三种方法治疗青春期功能失调性子宫出血疗效研究.doc

三种方法治疗青春期功能失调性子宫出血疗效研究【摘要】目的：对治疗青春期功能失调性子宫出血的三种方法进行临床效果比较，探讨更佳的方法。方法：将我院2008年1月~2010年12月收治的120例青春期功血患者按照知情同意的原则随机分为三组。A组采用苯甲酸雌二醇、乙烯雌酚、安宫黄体酮治疗；B组采用倍美力、安宫黄体酮治疗；C组采用妈富隆治疗；比较分析三组的临床效果结果：A、B、C三组的总有效率分别为92.5%、87.5%、97.5%，组间差异无统计学意义（P＞0.05）;C组的控制出血时间及完全止血时间分别为（42.3±7.2）h、（60.5±5.8）h，明显短于A、B两组，组间差异均有统计学意义(P＜0.01）;C组的不良反应发生率略低于A、B两组，组间差异无统计学意义（P＞0.05）。结论：妈富隆治疗青春期功能失调性子宫出血效果较佳，值得临床推广应用。 【关键词】青春期功能失调性子宫出血；苯甲酸雌二醇；乙烯雌酚；倍美力；安宫黄体酮；妈富隆 Analyse the efficacy of three Methods to treatment of adolescent dysfunctional uterine bleeding Wu fangchun, Department of Obstetrics Gynaecology, Taojiang People’s Hospital, Taojiang, Hunan, 413400 【Abstract】Objective: to compare the clinical effects of three methods to treat adolescent dysfunctional uterine bleeding. Explore a better method.Methods: In accordance with the principle of informed consent divide 120 patients of adolescent dysfunctional uterine bleeding of Our hospital in January 2008 ~ December 2010 into three groups.each 40 cases.A group were treated with Estradiol benzoate, diethylstilbestrol, medroxyprogesterone acetate;B group were treated with Premarin, medroxyprogesterone acetate;C group was treated with Marvelon,The clinical effects of the fhree groups were compared and analysed.Results:The total effective rate of A,B,C groups were 92.5%、87.5%、97.5% respectively. No statistically significant difference between groups（P＞0.05）;the control bleeding time and Stop bleeding time of C group were （42.3±7.2）h、（60.5±5.8）h,significantly shorter than A,B groups, Between-group differences are significant (P＜0.01）;the incidence of adverse reactions,slightly lower than A,B groups, No statistically significant difference between groups（P＞0.05）.Conclusion:Marvelon treatment of adolescent dysfunctional uterine bleeding Was better , worthy of clinical application. 【Key words】adolescent dysfunctional uterine bleeding; estradiol benzoate; diethylstilbestrol; premarin; medroxyprogesterone acetate; Marvelon 青春期功能性子宫出血（adolescent dys