CAJ | 학술논문

目的：探讨研究中西医结合方法治疗青春期功能失调性子宫出血的疗效观察。方法：我院妇泌科于2010年6月至2013年1月接收青春期功能失调性子宫出血的患者168例，随机分为达英35组（A组），益气止血组（B组），达英35联合益气止血组（C组），每组56例。A组通过药物达英35进行治疗，B组给与益气止血的中药进行治疗，C组在给与达英35的同时给与益气止血的中药的方法，4周为1疗程。观察3组的总有效率，比较3组患者的出血减少时间、出血控制时间以及出血完全停止时间。结果：C组的总有效率与A、B两组相比，差异有统计学意义（P<0.05），C组的出血减少时间、出血控制时间以及出血完全停止时间比A、B两组明显缩短（P<0.05）。而A、B两组的总有效率、出血减少时间、出血控制时间以及出血完全停止时间差异均无统计学意义（P>0.05）。结论：中西医结合方法治疗青春期功能失调性子宫出血，结合了中医和西医的优点，不仅提高了总体疗效，还避免了不良反应的发生。
목적：탐토연구중서의결합방법치료청춘기공능실조성자궁출혈적료효관찰。방법：아원부비과우2010년6월지2013년1월접수청춘기공능실조성자궁출혈적환자168례，수궤분위체영35조（A조），익기지혈조（B조），체영35연합익기지혈조（C조），매조56례。A조통과약물체영35진행치료，B조급여익기지혈적중약진행치료，C조재급여체영35적동시급여익기지혈적중약적방법，4주위1료정。관찰3조적총유효솔，비교3조환자적출혈감소시간、출혈공제시간이급출혈완전정지시간。결과：C조적총유효솔여A、B량조상비，차이유통계학의의（P<0.05），C조적출혈감소시간、출혈공제시간이급출혈완전정지시간비A、B량조명현축단（P<0.05）。이A、B량조적총유효솔、출혈감소시간、출혈공제시간이급출혈완전정지시간차이균무통계학의의（P>0.05）。결론：중서의결합방법치료청춘기공능실조성자궁출혈，결합료중의화서의적우점，불부제고료총체료효，환피면료불량반응적발생。
Objective: To investigate and study efficacy of of Combination of Chinese Traditional and Western Medicine on dysfunctional uterine bleeding. Methods: 168 cases of patients with dysfunctional uterine bleeding received in the Maternal and secretion Branch in our hospital from June 2010 to January 2013 were randomly divided into Diane 35 group (group A), Qi-hemostasis group (group B), Diane 35 plus Qi hemostasis group (group C), 56 cases in each group. Patients were treated by Diane 35 in Group A, Qi-boosting and blood-stanching Chinese medicine in group B, and Diane 35 plus Qi-boosting and blood-stanching Chinese medicine in C group, 4 weeks for a course. Total efficiency, reduced bleeding, bleeding control and complete cessation of bleeding time were observed. Results: Compared with A, B two groups, the total efficiency of C group showed significant differences (P<0.05); bleeding time, bleeding control and the bleeding stopped completely in group C was significantly shorter than groups A and B (P<0.05). The difference on total efficiency, reduce bleeding, bleeding control and complete cessation of bleeding time between group A and B were without significant difference ( P>0.05). Conclusion: Combina-tion of Chinese Traditional and Western Medicine can combine the advantages both of Chinese Traditional and Western Medicine in treating adolescent dysfunctional uterine bleeding, improve the overall efficacy and avoid the occurrence of adverse reactions.