屈螺酮炔雌醇片在围绝经期功血中的临床应用

发布时间：2018-01-14 22:07

本文关键词：屈螺酮炔雌醇片在围绝经期功血中的临床应用　出处：《实用妇科内分泌杂志(电子版)》2016年08期 　论文类型：期刊论文

【摘要】：围绝经期功能性子宫内出血是指在50岁左右,绝经前期妇女由于卵巢功能衰退,卵巢分泌激素不足,失去了对下丘脑、垂体的反馈作用,卵泡受阻而不能排卵,所导致的功能性子宫出血,是一种无排卵型功血,严重影响妇女生活、心理健康。围绝经期功血绝大多数为良性病变,常表现为月经周期不规则,有的行经时间长,经量增多,甚至大量出血,出血量多或时间长时常继发贫血,大量出血可导致贫血,有的表现为月经淋漓不断,时间长可致患者贫血及感染。单纯应用止血药物效果不佳。本院60例围绝经期功血患者病理结果为:(1)子宫内膜增生(单纯性);(2)分泌期腺体分泌不良。给予屈螺酮炔雌醇片(优思明)口服治疗,疗效满意。
[Abstract]:Perimenopausal dysfunctional uterine bleeding is around 50 years old, premenopausal women because of ovarian function decline, ovarian hormone deficiency, lost of hypothalamus, pituitary follicle feedback, hindered ovulation dysfunctional uterine bleeding caused by, is a kind of anovulatory dysfunctional uterine bleeding, serious impact on women's lives. Mental health of perimenopausal dysfunctional uterine bleeding for the vast majority of benign lesions, often manifested as irregular menstrual cycle, some of the time, the amount of increase, even a large number of bleeding, amount of bleeding or long time often secondary anemia, large amount of bleeding can lead to anemia, some showed menstrual dripping continuously, a long time can cause anemia and the infection. The simple application of hemostatic drugs ineffective. 60 cases of perimenopausal dysfunctional uterine bleeding patients with pathological results as follows: (1) endometrial hyperplasia (simple); (2) secretory gland secretion. Given drospirenone ethinyl estradiol The tablets (You Siming) were treated with oral treatment, and the curative effect was satisfactory.

【作者单位】：宁夏银川市贺兰县第一人民医院;
【分类号】：R711.52
【正文快照】： 围绝经期功能失调性子宫出血是一种良性病变,其原因是由于卵巢功能开始衰退,卵泡对FSH敏感性降低,使下丘脑、垂体功能退化。卵巢中卵泡虽然也有发育,但并不排卵,子宫内膜腺体在长期雌激素的作用下呈持续性的增生反应,当雌激素水平出现较大波动时,子宫内膜脱落不完整,则发生不

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