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目的探讨补肾疏肝汤联合去氧孕烯炔雌醇片(妈富隆)治疗围绝经期功能失调性子宫出血的临床效果。方法 140例围绝经期功能失调性子宫出血患者,根据入院顺序分为观察组和对照组,各70例。对照组采用常规刮宫联合妈富隆治疗,观察组在对照组治疗基础上加用补肾疏肝汤治疗,连续治疗3个月经周期,比较两组患者治疗效果。结果经过3个月经周期的治疗,观察组患者治疗总有效率为91.4%,高于对照组的82.9%,差异具有统计学意义(P<0.05)。结论在常规刮宫治疗基础上采用补肾疏肝汤联合妈富隆治疗围绝经期功能失调性子宫出血能显著提高治疗有效率,疗效确切,值得临床推广应用。
Objective To investigate the clinical effect of Bushen Shugan decoction combined with desogestrel ethinyl estradiol tablets (Marvelon) in the treatment of dysfunctional uterine bleeding in perimenopausal period. Methods 140 cases of climacteric dysfunctional uterine bleeding patients were divided into observation group and control group according to the order of admission, each 70 cases. The control group was treated with conventional curettage combined with Marvelon. The observation group was treated with Bushen Shugan Tang on the basis of the control group, and the three menstrual cycles were treated continuously to compare the therapeutic effect of the two groups. Results After 3 menstrual cycles, the total effective rate of the observation group was 91.4%, which was higher than that of the control group (82.9%), the difference was statistically significant (P <0.05). Conclusion On the basis of conventional curettage therapy, Bushen Shugan decoction combined with Marvelon treatment of peri-menopausal dysfunctional uterine bleeding can significantly improve the efficiency of treatment, the curative effect is exact and worthy of clinical application.