对该院妇科96例功能失调性子宫出血的临床诊治分析

摘要

目的：分析与探讨该院妇科功能失调性子宫出血患者96例的临床诊治方法及效果。方法选取该院于2012年9月-2013年7月间收治的功能失调性子宫出血患者96例为研究对象，按照用药方法的不同，平均分为对照组和实验组，每组48例。其中，对照组采用米非司酮进行药物治疗，实验组在对照组的基础上加用中药治疗，一般临床多加用中药固崩汤。比较两组患者的临床治疗效果和身体各项指标值变化。结果经治疗后，对照组显效40例(83.33%)，有效4例(8.33%)，无效4例(8.33%)，总有效率为44例(91.66%)，且各项指标在治疗后，黄体生成素(9.8±3.1)IU/L、卵泡刺激素(17.2±3.1)IU/L、孕酮(2.4±0.8)pmol/L、雌二酮(118.9±22.9)nmol/L。实验组显效44例(91.67%)、有效3例(6.25%)、无效1例(2.08%)，总有效率为47例(97.92%)，且各项指标在治疗后，黄体生成素(13.5±3.2)IU/L、卵泡刺激素(19.7±2.6)IU/L、孕酮(1.5±0.9)pmol/L、雌二酮(97.1±14.6)nmol/L。两组比较差异有统计学意义(P<0.05)。结论临床中采用米非司酮加用中药固崩汤可有效改善患者功能失调性子宫出血症状，且疗效显著，值得在临床中广泛推广。%Objective To discuss of my courtyard department of gynaecology dysfunction clinical diagnosis and treatment of 96 pa-tients of uterine bleeding and effect. Methods Selection of our hospital in 2012 September - 2013 July between dysfunctional u-terine bleeding in 96 patients as the research object, according to the different methods of medication, divided into the control group and the experimental group, 48 cases in each group. Among them, the control group were treated with mifepristone for drug treatment, the experimental group with traditional Chinese medicine on the basis of the control group, the general clinical use of Chinese medicine gubeng decoction. Comparison of two groups of patients with clinical curative effect and health indicators value change. Results After treatment, the control group 40 cases (83.33%), effective 4 cases (8.33%), invalid 4 cases (8.33%), the total efficiency of 44 cases (91.66%), and the indicators before and after the treatment, luteinizing hormone (9.8 ± 3.1) IU/L, follicle stimulating hormone (17.2±3.1), IU/L progesterone (2.4±0.8) pmol/L, two female ketone (118.9±22.9) nmol/L.. The experimen-tal group was 44 cases (91.67%), effective 3 cases (6.25%), invalid 1 cases (2.08%), the total efficiency of 47 cases (97.92%), and the indicators before and after the treatment, luteinizing hormone (13.5±3.2) IU/L, follicle stimulating hormone (19.7 ±2.6) IU/L, progesterone (1.5 ±0.9, female two) pmol/L ketone (97.1±14.6) nmol/L. The difference between the two groups was statistically significant, (P<0.05). Conclusion Clinically, the use of mifepristone plus gubeng with traditional Chinese medicine decoction can effectively improve the function of patients with dysfunctional uterine bleeding symptoms, obvious curative effect, is worth popular-izing in clinic.