【摘要】 目的：观察“调经止血饮”(自拟方)配合西医疗法对青春期功能失调性子宫出血的临床疗效。方法：将169例青春期功血患者随机分为2组，中西医结合组108例在西医综合治疗基础上，应用中药“调经止血饮”加减治疗;对照组单纯应用西医综合疗法。结果：中西医结合组总有效率991%，对照组为882%，两组总疗效比较差异有显著性，P<001。结论：“调经止血饮”配合西医治疗青春期功能失调性子宫出血较单纯西医疗法具有较好的治疗效果。
【关键词】 子宫出血;调经止血饮
Curative Effect Observation for 108 Cases of Noovulation Dysfunctional Uterine Bleeding
in Puberty Treated by Traditional Chinese Medicine Combined with Western Medicine
ZHAO Xiaoxia,ZHANG Hua, SONG Baojun,et al.
The First Affiliated Hospital ,Hebei North University,Zhangjiakou,075000，China
【ABSTRACT】 Objective: To observe the clinical curative effect of Tiaojingzhizueyin combined with western medicine in treating dysfunctional uterine bleeding in puberty. Methods: 169 cases were divided into two groups randomly.There were 108 cases treated with traditional Chinese medicine combined with western medicine,that is to say, treated with Tiaojingzhizuegin combined with western medicine. The rest cases in Contrast group were treated by western medicine only. Results: The effective rate treated by traditional Chinese medicine combined with western medicine was 991% and that of contrast group was 882%. So it is remarkably significant to compare the curative effects for two groups(P<001). Conclusion: Tiaojingzhizueyin combined with western medicine in treating dysfunctional uterine bleeding in puberty has better effect than that meated with western medicine only.
【KEY WORDS】 dysfunctional uterine bleeding; Tiaojingzhizueyin;puberty
青春期无排卵性功能失调性子宫出血是妇科常见病，是因为下丘脑-垂体-卵巢轴正常功能尚未完全建立引起的子宫异常出血。西医通过性激素止血、人工周期等方法进行治疗，短期内能够改善症状，部分患者恢复正常月经，仍有部分患者停药后会出现复发。中医药治疗从中医理论出发进行辩证施治，对中枢神经系统进行调节，能够促进性腺轴的成熟，恢复正常月经。中医治疗对于快速止血调经效果稍差，我们采用中西医结合的方法进行治疗取得了较好的效果，现总结如下。
1 资料与方法
1.1 病例选择
(1)符合《中华妇产科学》青春期无排卵性功能失调性子宫出血诊断标准[1];(2)临床特点：所有病例经妇科检查或B超检查，排除生殖道器质性疾病，且基础体温呈单相;(3)症见:经乱无期，出血量多或淋漓不净，或停经数月又暴下不止，经色淡红或淡黯，质稀，面色晦黯，肢冷畏寒，腰膝酸软，纳呆神疲，大便溏薄，小便清长，夜尿多，舌质淡胖或有齿印，苔白润，脉沉细无力;(4)
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