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目的探讨功能失调性子宫出血中西医结合治疗的效果。方法随机选取门诊和住院绝经过渡期功能失调性子宫出血50名患者作为观察对象,利用中西医结合方法治疗,包括中药汤剂口服,西药抗炎、抗贫血、止血药物及妇康片、丙酸睾丸酮治疗,全部行诊刮术除外子宫内膜癌,并达到诊断及快速止血的目的。结果围绝期中“三高”人群是功血的高发人群,与患者体质、精神状态及内分泌功能失调,尤其是H2水平相对偏高导致子宫内膜呈单纯性增生及复杂性增生。结论在除外癌变的前提下,用中西药合用的方法调整内分泌止血,使其安全度过绝经过渡期。
Objective To investigate the effect of treatment of dysfunctional uterine bleeding with integrated traditional Chinese and western medicine. Methods Fifty patients with dysfunctional uterine bleeding during outpatient and postmenopausal transitional period were randomly selected as the observation object. The patients were treated with traditional Chinese and western medicine, including oral Chinese medicine decoction, anti-inflammatory drugs, anti-anemia drugs, hemostatic drugs, Testosterone treatment, excluding all endoscopic curettage endometrial cancer, and to achieve the purpose of diagnosis and rapid hemostasis. Results perinatal “high” crowd is a high incidence of dysfunctional uterine bleeding, with the patient’s constitution, mental state and endocrine dysfunction, especially the relative high level of H2 leads to a simple endometrial hyperplasia and complex hyperplasia. Conclusions Except for the cancerous condition, endocrine hemostasis was adjusted with Chinese traditional and western medicine to make it safely pass through the transition period of menopause.