奇经八脉理论辨治绝经过渡期功能失调性子宫出血临床观察  

Clinical Observation on Eight Extraordinary Channels Theory in the Treatment of Dysfunctional Uterine Bleeding During Menopausal Transition

作　　者：王金萍 罗才茂 刘清华 钟王瑜 陈亮 WANG Jinping;LUO Caimao;LIU Qinghua;ZHONG Wangyu;CHEN Liang(Department of Gynecology and Obstetrics,Ganxian District People's Hospital,Jiangxi Province,Ganxian 341100,China)

机构地区：[1]江西省赣县区人民医院妇产科

出　　处：《中国中医药现代远程教育》2019年第22期84-86,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省赣州市科学技术局科技攻关项目【No.GZ2018ZSF468】

摘　　要：目的探讨应用奇经八脉理论辨治绝经过渡期功能失调性子宫出血的临床疗效。方法选取江西省赣县区人民医院2017年8月—2019年8月收治的绝经过渡期功能失调性子宫出血患者60例,按单盲法分为2组,各30例。对照组采用诊断性刮宫联合炔雌醇环丙孕酮治疗;在此基础上,试验组应用奇经八脉理论辨治,予以自拟固冲止血、益气健脾法治疗,治疗3个月,停药观察3个月后,比较2组临床疗效、药物撤退性出血量、月经周期、出血停止时间、不良反应、复发率。结果试验组总有效率(96.67%)较对照组(73.33%)高,药物撤退性出血量(51.21±4.37)mL较对照组(78.75±6.13)mL少,复发率(3.33%)较对照组(26.67%)低,差异具有统计学意义(P<0.05);试验组出血停止时间(43.26±4.98)h较对照组(69.65±5.32)h短,月经周期(26.38±2.41)d较对照组(23.35±3.37)d长,差异具有统计学意义(P<0.05);2组不良反应发生率相比,差异无统计学意义(P>0.05)。结论应用奇经八脉理论辨治绝经过渡期功能失调性子宫出血可有效减少药物撤退性出血量,使月经周期规律,减少复发,提高临床疗效。Objective To explore the clinical efficacy of eight extraordinary channels theory in the treatment of dysfunctional uterine bleeding during menopausal transition.Methods 60 cases of menopausal transitional dysfunctional uterine bleeding admitted to our hospital from August 2017 to August 2019 were divided into two groups according to the single blind method,with 30 cases in each group.The control group was treated with diagnostic curettage combined with ethinyl estradiol cyproterone.On the basis of this,the experimental group was treated with eight extraordinary channels theory,self-made consolidating chong vessel for stopping blood,replenishing qi for invigorating the spleen for 3 months.After 3 months of drug withdrawal,the clinical efficacy,drug withdrawal bleeding volume,menstrual cycle,bleeding stop time,adverse reactions,and recurrence rate were compared between the two groups.Results The total effective rate of the experimental group(96.67%)was higher than that of the control group(73.33%),and the drug withdrawal bleeding volume(51.21±4.37)ml of the experimental group was less than that of the control group(78.75±6.13)ml,and the recurrence rate(3.33%)of the experimental group was lower than that of the control group(26.67%),and the difference was statistically significant(P<0.05).The bleeding time(43.26±4.98)h of the experimental group was less than that of the control group(69.65±5.32)h,the menstrual cycle(26.38±2.41)d of the experimental group was compared with the control group(23.35±3.37)d,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups on adverse reactions(P>0.05).Conclusion The application of eight extraordinary channels theory in the treatment of dysfunctional uterine bleeding during menopausal transition can effectively reduce the amount of drug withdrawal bleeding,make the menstrual cycle regular,reduce recurrence and improve clinical effect.

关 键 词：功能失调性子宫出血 崩漏 绝经过渡期 奇经八脉理论 药物撤退性出血量 

分 类 号：R71[医药卫生—妇产科学]