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目的探讨雌孕激素复合物去氧孕烯炔雌醇治疗青春期功能失调性子宫出血的治疗方法及疗效。并与单用雌激素(戊酸雌二醇)治疗青春期功能失调性子宫出血作以比较。方法将79例青春期功能失调性子宫出血分为治疗组与对照组,其中治疗组41例,对照组38例,治疗组予去氧孕烯炔雌醇(妈富隆)止血治疗,对照组予戊酸雌二醇(补佳乐)止血治疗,比较两组患者的控制出血时间、完全止血时间,比较两组患者的止血疗效。结果治疗组患者的控制出血时间与完全止血时间分别短于对照组,差异有统计学意义(P<0.05)。治疗组止血治疗有效率明显大于对照组有效率,差异有统计学意义(P<0.05)。结论雌孕激素复合药物去氧孕烯炔雌醇治疗青春期功能失调性子宫出血疗效显著,优于单用雌激素补佳乐组。
Objective To investigate the treatment and efficacy of estrogen-progesterone composite deoxynivalenol in the treatment of adolescent dysfunctional uterine bleeding. And with estrogen alone (estradiol valerate) treatment of adolescent dysfunctional uterine bleeding for comparison. Methods 79 cases of adolescent dysfunctional uterine bleeding were divided into treatment group and control group, including 41 cases in the treatment group and 38 cases in the control group. The treatment group was given hemostatic treatment of desogestrel ethinyl estradiol (Marvelon) Acid estradiol (Jia Jiale) hemostatic treatment, the two groups were compared bleeding time control, complete bleeding time, compared the two groups of patients to stop bleeding. Results The controlled bleeding time and complete bleeding time in the treatment group were shorter than those in the control group respectively, with significant difference (P <0.05). The effective rate of hemostasis in the treatment group was significantly greater than that in the control group, the difference was statistically significant (P <0.05). Conclusion The combination of estrogen and progesterone combined with desogestrel ethinyl estradiol has a significant effect on treatment of adolescent dysfunctional uterine bleeding, which is superior to that of the combination of estrogen and progestogen alone.