after the first medication( 9. 14 ± 2. 07 days vs 5. 78 ± 2. 09 days,P < 0. 01) and cure rate( 80. 6% vs52. 8%,P < 0. 05). After 6 months of drug withdrawal,there were significant differences between the two groups in menstrual cycle,days of menstrual period,rate of prolonged menstruation,endometrial thickness,and hemoglobin level( P < 0. 05,P < 0. 01). Conclusion: Hemostatic prescription has a good clinical effect in the treatment of dysfunctional uterine bleeding with blood stasis due to cold accumulation.
Objective: To investigate the clinical effect of hemostatic prescription in the treatment of dysfunctional uterine bleeding with blood stasis due to cold accumulation and the association between dysfunctional uterine bleeding and traditional Chinese medicine constitution. Methods: A total of 71 patients with dysfunctional uterine bleeding with blood stasis due to cold accumulation were randomly divided into treatment group with 35 patients treated with hemostatic prescription and control group with 36 patients treated with oral Marvelon. Results: There were significant differences between the treatment group and the control group in the number of days to achieve hemostasis after the first medication( 9. 14 ± 2. 07 days vs 5. 78 ± 2. 09 days,P < 0. 01) and cure rate( 80. 6% vs52. 8%,P < 0. 05). After 6 months of drug withdrawal,there were significant differences between the two groups in menstrual cycle,days of menstrual period,rate of prolonged menstruation,endometrial thickness,and hemoglobin level( P < 0. 05,P < 0. 01). Conclusion: Hemostatic prescription has a good clinical effect in the treatment of dysfunctional uterine bleeding with blood stasis due to cold accumulation.
引文
[1]李兴华,王希浩.中医药治疗青春期功能失调性子宫出血实验研究进展[J].中医研究,2009,22(11):62-64.
[2]彰艳,徐谦.中医药治疗青春期功能失调性子宫出血的研究进展[J].现代中西医结合杂志,2008,17(29):4657-4658.
[3] Basaran HO,Akgl S,Oksz KN,et al. Dysfunctional uterine bleeding in adolescent girls and evaluation of their response to treatment[J].Turk J Pediatr,2013,55(2):186-189.
[4]华克勤.妇产科学[M].北京:人民卫生出版社,2011:243.
[5]中华医学会.临床诊疗指南·妇产科学分册[M].北京:人民卫生出版社,2009:111-112.
[6]中华人民共和国中医药行业标准·中医病证诊断疗效标准[S].北京:中国中医药出版社,2012:236.
[7]李娟彬.中西医结合治疗围绝经期功能性子宫出血临床观察[J].现代中西医结合杂志,2014,23(11):1178-1179.
[8]吴燕.中药辨证治疗功血60例[J].光明中医,2013,28(7):1392-1393.
[2]彰艳,徐谦.中医药治疗青春期功能失调性子宫出血的研究进展[J].现代中西医结合杂志,2008,17(29):4657-4658.
[3] Basaran HO,Akgl S,Oksz KN,et al. Dysfunctional uterine bleeding in adolescent girls and evaluation of their response to treatment[J].Turk J Pediatr,2013,55(2):186-189.
[4]华克勤.妇产科学[M].北京:人民卫生出版社,2011:243.
[5]中华医学会.临床诊疗指南·妇产科学分册[M].北京:人民卫生出版社,2009:111-112.
[6]中华人民共和国中医药行业标准·中医病证诊断疗效标准[S].北京:中国中医药出版社,2012:236.
[7]李娟彬.中西医结合治疗围绝经期功能性子宫出血临床观察[J].现代中西医结合杂志,2014,23(11):1178-1179.
[8]吴燕.中药辨证治疗功血60例[J].光明中医,2013,28(7):1392-1393.