医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
18期
3419-3420
,共2页
围绝经期功能失调性子宫出血%左炔诺孕酮宫内释放系统%炔雌醇环丙孕酮片
圍絕經期功能失調性子宮齣血%左炔諾孕酮宮內釋放繫統%炔雌醇環丙孕酮片
위절경기공능실조성자궁출혈%좌결낙잉동궁내석방계통%결자순배병잉동편
Peri-menopausal dysfunctional uterine bleeding%Mirena%Diane-35
目的:比较左炔诺孕酮宫内释放系统和炔雌醇环丙孕酮片治疗围绝经期妇女功能失调性子宫出血(功血)的临床疗效。方法选择2012年3月至2014年3月就诊于江阴市人民医院妇科的围绝经期功血患者80例,依据随机数字表法分为两组,各40例。观察组采用左炔诺孕酮宫内释放系统治疗,于月经第4~7日放置,随访6个月;对照组采用炔雌醇环丙孕酮片治疗,诊断性刮宫后5~7 d起,每日1片,连续应用21 d,等待撤退性出血后第5日重新开始服用,连续服用3个月。比较两组患者控制阴道出血的时间和临床疗效。结果观察组控制出血时间和完全止血时间分别为(30.2±4.3) h、(53.1±3.3) h,长于对照组的(19.8±3.4) h、(34.5±2.6) h,差异有统计学意义(P<0.01)。观察组总有效率显著高于对照组(100.0%比75.0%),差异有统计学意义(P<0.05);观察组复发率低于对照组(2.5%比35.0%),差异有统计学意义(P<0.05)。结论左炔诺孕酮宫内释放系统与炔雌醇环丙孕酮片治疗围绝经期功血均疗效显著,控制出血时间方面炔雌醇环丙孕酮片优于左炔诺孕酮宫内释放系统,但在治愈率和复发率方面,左炔诺孕酮宫内释放系统优于炔雌醇环丙孕酮片。
目的:比較左炔諾孕酮宮內釋放繫統和炔雌醇環丙孕酮片治療圍絕經期婦女功能失調性子宮齣血(功血)的臨床療效。方法選擇2012年3月至2014年3月就診于江陰市人民醫院婦科的圍絕經期功血患者80例,依據隨機數字錶法分為兩組,各40例。觀察組採用左炔諾孕酮宮內釋放繫統治療,于月經第4~7日放置,隨訪6箇月;對照組採用炔雌醇環丙孕酮片治療,診斷性颳宮後5~7 d起,每日1片,連續應用21 d,等待撤退性齣血後第5日重新開始服用,連續服用3箇月。比較兩組患者控製陰道齣血的時間和臨床療效。結果觀察組控製齣血時間和完全止血時間分彆為(30.2±4.3) h、(53.1±3.3) h,長于對照組的(19.8±3.4) h、(34.5±2.6) h,差異有統計學意義(P<0.01)。觀察組總有效率顯著高于對照組(100.0%比75.0%),差異有統計學意義(P<0.05);觀察組複髮率低于對照組(2.5%比35.0%),差異有統計學意義(P<0.05)。結論左炔諾孕酮宮內釋放繫統與炔雌醇環丙孕酮片治療圍絕經期功血均療效顯著,控製齣血時間方麵炔雌醇環丙孕酮片優于左炔諾孕酮宮內釋放繫統,但在治愈率和複髮率方麵,左炔諾孕酮宮內釋放繫統優于炔雌醇環丙孕酮片。
목적:비교좌결낙잉동궁내석방계통화결자순배병잉동편치료위절경기부녀공능실조성자궁출혈(공혈)적림상료효。방법선택2012년3월지2014년3월취진우강음시인민의원부과적위절경기공혈환자80례,의거수궤수자표법분위량조,각40례。관찰조채용좌결낙잉동궁내석방계통치료,우월경제4~7일방치,수방6개월;대조조채용결자순배병잉동편치료,진단성괄궁후5~7 d기,매일1편,련속응용21 d,등대철퇴성출혈후제5일중신개시복용,련속복용3개월。비교량조환자공제음도출혈적시간화림상료효。결과관찰조공제출혈시간화완전지혈시간분별위(30.2±4.3) h、(53.1±3.3) h,장우대조조적(19.8±3.4) h、(34.5±2.6) h,차이유통계학의의(P<0.01)。관찰조총유효솔현저고우대조조(100.0%비75.0%),차이유통계학의의(P<0.05);관찰조복발솔저우대조조(2.5%비35.0%),차이유통계학의의(P<0.05)。결론좌결낙잉동궁내석방계통여결자순배병잉동편치료위절경기공혈균료효현저,공제출혈시간방면결자순배병잉동편우우좌결낙잉동궁내석방계통,단재치유솔화복발솔방면,좌결낙잉동궁내석방계통우우결자순배병잉동편。
Objective To compare the clinical effects of Mirena and Diane-35 on peri-menopausal dys-functional uterine bleeding.Methods Total of 80 patients with peri-menopausal dysfunctional uterine bleeding admitted to Jiangyin People′s Hospital from Mar.2012 to Mar.2014 were included in the study, and divided into two groups by random table method:the observation group(40 cases) was treated with Mire-na placed at the 4th-7th days of menstruation,and was followed up for 6 months;the control group(40 cases) was treated with Diane-35,since 5-7 days after diagnostic curettage,1 pill per day,for 21 days,waiting for the fifth days after withdrawal bleeding then re-started taking for 3 consecutive months.The vaginal bleeding con-trol time and clinical effect of the two groups were compared.Results Bleeding control time of the observa-tion group was longer than the control group[(30.2 ±4.3) h vs (19.8 ±3.4) h],and complete hemostasis time was longer than the control group[(53.1 ±3.3) h vs (34.5 ±2.6) h],the differences were statistical-ly significant(P <0.01).Total effective rate of the observation group was higher than the control group (100.0% vs 75.0%),the difference was statistically significant(P <0.05).The recurrence rate of the observation group was lower than the control group(2.5%vs 35.0%),the difference was statistically signifi-cant( P<0.05 ) .Conclusion Effocts of Mirena and Diane-35 on peri-menopausal dysfunctional uterine bleeding are significant,while Diane-35 is better than Mirena in time of bleeding control,and Mirena is better than Diane-35 in cure rate and recurrence rate.