目的 探究榆梔止血顆粒聯(lián)合富馬酸亞鐵治療月經量過多所致貧血的臨床療效。方法 選取曲靖市第一人民醫(yī)院2018年4月-2019年1月收治的164例月經量過多所致貧血患者作為研究對象，根據(jù)治療方案將患者分為對照組和觀察組，每組82例。對照組患者口服富馬酸亞鐵咀嚼片，0.2 g/次，3次/d；觀察組患者在對照組治療的基礎上口服榆梔止血顆粒，月經第1天開始服用，1袋/次，3次/d，經期服用，血止即停。觀察兩組患者的臨床療效，比較兩組治療前后的血紅蛋白（Hb）、紅細胞（RBC）、血漿白蛋白（PA）和紅細胞壓積（HCT）的水平。結果 治療后，觀察組總有效率為92.7%，顯著高于對照組的82.9%，兩組比較差異具有統(tǒng)計學意義（P<0.05）。治療后，兩組患者Hb、RBC、PA和HCT水平均顯著升高（P<0.05）；治療后，觀察組患者治療后Hb、RBC、PA和HCT顯著高于對照組，差異具有統(tǒng)計學意義（P<0.05）。結論 榆梔止血顆粒聯(lián)合富馬酸亞鐵治療月經量過多所致貧血具有顯著療效，值得臨床推廣。

Objective To investigate the clinical effect of Yuzhi Zhixue Granules combined with ferrous fumarate on anemia caused by excessive menstruation. Methods A total of 164 patients with anemia caused by excessive menstruation admitted to The First People's Hospital of Qujing from April 2018 to January 2019 were selected as the research subjects. According to the treatment plan, the patients were divided into control group and observation group, with 82 cases in each group. Patients in the control group were po administered with Ferrous Fumarate Chewable Tablets, 0.2 g/time, three times daily. Patients in the observation group were po administered with Yuzhi Zhixue Granules on the basis of control group, the first day of menstruation began to take, 1 bag/time, three times daily, menstrual administration, blood stop immediately. After treatment, the clinical efficacy in two groups was observed, and the levels of Hb, RBC, PA, and HCT before and after treatment between two groups were compared. Results After treatment, the total effective rate of the observation group was 92.7%, which was significantly higher than 82.9% in the control group, and the difference between two groups was statistically significant (P<0.05). After treatment, the levels of Hb, RBC, PA and HCT in two groups were significantly increased (P<0.05). After treatment, Hb, RBC, PA and HCT in the observation group were significantly higher than those in the control group, with statistical significance (P<0.05). Conclusion Yuzhi Zhixue Granules combined with ferrous fumarate in treatment of anemia caused by excessive menstruation has significant curative effect, worth clinical promotion.

R984

國家重點研發(fā)計劃項目（2019YFC1711200）