中西医结合治疗青春期功血30例临床剖析.docVIP

中西医结合治疗青春期功血30例临床剖析 　　【摘要】 目的：探讨中西药结合治疗青春期功血的临床疗效和特点。方法：回顾性分析30例青春期功血患者的临床资料，将之分为治疗组15例和对照组15例，治疗组为采用中西药结合疗法的患者资料，对照组为单纯采用西药疗法的患者资料。结果：治疗组痊愈10例，显效3例，有效1例，无效1例，总有效率为93.3%；对照组痊愈7例，显效3例，有效2例，无效3例，总有效率为80%。结论：中西药结合治疗青春期功血疗效优于单纯西药疗法。 　　【关键词】中西药结合;青春期功血 　　A clinical analysis of treating adolescence dysfunctional uterine bleeding for 30 patients with Chinese medicine and western medicine 　　LiWeiHua 　　【Abstract】Ｏbjective: To explore the characteristics and the clinical curative effect intreating adolescence dysfunctional uterine bleeding with Chinese medicine and western medicine Methods: Review and analyze the clinical data of 30 adolescence dysfunctional uterine bleeding patients, who had been divided into treatment group 15 which accepted Chinese medicine with western medicine treating and compare group 15 which accepted western medicine only. Results: 10 cases healed, 3 cases just show curative effect, 1 case was effective, 1 case was invalid in treatment group. The total effective rate was 93.3%. 7 cases healed, 3 cases just show curative effect, 2 cases was effective, 3 cases was invalid in compare group. The total effective rate was 80%. Conclusions: The effect in treating adolescence dysfunctional uterine bleeding with Chinese medicine and western medicine is better than western medicine only. 　　【key words】Chinese medicine combine western medicine, adolescence dysfunctional uterine bleeding 　　 　　【中图分类号】R635 【文献标识码】B 【文章编号】1005-0515(2011)05-0281-02 　　 　　青春期功能失调性子宫出血(青春期功血) 是指初潮后1～2年内由于神经内分泌调节功能不完善,引起生殖内分泌紊乱,造成子宫异常出血。临床主要表现为：初潮后月经稀少,短时停经后突发不规则性月经过多,经期延长,淋漓不止。祖国医学认为：青春期功能性子宫出血属“崩漏”范畴，青春期功血多为肾气未充，肝血不足、冲任亏虚所致。如青春期女子由于先天或后天因素而“肾精未实、肾气未充”， 不能固摄经血，可致“非时而下”则会发生“崩漏”之症[1]。青春期功血是青春期少女的一种常见疾病，往往引起严重贫血，危害少女身心健康。本文对30例青春期功血的患者的治疗情况进行了回顾性分析，现整理如下。 　　1 资料与方法 　　1.1一般资料 治疗组15例青春期功血患者，年龄13~20岁，平均15.5岁，病程1.5~3.5个月，平均2.4个月；对照组15例青春期功血患者，年龄13.5~20岁，平均15.7岁，病程1.4~3.3个月，平均2.3个月。两组患者的资料在临床症状、体征、年龄、病程等方面，经统计学检验处理，差异无显著性意义（P＞0.05），具有可比性。 　　1.2 诊断标准 参照《中药新药临床研究指导原则》和《妇产科学》[2,3]第六版