首页|醋酸甲羟孕酮联合戊酸雌二醇治疗功能失调性子宫出血患者的临床疗效评价

醋酸甲羟孕酮联合戊酸雌二醇治疗功能失调性子宫出血患者的临床疗效评价

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目的 探讨醋酸甲羟孕酮联合戊酸雌二醇治疗功能失调性子宫出血患者的临床疗效.方法 选取58例功能失调性子宫出血患者,利用随机数字表法分为对照组与研究组,每组29例.对照组患者给予醋酸甲羟孕酮片治疗,研究组患者给予醋酸甲羟孕酮片联合戊酸雌二醇片治疗.比较两组患者的临床疗效.结果 研究组患者的治疗总有效率为93.10%(27/29),对照组患者的治疗总有效率为72.41%(21/29),研究组患者的治疗总有效率明显高于对照组,差异有统计学意义(P<0.05).研究组患者控制出血时间、完全止血时间均明显短于对照组,差异有统计学意义(P<0.05).研究组的不良反应发生率为13.79%,对照组的不良反应发生率为37.93%,研究组患者的不良反应发生率明显低于对照组,差异有统计学意义(P<0.05).结论 醋酸甲羟孕酮联合戊酸雌二醇治疗功能失调性子宫出血患者疗效确切,缩短控制出血时间、完全止血时间,具有安全性,值得临床推广.
Clinical efficacy evaluation of medroxyprogesterone acetate combined with estradiol valerate in the treatment of patients with dysfunctional uterine bleeding
Objective To investigate the clinical effect of medroxyprogesterone acetate combined with estradiol valerate on patients with dysfunctional uterine bleeding.Methods 58 patients with dysfunctional uterine bleeding were selected and divided into control group and study group by random number table method,with 29 cases in each group.The control group was treated with medroxyprogesterone acetate tablets,and the study group was treated with medroxyprogesterone acetate tablets combined with estradiol valerate tablets.The clinical efficacy of the two groups was compared.Results The total effective rate of the study group was 93.10%(27/29),and that of the control group was 72.41%(21/29).The total effective rate of the study group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The time to control bleeding and complete hemostasis in the study group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions was 13.79%in the study group and 37.93%in the control group.The incidence of adverse reactions in the study group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Medroxyprogesterone acetate combined with estradiol valerate is effective in the treatment of patients with dysfunctional uterine bleeding,shortening the time to control bleeding and complete hemostasis,and is safe and worthy of clinical promotion.

Medroxyprogesterone acetateEstradiol valerateDysfunctional uterine bleedingClinical effect

陈桂芳

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汕头市龙湖人民医院 妇产科,广东 汕头 515041

醋酸甲羟孕酮 戊酸雌二醇 功能失调性子宫出血 临床疗效

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(1)
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