益母草颗粒联合妇舒颗粒治疗产后月经不调的临床效果(1)

http://www.100md.com 2020年4月25日 《中外医学研究》 202012

     【摘要】 目的：研究益母草颗粒联合妇舒颗粒治疗产后月经不调的临床效果。方法：选取2017年5月-2018年5月笔者所在医院收治的100例产后月经不调患者，随机分为单药治疗组和联合治疗组，各50例。单药治疗组使用益母草颗粒治疗，联合治疗组在此基础上加用妇舒颗粒，对比两组治疗总有效率、不良反应发生率，对治疗前后P、E2、LH、FSH水平、子宫内膜厚度进行检测。结果：治疗后联合治疗组总有效率、P、E2水平、子宫内膜厚度均高于单药治疗组，LH、FSH水平、不良反应发生率均低于单药治疗组(P<0.05)。结论：益母草颗粒联合妇舒颗粒治疗产后月经不调效果较好，能够有效提高患者体内的激素水平，增加子宫内膜厚度，且不良反应较少。

    【关键词】 益母草颗粒 妇舒颗粒 产后月经不调

    doi：10.14033/j.cnki.cfmr.2020.12.017 文献标识码 B 文章编号 1674-6805(2020)12-00-03

    Clinical Effect of Leonurus Granules Combined with Fushu Granules in the Treatment of Postpartum Irregular Menstruation/SHAO Yuping， LI Jiayi， WU Fang. //Chinese and Foreign Medical Research， 2020， 18(12)： -43

    [Abstract] Objective： To study the clinical effect of Leonurus Granule combined with Fushu Granule in the treatment of postpartum irregular menstruation. Method： From May 2017 to May 2018， 100 patients with postpartum irregular menstruation in our hospital were randomly divided into the single drug treatment group and the combined treatment group， with 50 cases in each group. The single drug treatment group was treated with Leonurus Granule， and the combined treatment group was treated with Fushu Granules on this basis. The total effective rate and incidence of adverse reactions of the two groups were compared， and P， E2， LH， FSH levels and endometrial thickness were detected before and after treatment. Result： After treatment， the total effective rate， levels of P， E2 and endometrial thickness of the combined treatment group were higher than those of the single drug treatment group， and the levels of LH， FSH and the incidence of adverse reactions were lower than those of the single drug treatment group (P<0.05). Conclusion： Leonurus Granule combined with Fushu Granule has a good effect in the treatment of postpartum irregular menstruation， which can effectively improve the hormone level in patients， increase the endometrial thickness， and have fewer adverse reactions.

    [Key words] Leonurus Granules Fushu Granule Postpartum irregular menstruation

    First-author’s address： Xiehe Jiangnan Hospital， Huazhong University of Science and Technology， Wuhan 430200， China

    產后月经不调是一种常见的妇科疾病，主要表现为月经周期不规律、经量较少或较多、闭经及经期前和经期腹痛等，发病原因可能与孕产妇在围生期产生各种紧张和焦虑等不良心理有关，使内分泌系统紊乱，导致月经不调[1-2]。益母草颗粒作为一种理血剂，具有活血、调经的作用，常应用于月经不调、产后恶露不绝等治疗中[3]。妇舒颗粒具有扩张血管、改善血流、促进宫缩、提升子宫肌张力的作用，常用于月经不调、痛经、闭经的临床治疗中[4]。本研究采用益母草颗粒联合妇舒颗粒对产后月经不调患者进行治疗，对临床效果进行探究。

    1 资料与方法

    1.1 一般资料

    选取2017年5月-2018年5月笔者所在医院收治的100例产后月经不调患者。纳入标准：符合产后月经不调诊断标准;在经期前后均有不同程度的腰酸、腹痛或小腹坠胀等症状。排除标准：认知功能障碍;生殖系统疾病和严重肝肾功能疾病。按照随机数字表法分为单药治疗组和联合治疗组，各50例。单药治疗组年龄(29.5±3.5)岁;初产妇27例，经产妇23例。联合治疗组年龄(29.7±3.1)岁;初产妇25例，经产妇25例。两组一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。所有患者及家属对本研究知情并签署知情同意书。, http://www.100md.com(邵雨萍 李佳怡 吴芳)

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