首页|曼月乐在子宫内膜增生治疗中的效果观察及对患者雌激素、子宫内膜厚度的影响

曼月乐在子宫内膜增生治疗中的效果观察及对患者雌激素、子宫内膜厚度的影响

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目的 探讨曼月乐在子宫内膜增生治疗中的效果及对患者雌激素、子宫内膜厚度的影响.方法 选择2021年1 月—2023 年 1 月该院收治的 52 例子宫内膜增生患者为研究对象,按照随机数字表法将其分为对照组与观察组,各26例.对照组采用口服黄本酮治疗,观察组采用口服黄体酮联合曼月乐治疗.比较两组雌激素水平、子宫内膜厚度及月经恢复情况.结果 治疗前,两组雌激素水平、子宫内膜厚度比较,组间差异无统计学意义(P>0.05);治疗后,两组黄体成素、雌二醇、卵泡刺激素水平均较治疗前降低,子宫内膜厚度均较治疗前变薄,且观察组黄体生成素、雌二醇、卵泡刺激素水平均低于对照组,子宫内膜厚度薄于对照组,差异有统计学意义(P<0.05).观察组月经恢复时间短于对照组,经量评分低于对照组,组间差异有统计学意义(P<0.05).结论 子宫内膜增生患者采用曼月乐治疗效果确切,利于改善雌激素、子宫内膜厚度,促进月经恢复,值得临床推广应用.
Observation of the Effect of Mirena in the Treatment of Endometrial Hyperplasia and Its Influence on Estrogen and Endometrial Thickness
Objective To investigate the effect of Mirena in the treatment of endometrial hyperplasia and its effect on estrogen and endometrial thickness.Methods Fifty-two cases of endometrial hyperplasia treated in our hospital from January 2021 to January 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 26 cases in each group.The control group was treated with oral progesterone,and the observation group was treated with oral progesterone combined with Mirena.Estrogen levels,endometrial thickness and menstrual recovery were compared between the two groups.Results Before treatment,there was no significant difference in estrogen level and endometrial thickness between two groups(P>0.05);after treatment,luteinizing hormone,estradiol and follicular estrogen levels in both groups were lower than before treatment,and endometrial thickness was thinner than before treatment,and luteinizing hormone,estradial an follicale stimulating hom levels in observation group were lower than control group,and endometrial thickness was thinner than control group,the difference was statistically significant(P<0.05).The menstrual recovery time of the observation group was shorter than that of the control group,and the score of menstrual volume was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The treatment effect of Mirena in patients with endometrial hyperplasia is good for improving estrogen,endometrial thickness,and promoting menstrual recovery.It is worthy of clinical application.

Endometrial hyperplasiaMirenaEstrogenEndometrial thickness

李艳菊

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淄博市张店区妇幼保健院妇产科,山东淄博 255400

子宫内膜增生 曼月乐 雌激素 子宫内膜厚度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(17)