首页|断血流片联合地屈孕酮治疗功能失调性子宫出血患者的临床疗效及对凝血功能和性激素指标的影响

断血流片联合地屈孕酮治疗功能失调性子宫出血患者的临床疗效及对凝血功能和性激素指标的影响

扫码查看
目的 探讨断血流片联合地屈孕酮治疗功能失调性子宫出血(DUB)患者的临床疗效及对凝血功能和性激素指标的影响.方法 选取2019年3月至2022年1月磐安县人民医院收治的98例DUB患者作为研究对象,按照随机数字表法分为对照组和观察组,每组49例.对照组采用地屈孕酮片治疗,观察组采用地屈孕酮片联合断血流片治疗.比较两组临床疗效、临床相关指标、凝血功能指标、性激素指标.结果 观察组治疗总有效率高于对照组(P<0.05).治疗后,两组子宫出血评分、子宫内膜厚度均降低,且观察组子宫出血评分低于对照组,子宫内膜厚度薄于对照组(P<0.05).治疗后,两组活化凝血酶原时间(aPTT)、凝血酶原时间(PT)均缩短,且观察组aPTT、PT均短于对照组(P<0.05).治疗后,两组卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)均降低,且观察组FSH、LH、E2均低于对照组(P<0.05).结论 断血流片联合地屈孕酮治疗DUB患者临床疗效较好,可加强止血作用,改善凝血功能、性激素指标.
The clinical efficacy of Her ba Clinopodii Tablets combined with dydrogesterone in the treatment of patients with dysfunctional uterine bleeding and their effects on coagulation function and sex hormone indicators
Objective To investigate the clinical efficacy of Herba Clinopodii Tablets combined with dydrogesterone in the treatment of dysfunctional uterine bleeding(DUB)patients and their effects on coagulation function and sex hormone indicators.Methods A total of 98 DUB patients admitted to Pan'an County People's Hospital from March 2019 to January 2022 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 49 patients in each group.The control group was treated with dydrogesterone tablets,while the observation group was treated with dydrogesterone tablets combined with Herba Clinopodii Tablets.The clinical efficacy,clinically relevant indicators,coagulation function indicators,and sex hormone indicators were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,both groups showed a decrease in the uterine bleeding scores and endometrial thickness,with the observation group having lower uterine bleeding scores and thinner endometrial thickness than the control group(P<0.05).After treatment,the activated prothrombin time(aPTT)and prothrombin time(PT)were both shortened in both groups,and the aPTT and PT in the observation group were both shorter than those in the control group(P<0.05).After treatment,follicle stimulating hormone(FSH),luteinizing hormone(LH),and estradiol(E2)all decreased in both groups,and the FSH,LH,and E2 levels in the observation group were all lower than those in the control group(P<0.05).Conclusions The combination of Herba Clinopodii Tablets and dydrogesterone has a good clinical efficacy in the treatment of DUB patients,which can enhance hemostasis,improve coagulation function and sex hormone indicators.

Herba Clinopodii TabletsDidrogesterone tabletsDysfunctional uterine bleedingCoagulation functionSex hormone

施继超、傅秀娟、厉旭佳

展开 >

浙江中医药大学妇产科,杭州 310000

磐安县人民医院妇产科,浙江金华 322300

磐安县人民医院超声科,浙江金华 322300

断血流片 地屈孕酮片 功能失调性子宫出血 凝血功能 性激素

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(10)