首页|定坤丹联合雌二醇地屈孕酮治疗围绝经期综合征的效果及对神经递质水平的影响

定坤丹联合雌二醇地屈孕酮治疗围绝经期综合征的效果及对神经递质水平的影响

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目的 探讨定坤丹联合雌二醇地屈孕酮治疗围绝经期综合征的效果及对神经递质水平的影响。方法 择取2020年1月至2022年12月收治的100例围绝经期综合征患者为研究对象,随机将其分为对照组(50例)和观察组(50例)。对照组采用雌二醇地屈孕酮治疗,观察组在对照组基础上加定坤丹治疗。比较两组的临床疗效、神经递质水平及生活质量。结果 观察组的治疗总有效率为92。00%,高于对照组的76。00%(P<0。05)。治疗后,观察组的5-羟色胺(5-HT)、多巴胺(DA)、脑源性神经营养因子(BDNF)及去甲肾上腺素(NE)水平高于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的绝经期生存质量量表(MENQOL)各维度评分低于对照组,差异具有统计学意义(P<0。05)。结论 定坤丹联合雌二醇地屈孕酮治疗围绝经期综合征不仅能够提升临床效果,还能调节神经递质水平,改善生活质量,值得推广。
Effect of Dingkundan combined with estradiol and dydrogesterone in the treatment of perimenopausal syndrome and its influence on neurotransmitter levels
Objective To investigate the effect of Dingkundan combined with estradiol and dydrogesterone in the treatment of perimenopausal syndrome and its influence on neurotransmitter levels.Methods A total of 100 patients with perimenopausal syndrome admitted from January 2020 to December 2022 were selected as the study objects and randomly divided into control group(50 cases)and observation group(50 cases).The control group was treated with estradiol and dydrogesterone,and the observation group was treated with Dingkundan on the basis of the control group.The clinical efficacy,neurotransmitter level and quality of life were compared between the two groups.Results The total effective rate of treatment in the observation group was 92.00%,which was higher than 76.00%in the control group(P<0.05).After treatment,the levels of 5-hydroxytryptamine(5-HT),dopamine(DA),brain-derived neurotrophic factor(BDNF)and norepinephrine(NE)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of each dimension of Menopause-Specific Quality of Life(MENQOL)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Dingkundan combined with estradiol and dydrogesterone in the treatment of perimenopausal syndrome can not only elevate the clinical effect,but also regulate the level of neurotransmitters and improve the quality of life,which is worthy of promotion.

Dingkundanestradiol and dydrogesteroneperimenopausal syndromeneurotransmitter

王艳、赵小侠

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扶风县中医医院妇产科,陕西宝鸡,722200

扶风县人民医院妇产科,陕西宝鸡,722200

定坤丹 雌二醇地屈孕酮 围绝经期综合征 神经递质

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)