中西医治疗围绝经期异常子宫出血研究进展

Research progress in the treatment of perimenopausal abnormal uterine bleeding with traditional Chinese and Western medicine

为全面了解围绝经期异常子宫出血的中西医治疗研究进展,通过查阅国内外相关文献报道,对各类研究进行综述。结果发现,西医治疗以激素类药物为主,辅以手术治疗,但临床不良反应较多、复发率较高;中医通过经方治疗、辨证治疗、分期治疗、针药治疗等治疗方法常可获得满意疗效,不良反应较少,复发率低,但急崩止血效果较慢;中西医联合治疗则可取长补短,成为近年来的研究热点,值得深入探讨。

In order to fully understand the research progress of application of Chinese and Western medicine in the treatment of perimenopausal abnormal uterine bleeding,this paper reviews all kinds of research by referring to related literature at home and abroad.The results showed that hormone drugs were mainly used in Western medicine supplemented by surgery,with more adverse reactions and high recurrence rate.In contrast,using traditional Chinese medicine often obtained satisfactory results through the prescription treatment,syndrome differentiation,stage treatment,acupuncture and other treatment methods,with fewer adverse reactions and low recurrence rate,but its effect on hemostasis of metrorrhagia was slower.The combination of Chinese and Western medicine which can complement each other has been a research focus in recent years and worthy of further discussion.