青春期功能失调性子宫出血100例疗效观察

TREATMENT OF DYSFUNCTIONAL UTERLNE BLEEDING IN PUBERTY:REPORT OF 100 CASES

对青春期功能失调性子宫出血（２０岁以前发病者）１００例进行了疗效观察．治疗按其年龄小、病程长、下丘脑处于不成熟阶段、性腺轴不稳定、易复发等临床特点分两组进行：①以补肾为主的中药周期疗法；②克罗米芬与中药周期疗法交替治疗．两组均收到较好的疗效．中药周期疗法稳定而合乎生理，但其疗程比中西组长，平均治疗周期１１．７。中西组中，使用克罗未芬治疗过久的病例中，有结婚后ＦＳＨ、ＬＨ降低，无排卵反应表现，平均８个治疗周期．

The clinical results of 100 cases with dysfunctional uterine bleeding in puberty before 20 years treated by the combined methods of western and traditional Chinese medicine were presented.According to clinical features,such as young patients,long duration of illness,immaturity of hypothalamus,unsteady of gonad axis and easy recurrence,treatments were divided into two groups:①cycle treatment with traditional Chinese medicine(TCM);②alternative treatments with clomiphen(CC) and TCM.The resultls showed that the efficacies of both groups are good. The treatment duration in TCM group was longer than that in CC and TCM.Its mean treatment cycle was 11.7.The mean treatment cycle in CC and TCM group was 8.In the cases with CC treatment for long term,the plasma level of FSH and LH were decreased and have no ovulation reaction after marriage.