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目的:探讨中西医结合治疗月经量过多所致贫血的治疗效果。方法:回顾性分析了2009年1月-2010年12月在我院治疗的月经量过多所致贫血患者186例,随机分为两组。对照组92例采用西药治疗(富马酸亚铁胶囊0.2g,3次/天,叶酸5mg,3次/天,维生素C 0.1g,3次/天);观察组94例在对照组治疗基础上联合应用自拟复方中药治疗。疗程为2个月经周期。观察比较治疗前后血红蛋白(Hb)、红细胞(RBC)、红细胞压积(HCT)、血浆白蛋白(g/L)的变化进而了解贫血的改善程度。在第3个月经周期停药观察疗效。患者记录经期天数、所用卫生巾量、用面积法计算月经血量。结果:与对照组疗效(%)比较,观察组疗效(%)明显改善,差异显著,有统计学意义(P<0.05)。与治疗前比较,两组治疗后血红蛋白(Hb)、红细胞(RBC)、红细胞压积(HCT)、血浆白蛋白(g/L)增加明显,差异显著,有统计学意义(P<0.05)。与对照组比较,观察组治疗后血红蛋白(Hb)、红细胞(RBC)、红细胞压积(HCT)、血浆白蛋白(g/L)增加明显,差异显著,有统计学意义(P<0.05)。与治疗前比较,治疗后经量、经期天数平均下降,差异显著,有统计学意义(P<0.05)。治疗后,与对照组比较,经量、经期天数平均下降,差异显著,有统计学意义(P<0.05)。结论:中西医结合治疗月经量过多所致贫血,可以减少经量、经期天数,治疗效果显著。
Objective: To explore the treatment of anemia caused by excessive menstrual flow by combining traditional Chinese and western medicine. Methods: A retrospective analysis of 186 cases of anemia caused by excessive menstrual flow in our hospital from January 2009 to December 2010 were randomly divided into two groups. Ninety-two patients in the control group were treated with western medicine (0.2g ferrous fumarate capsules, 3 times daily, folic acid 5mg, 3 times daily, vitamin C 0.1g, 3 times daily) On the joint application of self-compound traditional Chinese medicine treatment. The course of treatment is 2 menstrual cycles. The changes of hemoglobin (Hb), erythrocytes (RBC), hematocrit (HCT), and plasma albumin (g / L) before and after treatment were observed and compared to find out the improvement of anemia. In the third menstrual cycle withdrawal observed efficacy. The patient recorded the number of menstrual periods, the amount of sanitary napkin used, and the area method to calculate the amount of menstrual blood. Results: Compared with the control group (%), the curative effect (%) in the observation group was significantly improved, with significant difference (P <0.05). Compared with before treatment, hemoglobin (Hb), red blood cells (RBC), hematocrit (HCT) and plasma albumin (g / L) increased significantly after treatment in both groups, with significant difference (P <0.05). Compared with the control group, Hb, RBC, HCT and g / L increased significantly in the observation group after treatment, with significant difference (P <0.05). Compared with before treatment, after treatment, the amount of menstruation, the average number of days decreased significantly, the difference was statistically significant (P <0.05). After treatment, compared with the control group, the amount of menstruation, the average number of days decreased significantly, the difference was statistically significant (P <0.05). Conclusion: Integrative treatment of anemia caused by excessive menstrual flow, can reduce the amount of menstruation days, the treatment effect is remarkable.