[1]张春青.健脾祛瘀固冲法治疗围绝经期崩漏39例[J].西部中医药,2013,26(03):86-87.
 ZHANG Chunqing.Treatment for 39 Cases of Metrorrhagia and Metrostaxis during Peri-menopausal Periodwith the Method of Invigorating Spleen, Eliminating Stasis and Strengthening Thoroughfare Vessels[J].Western Journal of Traditional Chinese Medicine,2013,26(03):86-87.
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健脾祛瘀固冲法治疗围绝经期崩漏39例
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年03期
页码:
86-87
栏目:
出版日期:
2013-03-15

文章信息/Info

Title:
Treatment for 39 Cases of Metrorrhagia and Metrostaxis during Peri-menopausal Periodwith the Method of Invigorating Spleen, Eliminating Stasis and Strengthening Thoroughfare Vessels
文章编号:
1004-6852(2013)03-0086-02
作者:
张春青
唐山市第三医院妇产科,河北 唐山 063100
Author(s):
ZHANG Chunqing
Obstetrics and Gynecology in the Third Hospital of Tangshan Municipality, Tangshan 063100, China
关键词:
功能性子宫出血围绝经期脾虚夹瘀健脾祛瘀固冲
Keywords:
dysfunctional uterine bleeding peri-menopausal period spleen insufficiency with stasisinvigorating spleen eliminating stasis and strengthening thoroughfare vessels
分类号:
R271.12
文献标志码:
B
摘要:
目的:观察健脾祛瘀固冲法治疗围绝经期崩漏的临床疗效。方法:将 75 例围绝经期崩漏患者随机分为治疗组 39 例、对照组 36 例。治疗组出血期用宫血立停方,血止后用加减归脾汤,1 剂 /d,水煎,分 2 次温服。对照组出血期口服炔诺酮 5 mg,3 次 /d,血止后每隔 3 天递减 1/3 量,直至维持量(每日 2.5 mg),持续用药至血止后 20 天停药,停药后撤药性出血第 5 日开始下 1 周期,2.5 mg/ 次,1 次 /d,连用 20 天。2 组均以 1个月经周期为 1 个疗程,连续治疗 3 个疗程。结果:治愈率治疗组为48.72%,对照组为 27.78%,2 组相比差异有统计学意义(P<0.05);总有效率治疗组为 89.74%,对照组为 69.44%,2 组相比差异有统计学意义(P<0.05)。子宫内膜厚度 2 组治疗后均明善改善(P<0.05),治疗组改善较对照组明显(P<0.05)。结论:健脾祛瘀固冲法治疗围绝经期崩漏临床疗效显著。
Abstract:
Objective: To investigate clinical effects of the method of invigorating spleen, eliminating stasis and strengthening thoroughfare vessels in treating metrorrhagia and metrostaxis during peri-menopausal period.Method: All 75 patients were randomly divided into 39 cases in the treatment group and 36 cases in the control group. The treatment group received GongXue LiTingFang during the bleeding period and modified GuiPiTang when the bleeding was stopped,one dose each day, water decocted and taking twice. The control group took norethindrone,5 mg each time, three times each day, when the bleeding was stopped, the dosage was gradually decreased by 1/3 amounts every three days until it was maintained at 2.5mg for 20 consecutive days. The cycle was begun at the 5 th day of withdrawal bleeding and the medicine was given for 20 consecutive days, 2.5 mg/time, 1time/d. One menstrual cycle was one course of treatment and both groups were treated for three courses of treatment. Result: Cure rates of the treatment group and the control group were 48.72% and 27.78%, the difference of both groups demonstrated statistical meaning (P< 0.05); total effective rates of both groups were 89.74% and 69.44% and the difference between both groups showed statistical meaning (P< 0.05). Endometrial thickness of both groups was improved significantly after treating (P< 0.05) and the treatment group improved greater than the control group (P< 0.05). Conclusion: The method of invigorating spleen, eliminating stasis and strengthening thoroughfare vessels could gain clinical effects in treating metrorrhagia and metrostaxis during peri-menopausal period.

参考文献/References:

[1] 乐杰.妇产科学[M].7 版.北京:人民卫生出版社,2008:301-304. [2] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:240-243. [3] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:62-63. [4] 肖茂洁,朱颖.补肾健脾固冲法治疗更年期崩漏体会[J].甘肃中医,2010,23(7):51-52. [5] 张秀兰.妈富隆联合益气固本止血汤治疗围绝经期功血 40例疗效观察[J].西部中医药,2012,25(5):74-75. [6] 张志兰.加味四物汤治疗崩漏 268 例[J].甘肃中医,2009,22(6):38. [7] 吕玉玲.从瘀论治崩漏经验[J].河北中医,2012,34(6):848-849.

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备注/Memo

备注/Memo:
收稿日期:2012-10-27 作者简介:张春青,女,副主任医师。研究方向:妇产科疾病的中西医结合诊治。
更新日期/Last Update: 2013-03-15