自制方功血合剂联合黄体酮胶丸治疗功血疗效分析

目的：分析功血合剂联合黄体酮胶丸治疗功血的疗效。方法选择2013年12月—2014年6月在该院门诊就诊的功能失调性子宫出血患者88例，排除全身出血性疾病，生殖系统无器质性病变；按随机数字表法随机分成两组，其中观察组44例，对照组44例。观察组于就诊之日开始口服功血合剂、黄体酮胶丸、头孢羟氨苄甲氧苄啶胶囊，连服6 d；对照组于就诊之日开始口服黄体酮胶丸、头孢羟氨苄甲氧苄啶胶囊，连服6 d。观察阴道血止时间，及停药后3~10 d撤血情况。结果观察组痊愈32例，好转8例，无效4例，有效率90.9%；对照组痊愈28例，好转10例，无效6例，有效率86.3%。观察组痊愈率明显优于对照组，且差异有统计学意义（P〈0.05）。结论功血合剂联合黄体酮胶丸治疗功血补肾、脾肾共健、固冲止血能迅速止血，减少止血时间，并有效完成药物性刮宫，值得在临床推广。

Analysis of the Efficacy of Self-made Dysfunctional Uterine Bleeding Mix-ture Combined with Progesterone Soft Capsules in the Treatment of Dys-functional Uterine Bleeding

Objective To observe the curative effect of dysfunctional uterine bleeding mixture combined with progesterone soft cap-sules in the treatment of dysfunctional uterine bleeding. Methods 88 dysfunctional uterine bleeding patients without systemic hemorrhagic disease and reproductive system organic lesions visited the outpatient of our hospital from 2013 December to 2014 June were selected. And they were divided into two groups, the observation group and the control group with 44 patients in each according to the method of random number table. The observation group was given dysfunctional uterine bleeding mixture, proges-terone soft capsules, cefadroxil and trimethoprim capsules orally for 6 days since the visiting day; and the control group was given progesterone soft capsules, cefadroxil and trimethoprim capsules orally, for 6 days since the visiting day. The vaginal bleeding stop-ping time, and the status of bleeding 3~10 days after drug withdrawal in the groups were observed. Results In the observation group, 32 patients were cured, 8 cases improved, 4 cases were ineffective, the efficiency was 90.9%;in the control group, 28 cases were cured, 10 cases improved, 6 cases were ineffective, the efficiency was 86.3%. The cure rate of the observation group was sig-nificantly higher than that of the control group, and the difference was statistically significant （P〈0.05）. Conclusion Dysfunctional uterine bleeding mixture combined with progesterone soft capsule for the treatment of dysfunctional uterine bleeding, can tonify the kidney, make the spleen and kidney be healthy, strengthen the chong channel of the body and stop the bleeding quickly, shorten the hemostasis time, and complete medical curettage effectively, so it is worth clinical promotion.