止崩方治疗无排卵性异常子宫出血的效果  

Effect of Zhibeng Prescription in the Treatment of Anovulatory Abnormal Uterine Bleeding

作　　者：杨云霞 YANG Yunxia(Wushan County People's Hospital,Wushan 741300,China)

机构地区：[1]武山县人民医院,甘肃武山741300

出　　处：《中外医学研究》2024年第25期57-60,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨止崩方治疗无排卵性异常子宫出血的效果。方法:选取2021年1月—2023年6月武山县人民医院收治的61例无排卵性异常子宫出血患者。根据随机数表法将其分为A组(30例)和B组(31例)。两组均给予常规抗贫血治疗。A组给予宫血宁胶囊,B组给予止崩方治疗。比较两组临床疗效,治疗前后中医症候积分、凝血功能。结果:B组总有效率高于A组,差异有统计学意义(P<0.05)。治疗后,两组腰膝酸软、口干咽燥、头晕耳鸣、盗汗潮热评分均降低,B组腰膝酸软、口干咽燥、头晕耳鸣、盗汗潮热评分均低于A组,差异有统计学意义(P<0.05)。治疗后,两组凝血酶时间(TT)、活化部分凝血活酶时间(APTT)缩短,纤维蛋白原(FIB)、D-二聚体(D-D)水平均升高,B组TT、APTT均短于A组,FIB、D-D水平均高于A组,差异有统计学意义(P<0.05)。结论:无排卵性异常子宫出血患者以止崩方进行治疗效果更佳,能有效减轻中医症候,对凝血功能进行有效改善。Objective:To explore the effect of Zhibeng Prescription in the treatment of anovulatory abnormal uterine bleeding.Method:A total of 61 patients with anovulation abnormal uterine bleeding admitted to Wushan County People's Hospital from January 2021 to June 2023 were selected.They were divided into group A(30 cases)and group B(31 cases)according to random number table method.Both group were given the conventional anti-anemia treatment.Group A was given Gongxuening Capsules,and group B was given Zhibeng Prescription.The clinical efficacy,traditional Chinese medicine syndrome score and coagulation function before and after treatment were compared between the two groups.Result:The total effective rate of group B was higher than that of group A,and the difference was statistically significant(P<0.05).After treatment,the scores of waist and knee soreness,dry mouth and pharyngeal dryness,dizziness and tinnitus,night sweat and hot flush were decreased in both groups,while the scores of waist and knee soreness,dry mouth and pharyngeal dryness,dizziness and tinnitus,night sweat and hot flush in group B were lower than those in group A,the differences were significant(P<0.05).After treatment,thrombin time(TT)and activated partial thromboplastin time(APTT)were shortened,fibrinogen(FIB)and D-dimer(D-D)levels were increased in both groups,TT and APTT in group B were shorter than those in group A,and FIB and D-D levels were higher than those in group A,the differences were significant(P<0.05).Conclusion:Zhibeng Prescription is more effective in the treatment of patients with anovulatory abnormal uterine bleeding,which can effectively alleviate traditional Chinese medicine syndromes and improve coagulation function.

关 键 词：无排卵性异常子宫出血 宫血宁胶囊 止崩方 凝血功能 

分 类 号：R271.9[医药卫生—中西医结合]