首页|黄体酮胶囊剂量对无排卵型月经不调患者性激素水平及月经周期的影响

黄体酮胶囊剂量对无排卵型月经不调患者性激素水平及月经周期的影响

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目的:探讨黄体酮胶囊剂量对无排卵型月经不调患者性激素水平及月经周期的影响.方法:将 2021 年 1 月至 2022 年 12 月在我院就诊的 60 例无排卵型月经不调患者,随机分为两组,各 30 例.对照组口服黄体酮胶囊,1日1次,1 次 100 mg,观察组口服黄体酮胶囊,1日 2次,1次200 mg.比较临床疗效、月经周期、子宫内膜厚度、阴道流血量、阴道流血持续时间、促黄体生成素(Luteotropic hormone,LH)、卵泡刺激素(Follicle-stimulating hormone,FSH)、雌二醇(Estradiol,E2)以及不良反应情况.结果:两组总有效率无显著差异;治疗后两组LH、E2水平均低于治疗前,且观察组明显低于对照组(P<0.05);对照组不良反应发生率明显低于观察组(P<0.05).结论:低剂量与常规剂量对患者性激素水平及月经周期的影响差异不大,但低剂量黄体酮表现出的不良反应更少,安全性更高.
Effect of the dosage of progesterone capsule on sex hormone levels and menstrual cycle in patients with anovulatory menstrual disorder
Objective:To investigate the effect of the dosage of progesterone capsule on sex hormone levels and menstrual cycle in patients with anovulatory menstrual disorder.Methods:Sixty patients with anovulatory menstrual disorders treated in our hospital from January 2021 to December 2022 were randomly divided into two groups,with 30 cases in each group.Patients in the control group took progesterone capsules orally,qd,100 mg·dose-1.Patients in the observation group took progesterone capsules orally,bid,200 mg·dose-1.Clinical effects,menstrual cycle,endometrial thickness,vaginal bleeding volume,duration of vaginal bleeding,luteinizing hormone(LH),follicle-stimulating hormone(FSH),estradiol(E2),and adverse reactions were compared between the groups.Results:There was no significant difference in total effective rate between the two groups.After treatment,the levels of LH and E2 in both groups were lower than those before treatment,and the levels in observation group were significantly lower than those in control group(P<0.05).The incidence of adverse reactions in the control group was significantly lower than that in the observation group(P<0.05).Conclusion:Low-dose and conventional-dose progesterone capsules have similar influence on sex hormone levels and menstrual cycle in patients with anovulatory menstrual disorder.However,low-dose progesterone induced fewer adverse reactions,indicating higher safety.

Menstrual disorderAnovulatory typeProgesterone capsuleDifferent dosagesSex hormoneMenstrual cycle

郑燕玲

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新干县妇幼保健院计划生育科,江西 吉安 343000

月经不调 无排卵型 黄体酮胶囊 不同剂量 性激素 月经周期

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(3)
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