Objective: to explore the value of Baogong Zhixue Granule combined with hysteroscopic electrotomy in the treatment of perimenopausal abnormal uterine bleeding. Methods: 323 patients with perimenopausal abnormal uterin...Objective: to explore the value of Baogong Zhixue Granule combined with hysteroscopic electrotomy in the treatment of perimenopausal abnormal uterine bleeding. Methods: 323 patients with perimenopausal abnormal uterine bleeding admitted by the department of gynecology in our hospital were selected for the study, which lasted from 2008 to 2021. The patients were divided into control group (n161) and observation group (n162). The control group was treated with routine hysteroscopic electrotomy, while the observation group was treated with Baogong Zhixue Granule. The clinical efficacy, postoperative complication rate, anemia status, sex hormone level and menstrual blood loss graph score were compared between the two groups. Results: the clinical effective rate of the observation group was 98.77%, higher than that of the control group (P0.05). The postoperative complication rate in the observation group was 1.85%, lower than that in the control group (P0.05). The anemia rate and repeated bleeding rate in the observation group were 12.35% and 0.62%, respectively, lower than those in the control group (P0.05). The bleeding stop time in the observation group was (4.52 ± 1.54) days, which was shorter than that in the control group (P0.05). After treatment, the menstrual blood loss graph score, LH level, FSH level and E2 level in the observation group were (3.04 ± 0.65) points, (8.89 ± 2.13) IU/L, (7.26 ± 2.55) IU/L and (208.65 ± 26.13) poml/L, respectively, compared with the control group (P0.05). Conclusion: Baogong Zhixue Granule combined with hysteroscopic electrotomy is effective in the treatment of perimenopausal abnormal uterine bleeding, which can improve the sex hormone level of patients, reduce postoperative complications, prevent anemia, and promote rehabilitation. It is worth popularizing.展开更多
文摘Objective: to explore the value of Baogong Zhixue Granule combined with hysteroscopic electrotomy in the treatment of perimenopausal abnormal uterine bleeding. Methods: 323 patients with perimenopausal abnormal uterine bleeding admitted by the department of gynecology in our hospital were selected for the study, which lasted from 2008 to 2021. The patients were divided into control group (n161) and observation group (n162). The control group was treated with routine hysteroscopic electrotomy, while the observation group was treated with Baogong Zhixue Granule. The clinical efficacy, postoperative complication rate, anemia status, sex hormone level and menstrual blood loss graph score were compared between the two groups. Results: the clinical effective rate of the observation group was 98.77%, higher than that of the control group (P0.05). The postoperative complication rate in the observation group was 1.85%, lower than that in the control group (P0.05). The anemia rate and repeated bleeding rate in the observation group were 12.35% and 0.62%, respectively, lower than those in the control group (P0.05). The bleeding stop time in the observation group was (4.52 ± 1.54) days, which was shorter than that in the control group (P0.05). After treatment, the menstrual blood loss graph score, LH level, FSH level and E2 level in the observation group were (3.04 ± 0.65) points, (8.89 ± 2.13) IU/L, (7.26 ± 2.55) IU/L and (208.65 ± 26.13) poml/L, respectively, compared with the control group (P0.05). Conclusion: Baogong Zhixue Granule combined with hysteroscopic electrotomy is effective in the treatment of perimenopausal abnormal uterine bleeding, which can improve the sex hormone level of patients, reduce postoperative complications, prevent anemia, and promote rehabilitation. It is worth popularizing.