固本止崩汤和黄体酮胶囊与葆宫止血颗粒和黄体酮胶囊对异常子宫出血宫腔镜治疗患者子宫内膜厚度及性激素水平的影响  

The effects of Guben Zhibeng Tang and Progesterone Capsules,Baogong Zhixue Granules and Progesterone Capsules on endometrial thickness and sex hormone levels in patients with abnormal uterine bleeding treated with hysteroscopy

作　　者：陈占曜 Chen Zhanyao(People's Hospital of Luxi County,Pingxiang,Jiangxi 337200,China)

机构地区：[1]江西省芦溪县人民医院,江西萍乡337200

出　　处：《首都食品与医药》2024年第10期152-154,共3页Capital Food Medicine

摘　　要：目的探讨固本止崩汤和黄体酮胶囊与葆宫止血颗粒和黄体酮胶囊对异常子宫出血(AUB)宫腔镜治疗患者子宫内膜厚度及性激素水平的影响。方法选取江西省芦溪县人民医院2021年3月-2023年6月接受宫腔镜治疗的AUB患者87例,按随机数字表法分为对照组(44例)、研究组(43例);对照组术后给予葆宫止血颗粒治疗,研究组术后给予固本止崩汤治疗;对比两组治疗效果、子宫内膜厚度、月经量及性激素指标。结果研究组总有效率较对照组高,差异有统计学意义(P<0.05);治疗3个月经周期,研究组子宫内膜厚度、月经失血图(PBAC)评分较对照组低,差异有统计学意义(P<0.05);治疗3个月经周期,研究组黄体生成素(LH)、卵泡雌激素(FSH)水平较对照组低,雌二醇(E2)水平较对照组高,差异有统计学意义(P<0.05)。结论相比葆宫止血颗粒和黄体酮胶囊,AUB患者采用固本止崩汤和黄体酮胶囊治疗效果较好,可降低子宫内膜厚度,减少月经量,调节性激素水平。Objective To explore the effects of Guben Zhibeng Tang and Progesterone Capsules,as well as Baogong Zhixue Granules and Progesterone Capsules,on endometrial thickness and sex hormone levels in patients with abnormal uterine bleeding(AUB)treated with hysteroscopy.Method 87 AUB patients who received hysteroscopy treatment in the hospital from March 2021 to June 2023 were selected and randomly divided into a control group(44 cases)and a study group(43 cases)using a random number table method;the control group received postoperative treatment with Baogong Zhixue Granules,while the study group received postoperative treatment with Guben Zhibeng Tang;compare the treatment effects,endometrial thickness,menstrual flow,and sex hormone indicators between two groups.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);after treating three menstrual cycle,the endometrial thickness and menstrual bleeding chart(PBAC)score of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05);after treating three menstrual cycle,the levels of luteinizing hormone(LH)and follicular estrogen(FSH)in the study group were lower than those in the control group,while the levels of estradiol(E2)were higher than those in the control group,with statistical significance(P<0.05).Conclusion Compared with Baogong Zhixue Granules and Progesterone Capsules,the use of Guben Zhibeng Tang and Progesterone Capsules in the treatment of AUB patients is more effective,reducing endometrial thickness,menstrual flow,and regulating sex hormone levels.

关 键 词：异常子宫出血 固本止崩汤 葆宫止血颗粒 黄体酮胶囊 子宫内膜厚度 性激素 

分 类 号：R711.52[医药卫生—妇产科学]