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目的 观察中西医结合治疗宫内节育器 (IUD)致子宫出血的疗效。方法 对 12 0例放置IUD后子宫出血患者随机分为两组 ,治疗组从月经来潮d1开始服云南白药胶囊 ,2粒 ,一日 3次 ,布洛芬2 0 0mg ,一日 3次 ,连服 7d。对照组仅服布洛芬 ,用法同治疗组。两组均连续用药 3mo经周期 ,随访 6mo。结果 治疗组有效 5 5例 (91.7% ) ,对照组有效 40例 (76 .7% ) ,两组对比差异有显著性 (P <0 .0 5 )。复发率治疗组 11.6 % ,对照组 2 6 .7% (P <0 .0 5 )。结论 中西医结合治疗IUD致子宫出血效果优于单纯西药治疗 ,且复发率低
Objective To observe the curative effect of the combination of TCM and western medicine on intrauterine device (IUD) induced uterine bleeding. Methods One hundred and twenty patients with uterine bleeding after IUD placement were randomly divided into two groups. The treatment group received Yunnanbaiyao capsule starting from the menstrual cramps d1, 2 capsules three times a day, 200mg ibuprofen three times a day Service 7d. The control group was treated with ibuprofen only, with the same treatment group. Two groups were continuous medication 3mo by cycle, follow-up 6mo. Results The effective rate was 55 cases (91.7%) in the treatment group and 40 cases (76.7%) in the control group. There was significant difference between the two groups (P <0.05). The recurrence rate was 11.6% in the treatment group and 26.7% in the control group (P <0.05). Conclusion Integrative treatment of IUD caused by uterine bleeding better than Western medicine alone, and the recurrence rate is low