首页|不同剂量芬吗通联合谷维素治疗对更年期综合征患者性激素和氧化应激的影响

不同剂量芬吗通联合谷维素治疗对更年期综合征患者性激素和氧化应激的影响

Effects of different doses of femoston combined with oryzanol on sex hormones and oxidative stress in patients with menopause syndrome

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目的:探究不同剂量芬吗通联合谷维素治疗对更年期综合征患者性激素和氧化应激的影响.方法:选取2020年8月-2021年8月就诊的120例更年期综合征患者并将其随机分为A、B、C三组,每组各40例.A组给予谷维素,B组给予常规剂量芬吗通联合谷维素,C组给予低剂量芬吗通联合谷维素,比较三组的临床疗效、患者性激素[促卵泡激素(FSH)、雌二醇(E2)及促黄体生成素(LH)]、血脂水平[甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDLC)及低密度脂蛋白胆固醇(LDLC)]水平、氧化应激[丙二醛(MDA)和超氧化物歧化酶(SOD)]及不良反应.结果:三组总有效率比较差异显著(P<0.05),B组和C组总有效率均明显高于A组(P<0.05);三组治疗后FSH、E2、LH水平比较差异显著(P<0.05),B组和C组FSH、LH水平明显低于A组(P<0.05),E2水平明显高于A组(P<0.05);三组治疗后TG、TC、HDLC、LDLC水平比较差异显著(P<0.05),B组和C组TG、TC、HDLC水平明显低于A组(P<0.05),LDLC水平明显高于A组(P<0.05);三组治疗后MDA、SOD水平比较差异显著(P<0.05),B组和C组MDA水平明显低于A组(P<0.05),SOD水平明显高于A组(P<0.05);三组不良反应总发生率比较差异显著(P<0.05),B组不良反应总发生率明显高于A组和C组(P<0.05).结论:相较于单独使用谷维素治疗,芬吗通联合谷维素治疗更年期综合征患者具有较好的临床疗效,可改善患者性激素和血脂水平,减轻应激反应,而低剂量与常规剂量芬吗通的效果相当,其不良反应更少.
Objective:To investigate the effects of different doses of femoston combined with oryzanol on sex hormones and oxidative stress in patients with menopause syndrome.Methods:A total of 120 menopause syndrome patients admitted to the hospital from August 2020 to August 2021 were select-ed and randomly divided into three groups as groups A,B,and C,with 40 cases in each.Group A was given oryzanol,group B was given conventional doses of femoston combined with oryzanol,while Group C was given low-dose femoston combined with oryzanol.The clinical curative effect was compared between the three groups in the serum indices:sex hormones,such as follicle-stimulating hormone(FSH),estradiol(E2),and luteinizing hormone(LH);lipid levels,such as triglyceride(TG),total cholesterol(TC),high-density lipoprotein cholesterol(HDLC),and low-density lipoprotein cho-lesterol(LDLC);oxidative stress indices,such as malondialdehyde(MDA)and superoxide dismutase(SOD);and adverse events.Results:The total effective rate between the three groups was significant-ly different(P<0.05).There were significant differences in FSH,E2,and LH levels between the three groups after treatment(P<0.05).The levels of FSH and LH in groups B and C were signifi-cantly lower than those in group A(P<0.05).The level of E2 in group A was significantly higher than that in group A(P<0.05).The levels of TG,TC,HDLC,and LDLC in the three groups changed significantly after treatment(P<0.05).The levels of TG,TC,and HDLC in groups B and C were significantly lower than in the group A(P<0.05),while the level of LDLC was significantly higher(P<0.05).There was no significant difference in the levels of TG,TC,HDLC,and LDLC between group B and group C(P>0.05).After treatment,the levels of MDA and SOD in the three groups were significantly different(P<0.05).MDA levels in groups B and C were significantly lower than those in group A(P<0.05).The levels of SOD in group A were significantly higher than that in group B(P<0.05).The total incidence of adverse events in the three groups was significantly differ-ent(P<0.05),and the incidence in group B was the highest among the three groups(P<0.05).Con-clusion:Compared with oryzanol alone,femoston combined with oryzanol has better clinical efficacy in the treatment of patients with menopause syndrome,which can improve their sex hormone and blood lipid levels and reduce the stress response.However,the effect of low-dose femoston is equiva-lent to that of conventional dose,with fewer adverse events.

FemostonOryzanolMenopausal SyndromeSex HormonesOxidative Stress

熊娟、熊莉、廖盛彭

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黄石市中医医院妇科 湖北 黄石 435000

黄石市中医医院放射影像科 湖北 黄石 435000

华中科技大学同济医学院附属同济医院妇科 湖北 武汉 430030

芬吗通 谷维素 更年期综合征 性激素 氧化应激

湖北省自然科学基金

2017CFB663

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(5)
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