激素治疗辅助心理护理用于青春期子宫出血  

Clinical Value of Psychological Nursing and Hormone Therapy Assisted Nursing in Adolescent Uterine Bleeding

作　　者：吴新梅[1] 叶敏欢[1] 

机构地区：[1]湖北省鄂东医疗集团黄石市中心医院妇产科,黄石435000

出　　处：《血栓与止血学》2017年第3期509-511,共3页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的探讨心理护理、激素治疗在青春期子宫出血患者中的应用临床价值。方法选取我院2013年5月~2015年11月所收治青春期子宫出血患者90例作为研究对象,随机分为观察组与对照组,各45例。两组均结合患者实际情况予以针对性治疗,观察组在此基础上强化心理护理并予以激素治疗。比较2组入院时、住院用药治疗后1 d、2 d及7 d的阴道出血量、治疗总有效率及凝血指标(包括PT、aPTT、TT、Fbg)、不良反应发生率。结果两组入院时阴道出血量的差异无统计学意义(P>0.05);治疗1 d、2 d、7 d后,观察组阴道出血量均低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为86.7%(39/45),高于对照组62.2%(28/45),差异有统计学意义(P>0.05)。两组入院时各项凝血指标的差异均无统计学意义(P>0.05);入院1个月时两组PT、aPTT、TT均缩短、Fbg升高(P<0.05),观察组入院1个月时的PT、aPTT、TT短于观察组,Fbg高于对照组(P<0.05)。结论心理护理、激素治疗青春期子宫出血有一定的临床价值。Objective To explore the clinical application value of psychological nursing and hormone therapy in adolescent uterine bleeding. Methods 90 cases of patients with adolescent uterine bleeding who were treated in our hospital between May 2013 and November 2015 were selected as study objects and were randomized into observation group and control group, 45 cases in each. Both of the two groups were given targeted therapy according to practical condition of patient On this basis, the observation group was given intensive psychological nursing and hormone therapy. The vaginal bleeding volume, total effective rate and coagulation parameters （ including PT, aFTT, TT, Fbg ） and incidence of adverse reactions were compared between the two groups on admission, 1 day,2 days and 7 days after hospitalization and medication. Results There was no significant difference in vaginal bleeding volume between the two groups on admission （P 〉 0.05） ; 1 day, 2 days and 7 days after treatment, the vaginal bleeding volume of observation group was less than that of control group（P 〈0.05）. The total effective rate in the observation group[ 86.7% （39/45）] was higher than that in the control group [ 62.2% （ 28/45 ） ] （ P 〉 0. 05 ）. There were no significant differences in the coagulation indexes between the two groups on admission （ P 〉 0.05 ） ： 1 month after admission, PT, aPTT andTT of the two groups were shortened and Fbg increased （P 〈 0. 05 ）. Besides, 1 month after admission, PT, aPTT and TT of the observation group was shorter than that of the observation group, and Fbg was higher than that in the control group （P 〈 0.05 ）. Conclusion Certain clinical value to apply psychological nursing and hormone therapy for adolescent uterine bleeding.

关 键 词：青春期子宫出血 激素治疗 心理护理 

分 类 号：R711.52[医药卫生—妇产科学]