摘要
青春期异常子宫出血(AUB)以排卵障碍性AUB为主,多为性成熟发育中的生理性症状,亦可为医源性或全身及生殖系统器质性、内分泌性疾病的病理性症状,需要全面检查、明确诊断、早期给予以激素疗法为主的止血调经治疗。青春期原发性痛经(PD)可随年龄增长而减轻,治疗方案为在健康咨询、心理疏导、理疗对症和休息的基础上,对重症者给予口服非类固醇类消炎剂或中药缓解疼痛。
Abnormal uterine bleeding （AUB） in adolescent girls is predominantly with an anovulatory menstrual cycle. The AUB presents dominantly a physiological process of slow maturation of the hypothalamic-pituitary-ovarian axis. It can also be associ- ated with pathological problems such as systemic and reproductive disorders, as well as endocrinologic disorders. Therefore carefully physical examinations are required in order to make a definite diagnosis and give hormonal therapy early to control bleeding and regulate menstrual cycles. Primary dysmenorrheal in adolescents could be alleviated along with the age. Clinical management of primary dysmenorrhea is healthy and psychological counseling, as well as relax and physical therapy. Furthermore, non-steroid anti-inflammatory drugs or Chinese herb can be given orally to relieve pain in severe patients.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2010年第7期498-500,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
青春期
异常子宫出血
排卵障碍
原发性痛经
adolescence
abnormal uterine bleeding
anovulation
primary dysmenorrhea
