宫炎平对放置节育环后致子宫出血临床疗效研究.docVIP

宫炎平对放置节育环后致子宫出血临床疗效研究 　　 作者单位：518172 深圳市龙岗区计划生育服务中心 　　通讯作者：孙冬梅 　　【摘要】 目的 观察宫炎平对宫内放置节育环（IUD）后导致的子宫出血的临床疗效。方法 对200例上环的育龄妇女进行随机分组,其中观察组与对照组各100例。实施上环术后,观察组即服宫炎平片3片/次，3次／d，连服5 d。在随后的3个月的月经期仍连续服用5 d。对照组不服药。结果 3个月后观察组月经量为（87.42±30.04） ml，对照组为（109.52±37.20） ml，两者相比有显著性差异（P＜0.05）；观察组经期平均为（7.60±1.67）天，对照组为（9.34±2.64）天，两者相比有显著性差异（P＜0.05）。结论 宫炎平片能够显著减少上环后月经出血量及时间，对放置IUD所致子宫异常出血治疗效果显著，具有一定的临床推广价值。 　　【关键词】 宫炎平片； 节育环 ；子宫出血 　　The curative effect of Gong-Yan-Ping Pills on uterine bleeding caused by intrauterine contraceptive device DONG Gei-sun.Family Planning Service Center of Long gang District, Shenzhen 518172,China 　　【Abstract】 Objective To investigate the curative effect of Gong-Yan-Ping on uterine bleeding caused by intrauterine contraceptive device （IUD）.Methods 200 cases of reproductive women with IUD were divided into two groups in random, observation group and control group was each 100 cases. The observation group took gong-yan-ping 3 pills per day, 3 times per day, for continuous 5 days. In the following 3 months, Gong-Yan-Ping was also took in the previous described. The control group takes no pills.Results After 3 months, the menstrual amount in the observation group was （87.42±30.04） ml there was （109.52±37.20） ml in the control group. There was significant between the two different（P＜0.05）. The menstrual period in the observation group was （7.60±1.67） days which was significantly lower than （9.34±2.64） days in the control group （P＜0.05）.Conclusion The Gong-Yan-Ping can significantly decrease the menstrual amount and period. It has a significantly curative effect on the uterine bleeding caused by IUD，and may be expanded in clinic. 　　【Key words】 Gong-Yan-Ping pills; IUD; Uterine Bleeding 　　 宫内节育环（IUD）作为避孕措施具有安全、长效、简便、可逆等优点，但放置后半数以上的妇女会出现经??量增多，经期延长，经期点滴出血等现象，严重影响了其续用率。本院选用宫炎平治疗放置IUD后子宫异常出血,效果满意。具体研究如下。 　　1 资料与方法 　　1.1 一般资料 200例均为2008年8月～2009年8月到笔者所在单位接受上环术的健康育龄妇女，年龄23～36岁，平均（28±5.2）岁。随机分组,其中观察组和对照组各100例。两组在年龄、孕产史、月经史、健康状况、治疗前血红蛋白（Hb）及放环的种类等方面，均无统计学差异（P＞0.05