摘要
目的 观察阿胶黄芪口服液联合炔诺酮治疗功能失调性子宫出血的临床疗效及对改善贫血的作用.方法 选择100例符合入组标准的功能失调性子宫出血患者作为研究对象,按收治顺序将患者随机分为研究组（n=50）和对照组（n=50）,对照组口服炔诺酮治疗,研究组在对照组的基础上再口服阿胶黄芪口服液治疗,10 ml/次,每天2次,两组均连续治疗3个月经周期,治疗前、治疗3个月后空腹抽血进行红细胞、血红蛋白量检测,治疗结束后随访3个月,评价两组临床疗效.结果 对照组和研究组治疗后红细胞、血红蛋白分别为（3.05±0.58）×1012/L和（3.67±0.65）×1012/L,（86.75±6.30）g/L和（97.95±6.53）g/L,均较治疗前明显升高,差异均有统计学意义（t=3.173和3.733,3.207和5.454,均P〈0.05）,研究组治疗后红细胞、血红蛋白明显高于对照组,差异均有统计学意义（t=3.295、3.645,均P〈0.05）.研究组的临床总有效率为92％（46/50）,明显高于对照组84％（42/50）,差异有统计学意义（Z=-3.334,P〈0.01）.结论 阿胶黄芪口服液联合炔诺酮治疗功能失调性子宫出血疗效显著,能快速止血,改善贫血症状,提高临床治疗效果,值得临床推广使用.
Objective To observe the clinical effect of Ejiao Huangqi oral liquid combined with norethis-terone in treating dysfunctional uterine bleeding and its effect on improving anemia .Methods 100 patients with dysfunctional uterine bleeding were randomly divided into study group （ 50 cases ） and control group （ 50 cases ） according to the order of admission .The control group was given oral norethindrone treatment ,the study group was given Ejiao Huangqi oral liquid on the basis of the control group ,10mL per time,2 times a day.Both two groups were treated for 3 menstrual cycles.The fasting blood samples were taken to test the red blood cells （RBC） and hemoglobin（Hb）. All patients were followed up for 3 months to evaluate clinical efficacy .Results The levels of RBC and Hb in the study group and control group were （3.05 ±0.58） ×1012/L and （3.67 ±0.65） ×1012/L,（86.75 ±6.30） g/L and （97.95 ±6.53） g/L,respectively,which were significantly higher than those before treatment （all P〈0.05）.The levels of RBC and Hb in the study group were significantly higher than those in the control group （P〈0.05）.The total effective rate of the study group was 92％（46/50）,which was significantly higher than that of the control group [84％（42/50）],the difference was statistically significant （Z=-3.334,P〈0.01）.Conclusion Ejiao Huangqi oral liquid combined with norethisterone has exact effect in treating dysfunctional uterine bleeding , can quickly stop bleeding,improve the symptoms of anemia ,improve the clinical treatment effect ,which is worthy of clinical use .
作者
李春玲
Li Chunling(Department of Obstetrics and Gynecology, the People＇s Hospital of Pinglu County,Shanxi 044300, Chin)
出处
《中国基层医药》
CAS
2018年第4期467-470,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
子宫出血
阿胶黄芪口服液
炔诺酮
贫血
Uterine hemorrhage
Ejiao huangqi oral liquid
Norethindrone
Anemia
