中西医治疗围绝经期排卵障碍相关异常子宫出血(脾肾两虚型)的临床观察  

Clinical observation of Traditional Chinese Medicine and Western medicine on perimenopal uterine bleeding associated with ovulation disorders(deficiency of both spleen and kidney)

作　　者：刘海涛 Liu Haitao(Department of Gynecology,Xuanwu Hospital of Traditional Chinese Medicine,Beijing 100050,China)

机构地区：[1]北京市宣武中医医院妇科,北京100050

出　　处：《实用妇科内分泌电子杂志》2021年第27期58-60,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨中西医治疗围绝经期排卵障碍相关的异常子宫出血(脾肾两虚型)的临床效果。方法 选取60例围绝经期排卵障碍相关的异常子宫出血(脾肾两虚型)患者,依据随机数字表法将其分为对照组(30例)、研究组(30例),诊刮术后,对照组采用黄体酮软胶囊治疗,研究组在其基础上联合固冲汤加减治疗。两组均治疗3个月,随访3个月。比较两组治疗后临床疗效,治疗前后中医证候积分及随访期间的复发情况。结果 治疗后研究组临床总有效高于对照组;治疗后两组中医证候积分均降低,且研究组低于对照组;随访期间,研究组复发率低于对照组,差异均有统计学意义(P<0.05)。结论 中西医联合治疗围绝经期卵障碍相关的异常子宫出血(脾肾两虚型)可有效缓解患者临床症状,提高治疗效果,降低复发率。Objective To explore the clinical effect of Traditional Chinese and Western Medicine in the treatment of abnormal uterine bleeding(spleen and kidney deficiency type) associated with perimenopausal ovulation disorder. Methods 60patients with abnormal uterine bleeding(spleen and kidney deficiency type) associated with perimenopausal ovulation disorders were selected and divided into control group(30 cases) and study group(30 cases) according to the random number table method.After curettage, the control group was treated with progesterone soft capsules, on the basis of the control group, the study group was treated with modified Guchong decoction. Both groups were treated for 3 months and followed up for 3 months. The clinical efficacy after treatment, TCM symptom scores before and after treatment, and recurrence during follow-up were compared between the two groups. Results After treatment, the total clinical efficacy in the study group was higher than that in the control group;after treatment, the TCM syndrome scores of the two groups decreased, and the study group was lower than the control group;during the follow-up period, the recurrence rate of the study group was lower than that of the control group, and the differences were statistically significant(P<0.05). Conclusion The combination of Traditional Chinese and Western medicine in the treatment of abnormal uterine bleeding associated with perimenopausal ovulation disorder(spleen and kidney deficiency type) can effectively relieve the clinical symptoms of patients, improve the treatment effect, and reduce the recurrence rate.

关 键 词：围绝经期 排卵障碍 异常子宫出血 固冲汤加减 黄体酮 

分 类 号：R711[医药卫生—妇产科学]