首页|芬吗通和替勃龙对绝经综合征患者血糖、血脂和不良反应的影响研究

芬吗通和替勃龙对绝经综合征患者血糖、血脂和不良反应的影响研究

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目的:探究芬吗通和替勃龙在治疗绝经综合征中的效果及其对患者血糖、血脂和不良反应的影响。方法:2023年1月-2024年3月因绝经综合征在启东市人民医院妇科门诊治疗的患者共60例,简单随机抽样分成芬吗通组(口服芬吗通)和替勃龙组(口服替勃龙),各30例。比较两组患者血糖、血脂、BMI、血压、症状改善量表、不良反应发生情况,分析两种药物的运用价值及对血糖、血脂的影响和不良反应。结果:两组患者治疗后空腹血糖(fasting plasma glucose,FPG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)指标水平均低于治疗前(均P<0。05),两组患者BMI和SBP、DBP水平比治疗前更好(P<0。05),但组间差异无统计学意义(P>0。05);治疗后两组血脂指标胆固醇、三酰甘油、低密度脂蛋白、高密度脂蛋白水平均优于治疗前(均P<0。05),但组间差异无统计学意义(P>0。05);两组治疗后1、3、6个月随访Kupperman评分均低于治疗前(均P<0。05),而组间差异无统计学意义(P>0。05);两组不良反应发生率差异无统计学意义(P>0。05)。结论:芬吗通和替勃龙均可明显改善绝经综合征患者临床症状,改善患者糖脂代谢指标,且安全性较高。
Study on the effects of femoston and tibolone on blood glucose,blood lipid and adverse reactions in patients with menopausal syndrome
Objective:To investigate the effect of femoston and tibolone in the treatment of menopausal syndrome and the effect on blood glucose,blood lipid and adverse reactions.Methods:From January 2023 to March 2024,a total of 60 female patients who were treated in the gynecological outpatient Department of Qidong People's Hospital due to menopausal syn-drome were randomly divided into the femoston group(treated with oral femoston),and the tibolone group(treated with oral tibolone),30 cases each group.The blood glucose,blood lipids,BMI,blood pressure,symptom improvement scale and adverse reactions were compared between groups,and the application value,influence on blood glucose and blood lipids and adverse reactions of the two drugs were analyzed.Results:The levels of fasting blood glucose(FPG)and glycosylated hemoglobin(HbAlc)after treatment in the two groups were lower than before treatment(P<0.05).After treatment,patients'BMI and SBP,DBP levels were better than before treatment(P<0.05),but there was no significant difference between groups(P>0.05).After treatment,the levels of lipid index cholesterol,triglyceride,low density lipoprotein and high density lipoprotein in the two groups were better than those before treatment(all P<0.05),but there was no significant difference between groups(P>0.05).Kupperman scores at 1,3 and 6 months after treatment were lower than those before treatment(P<0.05),and there was no significant difference between groups(P>0.05).There was no significant difference in the incidence of adverse reactions between the control group and the observation group(P>0.05).Conclusion:Both femoston and tibolone can significantly improve the clinical symptoms of patients with menopausal syndrome,and can also improve the glycemic and lipid metabolism indexes of patients,and can achieve ideal therapeutic effect,and have high safety.

menopausal syndromefemostontiboloneblood sugarblood lipid

顾欣欣、茅红艳、陈坤燕

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启东市人民医院,启东肝癌防治研究所,南通大学附属启东医院妇科,江苏 226200

启东市人民医院,启东肝癌防治研究所,南通大学附属启东医院内科,江苏 226200

绝经综合征 芬吗通 替勃龙 血糖 血脂

启东市社会民生科技计划项目

2023-07

2024

南通大学学报(医学版)
南通大学

南通大学学报(医学版)

影响因子:0.637
ISSN:1674-7887
年,卷(期):2024.44(4)
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