地屈孕酮治疗无排卵型功能性子宫出血对患者临床症状的改善作用  

The Improvement Effect of Dydrogesterone in the Treatment of Anovulatory Dysfunctional Uterine Bleeding on the Clinical Symptoms of Patients

作　　者：张华芝 ZHANG Huazhi(Department of Obstetrics and Gynecology,Shunchang County Hospital of Traditional Chinese Medicine,Nanping,Fujian 353200,China)

机构地区：[1]顺昌县中医院妇产科,福建南平353200

出　　处：《中国医药指南》2025年第8期78-80,共3页Guide of China Medicine

摘　　要：目的 探讨地屈孕酮治疗无排卵型功能性子宫出血对患者临床症状的改善作用。方法 选取2021年3月至2024年3月顺昌县中医院接收的92例无排卵型功能性子宫出血患者为对象,借助随机数字表法分组,各46例。对照组开展炔诺酮治疗,观察组开展地屈孕酮治疗。对比临床治疗效果、治疗相关指标、性激素水平。结果 治疗效率方面,观察组高于对照组(P <0.05);相关治疗指标方面,治疗3周后观察组均优于对照组(P <0.05);且观察组性激素水平均优于对照组(P <0.05)。结论 对无排卵型功能性子宫出血患者实施地屈孕酮治疗的效果更为理想,可积极改善患者功能性子宫出血症状及改善性激素分泌状况。Objective To explore the effect of dydrogesterone on improving clinical symptoms in patients with anovulatory functional uterine bleeding.Methods A total of 92 patients with anovulatory dysfunctional uterine bleeding admitted to Shunchang County Traditional Chinese Medicine Hospital from March 2021 to March 2024 were selected as subjects and divided into groups using a random number table method,with 46 cases in each group.The control group received norethisterone treatment,while the observation group received dydrogesterone treatment.The clinical therapeutic effects,treatment-related indicators,and sex hormone levels were compared.Results In terms of treatment efficiency,the observation group was higher than the control group(P<0.05).Regarding the relevant treatment indicators,the observation group showed better results than the control group after three weeks of treatment(P<0.05).Moreover,the sex hormones in the observation group were superior to those in the control group(P<0.05).Conclusions The treatment of anovulatory functional uterine bleeding with dydrogesterone is more ideal,which can actively improve the symptoms of functional uterine bleeding and the secretion of sex hormones in patients.

关 键 词：无排卵性功能失调性子宫出血 地屈孕酮 炔诺酮 性激素 

分 类 号：R711.52[医药卫生—妇产科学]