Research Progress On The Ovulation Of Dysfunctional Uterine Bleeding

Dysfunctional uterine bleeding(DUB),is a commonly encountered and severe disease in department of gynecology,can be divided into two types—non-ovulation and ovulation,without ovulation dysfunctional uterine bleeding accounts for 85%.According to the clinical symptoms,it belongs to metrorrhagia and metrostaxis. The study object of the paper is anovulatory dysfunctional uterine bleeding.In TCM,its pathogenesis usually dues to impairment of Chong and Ren channels which can not restrain menstruation and malfunction of Zang Fu Organs.Its therapeutic methods include treatment based on categorical identification,combined treatment of TCM and western medicine,acupuncture,phased treatment and so on.In western medicine,pathogenesis is so complicated that its mechanism is still unclear,but certern studies have reached,for example,hypothalamus-pituitary-ovary,hormone secretion,the levels of receptor,microenviroment of uterus.treating including:drug treatment,physiotherapy,operation.Drugtreatment include hemostasisand adjustment of the menstrual cycle,while operationatld physiotherapy focus on hemostasis and arresting cancerization of endangium.This paper provides a comprcheasion report on the accomplishment of TCM and western medicine on treating anowlatory dysfunctional uterine bleeding in last 10 years at home ad abroad, gives the comprehension of its mechanism and clinical experience of Professor。Another part of this article is systematic review of Chinese Therapies for anovulatory dysfunctional uterine bleeding.The method and result of the Evidence Based Medicine and systermatic analysis has been admitted and thought highly of by the international-medicine and the medical-decision department day by day.To utilize the Evidence-based medicine and the method of systematic analysis.can lead the Chinese Traditional to the world,to the modern.The purpose of the article is to use the systematic reviews Meta to evaluate the clinical effect of the TCM that it helps the Anovulatory bleeding.The Methods:The matched-control literatures are those published in the civil.To investigate the clinical effect of TCM that it helps the Anovulatory bleeding.Fingding CNKI WEB and CQVIP,during 1996-2006 years. Inclusion criteria:(1)The corrent of the article hints the report of the clinical investigation of the anovulatory bleeding.(2) The grouping of the article appears the words of "random" and"control group".It has the good balance between groups and comparance.The article should do statistic analysis to some samples.Based on the principle and the method of DME,formulat the Systematic Review Table of the treatment article of TCM to the anovulatory bleeding.Evaluating the quality.Then utilize the RevMan to procee Meta analysis.Conclusion:We can regard initially that the effect of TCM treating Anovulatory bleeding is better.Discussion:we should procee strict,multicentric randomized double blind control trail,to provide more reasonable proof.The quantity of inclusion is low,and the quality is not high.So the demonstration intensity is weak.We need much more high quality trail to add the demonstration intensity.