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目的针对医源性月经过多,观察曼月乐的治疗效果。方法选取服用抗凝剂(心脏换瓣术后口服华法令病人)连续3个月每月经量超过80ml的患者151例,随机分为曼月乐治疗组及性激素治疗组,曼月乐组宫内放置曼月乐,性激素组应用传统的口服性激素的方法,具体为:口服妈富隆,每日1片,连服21d。统计两组月经量变化。结果曼月乐组78例,68例显效,10例有效,无无效患者,有效率100%。性激素组73例,30例显效,25例有效,18例无效需诊刮止血,有效率75.34%。曼月乐组明显优于性激素组(P<0.01)。结论曼月乐治疗服用抗凝剂致月经量过多疗效优于传统性激素治疗。
Objective for iatrogenic menorrhagia, to observe the therapeutic effect of Mirena. Methods One hundred and fifteen patients with anticoagulant (warfarin after oral valvular heart valve replacement) were enrolled in this study. One hundred and fifteen patients with monthly menstrual flow more than 80ml for 3 consecutive months were randomly divided into Mirena treatment group, sex hormone therapy group and Mirena group Place Mirena, sex hormones group using the traditional method of oral sex hormones, specifically: oral Marvelon, daily 1, and even served 21d. Statistics two groups of menstrual changes. Results Mirena group 78 cases, 68 cases markedly effective, 10 cases of effective, no ineffective patients, the effective rate of 100%. 73 cases of sex hormone group, 30 cases markedly effective, 25 cases effective, 18 cases ineffective curettage bleeding, the effective rate was 75.34%. Mirena group was significantly better than the sex hormone group (P <0.01). Conclusion Mirena treatment of anticoagulants caused by excessive menstrual flow than traditional hormone therapy.