A Research On The Opportunity Of Applying Yin-nourishing Or Blood-cooling To Hemostasis In The Bleeding Period Of Metrorrhagia

Objective: Retrospective analysis the of uterine bleeding hospitalization patients' hemostasis effect of using yin-nourishing or blood-cooling to stop hemostatic under different conditions as vaginal bleeding more or less and endometrial thick or thin.find the application conditions under different amounts of vaginal bleeding and endometrial thickness to provide more convenient methods of identifying and using timing when using these two methods for the treatment of uterine bleeding,so to improve the treatment effect of hemostasis.Methods : A retrospective study was conducted to analyze the first diagnosis of uterine bleeding in TCM and anovulaory abnormal uterine bleeding in Western medicine,hospitalized gynecological wards of Sichuan Provincial Hospital of TCM between June 2015 and December 2017.After the screening of inclusion criteria and exclusion criteria,record the patient's blood stagnation time under the condition of different blood loss and different endometrial thickness,compare the hemostasis effect.Results:1.Comparison of the general conditions: the cases included in this study with the main treatment directions of nourishing yin or cooling blood as the governing method,after the differentiation more or less blood loss and the thickness or thinness of the endometrium,there was no statistical difference in general conditions such as age distribution,duration of disease,and length of bleeding before treatment.2.Comparison of hemostatic effects:(1)Among all the observed cases,there was no statistical difference in the dominance rate between the yin-nourishing group and the blood-cooling group,P>0.05.It shows that in all cases,the overt effect of the yin-nourishing group is indistinguishable from that of the blood-cooling group.Among all the cases included in the observation,there was no statistical difference in the number of blood days between the yin-nourishing group and the blood-cooling group(P>0.05).It shows thatthe difference in blood stagnation rate between the two groups was not significant.(2)When there was more bleeding,there was no statistical difference in the dominance rate between the yin-nourishing group and the blood-cooling group,P>0.05.It shows that when the bleeding is more,the markedly effective rate in the yin-nourishing group is indistinguishable from the blood-cooling group.When there was more bleeding,there was a statistical difference in the number of days of hemostasis between the yin-nourishing group and the blood-cooling group(P<0.05).The results showed that the blood-cooling group had a higher blood stagnation rate(54.4%)than the yin-nourishing group(33.9%)within 5 days.(3)When there was less bleeding,there was no statistical difference in the dominance rate between the yin-nourishing group and the blood-cooling group,P>0.05.It shows that when the bleeding is less,the markedly effective rate in the yin-nourishing group is indistinguishable from the blood-cooling group.When there was less bleeding,there was a statistical difference in the number of blood days between yin-nourishing group and blood-cooling group(P<0.05).The results showed that the yin-nourishing group had a higher blood stagnation rate(72.7%)than the blood-cooling group(52.7%)within 5 days.(4)When the endomembrane was thicker,there was no statistical difference in the dominance rate between the yin-nourishing group and the blood-cooling group,P>0.05.It shows that when the endomembrane is thicker,the markedly effective rate in the yin-nourishing group is indistinguishable from the blood-cooling group.When the endomembrane was thicker,there was a statistical difference in the number of days of hemostasis between the yin-nourishing group and the blood-cooling group(P<0.05).The results showed that the blood-cooling group had a higher blood stagnation rate(65.2%)than the yin-nourishing group(36%)within5 days.(5)When the endomembrane was thinner,there was no statistical difference in the dominance rate between yin-nourishing group and blood-cooling group,P>0.05.It shows that when the endomembrane is thinner,the markedly effective rate in the yin-nourishing group is indistinguishable from the blood-cooling group.When theendomembrane was thinner,there was a statistical difference in the number of days of hemostasis between the yin-nourishing group and the blood-cooling group(P<0.05).The results showed that the yin-nourishing group had a higher blood stagnation rate(64.1%)than the blood-cooling group(36.9%)within 5 days of bleeding.Conclusion:1.The amount of vaginal bleeding and the thickness of the endometrium are clinically significant to judge the actual state of water and fire in the kidney of patients with uterine bleeding.2.When the amount of vaginal bleeding is more,the application of blood-cooling to stop bleeding is better in short time;when the amount of vaginal bleeding is less,the application of yin-nourishing to stop bleeding is better in short time.3.When the endometrial is more thick,the application of cooling blood to stop bleeding is better in short time;when the endometrial is thinner,the application of yin-nourishing to stop bleeding is better in short time.4.According to the actual condition of water and fire in the kidney,the use of yin-nourishing or blood-cooling to stop bleeding has timeliness.If the blood does not stop within 5 days,the condition should be reassessed and the medication should be adjusted.