中西医结合治疗月经量过多所致贫血的临床研究

目的:探讨中西医结合治疗月经量过多所致贫血的治疗效果。方法:回顾性分析了2009年1月-2010年12月在我院治疗的月经量过多所致贫血患者186例,随机分为两组。对照组92例采用西药治疗(富马酸亚铁胶囊0.2g,3次/天,叶酸5mg,3次/天,维生素C 0.1g,3次/天);观察组94例在对照组治疗基础上联合应用自拟复方中药治疗。疗程为2个月经周期。观察比较治疗前后血红蛋白(Hb)、红细胞(RBC)、红细胞压积(HCT)、血浆白蛋白(g/L)的变化进而了解贫血的改善程度。在第3个月经周期停药观察疗效。患者记录经期天数、所用卫生巾量、用面积法计算月经血量。结果:与对照组疗效(%)比较,观察组疗效(%)明显改善,差异显著,有统计学意义(P0.05)。与治疗前比较,两组治疗后血红蛋白(Hb)、红细胞(RBC)、红细胞压积(HCT)、血浆白蛋白(g/L)增加明显,差异显著,有统计学意义(P0.05)。与对照组比较,观察组治疗后血红蛋白(Hb)、红细胞(RBC)、红细胞压积(HCT)、血浆白蛋白(g/L)增加明显,差异显著,有统计学意义(P0.05)。与治疗前比较,治疗后经量、经期天数平均下降,差异显著,有统计学意义(P0.05)。治疗后,与对照组比较,经量、经期天数平均下降,差异显著,有统计学意义(P0.05)。结论:中西医结合治疗月经量过多所致贫血,可以减少经量、经期天数,治疗效果显著。

Clinical Research of Combination of Traditional Chinese and Western Medicine Treatment for Anemia Caused by Heavy Menstrual

Objective:To explore the effect of combining of traditional Chinese and western medicine treatment for anemia caused by heavy menstrual.Methods:Retrospective analysis of 186 cases with anemia caused by heavy menstrual from January 2009 to December 2010 in our hospital was made.They were randomly divided into two groups.92 patients of the control group were treated with western medicine therapy(ferrous fumarate capsule 0.2g,3times/d,folic acid 5mg,3times/d,vitamin C 0.1g,3 times/d).94 patients of the observation group on the basis of the control group treatment were treated with combined application of compound Chinese medicine treatment.Treatment lasted for 2 menstrual cycles.The changes of the hemoglobin(Hb),red blood cells(RBC),red blood cell deposited(HCT),plasma albumin(g/L)before and after the treatment were tested in order to understand the improvement of the anemia.In the third menstrual cycle,drug administration was stopped and the curative effect was observed.Patients recorded period days,the quantity of the sanitary napkin and menstrual blood by area method.Results:Compared with control group,the observation group curative effect obviously improved,with the difference was statistically significant(P<0.05).Compared with that before treatment,Hb,RBC,HCT and plasma albumin(g/L)in two groups after the treatment increased obviously,the difference was statistically significant(P<0.05).Compared with the controls,Hb,RBC,HCT)plasma albumin(g/L)in the observation group after treatment increased obviously,the difference was statistically significant(P<0.05).Compared with that before treatment,menstrual quantity and the average menstrual period days dropped after the treatment,the difference was statistically significant(P<0.05).After treatment,compared with the controls,the quantity and the average menstrual period days dropped,the difference was statistically significant(P<0.05).Conclusion:Combination of traditional Chinese and Western medicine treatment for anemia caused by heavy menstrual,can reduce the amount of menstrual quantity and the period days.The treatment effect is remarkable.