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目的:探讨避孕药与孕激素治疗绝经过渡期功血的疗效差异。方法:收治绝经过渡期功血患者100例,随机平分两组,避孕药治疗组给予口服避孕药妈富隆进行治疗,孕激素治疗组给予安宫黄体酮口服治疗。结果:避孕药治疗组快速控制出血35例(70.0%),非快速控制出血15例(30.0%);孕激素治疗组快速控制出血22例(44.0%),非快速控制出血28例(56.0%),两组比较差异有统计学意义(P<0.05)。结论:避孕药与孕激素均是治疗绝经过渡期功血的重要药物,但是避孕药在迅速控制出血方面优于孕激素。
Objective: To investigate the difference between the efficacy of contraceptives and progestin in the treatment of menopausal transitional dysfunction. Methods: 100 cases of menopausal transitional dysfunctional uterine bleeding were randomly divided into two groups. The contraceptive treatment group was treated with Marvelon, an oral contraceptive. The progestin treatment group was given progestogen progesterone orally. Results: In the contraceptives group, 35 patients (70.0%) were controlled bleeding quickly and 15 patients (30.0%) were non-prompt controlled bleeding. In the progestin therapy group, 22 patients (44.0%) were bleeding quickly and 28 patients (56.0% ), The difference between the two groups was statistically significant (P <0.05). CONCLUSIONS: Contraceptives and progesterone are both important drugs in the treatment of postmenopausal dysfunctional uterine bleeding, but contraceptives are superior to progestin in rapidly controlling bleeding.