首页|米非司酮周期疗法治疗对围绝经期异常子宫出血患者的影响分析

米非司酮周期疗法治疗对围绝经期异常子宫出血患者的影响分析

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目的 研讨米非司酮周期疗法治疗对围绝经期异常子宫出血(Abnormal Uterine Bleeding,AUB)患者的影响.方法 随机选取2021年5月—2023年5月漳州招商局经济技术开发区第一医院确诊为AUB的100例患者为研究对象,依据随机数表法分组,对照组(n=50)接受米非司酮持续口服,观察组(n=50)接受米非司酮周期疗法治疗,比较两组方案疗效、性激素水平、临床相关指标以及用药安全性.结果 观察组经3个周期用药后的疗效(96.00%)高于对照组(80.00%),差异有统计学意义(χ2=6.060,P<0.05).用药后,观察组各项性激素指标水平均低于对照组,差异有统计学意义(P均<0.05).观察组用药后血红蛋白值高于对照组,子宫内膜厚度小于对照组,差异有统计学意义(P均<0.05).两组间发生药物不良反应基本相当,差异无统计学意义(P>0.05).结论 对围绝经期AUB患者实施米非司酮周期疗法用药,能够明显提升用药效果,调节患者机体性激素水平,提高血红蛋白值,缩小子宫内膜厚度,同时保障用药安全.
Analysis of the Effect of Mifepristone Cycle Therapy on Perimenopausal Abnormal Uterine Bleeding Patients
Objective To study the effect of mifepristone cycle therapy on patients with perimenopausal abnormal uter-ine bleeding(AUB).Methods 100 patients diagnosed as perimenopausal AUB by Zhangzhou China Merchants Eco-nomic and Technological Development Zone First Hospital from May 2021 to May 2023 were randomly selected as the study objects and the group design was completed based on the random number table method.50 cases in the control group received continuous oral mifepristone,and 50 cases in the observation group were treated with mifepristone cycle therapy.The efficacy,sex hormone levels,clinical indexes and drug safety of the two groups were compared.Results After 3 cycles of treatment,the therapeutic effect of the regimen in the observation group(96.00%)was higher than that in the control group(80.00%),and the difference was statistically significant(χ2=6.060,P<0.05).After treat-ment,the levels of various sex hormone indexes in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The hemoglobin value of the observation group was higher than that of the control group,and the endometrial thickness was lower than that of the control group,the differ-ences were statistically significant(both P<0.05).The incidence of adverse drug reactions between the two groups was similar,and there was no statistical significance difference(P>0.05).Conclusion The implementation of mifepristone cycle therapy for perimenopausal AUB patients can significantly enhance the effect of medication,regulate the level of sex hormones in the patient's body,increase hemoglobin value,and reduce the thickness of the endometrium,as well as ensure the safety of medication.

Perimenopausal abnormal uterine bleedingMifepristoneCycle therapySex hormoneEndometrial thickness

梅娟、戴淑婷、张雪芳

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漳州招商局经济技术开发区第一医院妇产科,福建漳州 353100

围绝经期异常子宫出血 米非司酮 周期疗法 性激素 子宫内膜厚度

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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