论文部分内容阅读
目的:探究养阴止血汤结合诺舒(诺舒阻抗控制子宫内膜切除术)治疗功能性子宫出血(阴虚血热证)的效果及作用机制。方法:选取自2013年1月~2015年1月我院收治的76例功能性子宫出血(阴虚血热证)患者为本次研究对象,参照完全随机数字表法将其随机分成两组,对照组予以单纯性诺舒阻抗控制子宫内膜切除术治疗,实验组推行诺舒阻抗控制子宫内膜切除术+养阴止血汤联合治疗,观察两组临床治疗效果。结果:实验组治疗后总有效率(94.74%vs 78.95%)明显较对照组高,经量(ml:65.30±19.42 vs 68.35±15.62)、经期(天:13.26±5.92 vs15.27±6.33)、子宫内膜厚度(mm:5.34±0.24 vs 9.54±1.23)明显低于对照组,且血红蛋白水平(g/L:99.87±10.20vs 80.17±9.37)、雌二醇激素水平(pmol·L-1:198.36±32.84 vs 180.13±40.11)显著高于对照组,差异有统计学意义(P<0.05)。结论:养阴止血汤结合诺舒治疗功能性子宫出血(阴虚血热证)临床疗效优于单纯性诺舒治疗,疗效确切,安全性高,值得临床积极借鉴与推广。
Objective: To investigate the effect and mechanism of Yangyin hemostatic Decoction combined with Nuo Shu (Nuoshu resistance controlled endometrial ablation) in the treatment of functional uterine bleeding (Yin-blood-heat syndrome). Methods: From January 2013 to January 2015, 76 patients with functional uterine bleeding (yin deficiency blood-heat syndrome) admitted to our hospital were selected as the study subjects. The patients were randomly divided into two groups according to the complete random number table , The control group was treated with simple nausea resistance endometrial resection, the experimental group with nosocomial resistance control endometrial resection + combination of yin yin and hemostatic soup, the clinical efficacy of the two groups were observed. Results: The total effective rate (94.74% vs 78.95%) in the experimental group was significantly higher than that in the control group (P <0.05). The volume of the experimental group (65.30 ± 19.42 vs 68.35 ± 15.62), menstrual period (13.26 ± 5.92 vs 15.27 ± 6.33) The endometrial thickness (mm: 5.34 ± 0.24 vs 9.54 ± 1.23) was significantly lower than that of the control group, and the levels of hemoglobin (g / L: 99.87 ± 10.20 vs 80.17 ± 9.37) and estradiol hormone levels (pmol·L- 198.36 ± 32.84 vs 180.13 ± 40.11), the difference was statistically significant (P <0.05). Conclusion: The combination of Nourishing Yin and Blood Stasis Decoction combined with Nuosu in the treatment of functional uterine bleeding (Yin-blood-heat syndrome) is superior to simple Noxious treatment, with definite curative effect and high safety. It is worth clinical reference and promotion.