首页|屈螺酮炔雌醇片(Ⅱ)与炔雌醇醋酸环丙孕酮治疗多囊卵巢综合征患者的疗效对比

屈螺酮炔雌醇片(Ⅱ)与炔雌醇醋酸环丙孕酮治疗多囊卵巢综合征患者的疗效对比

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目的 探讨多囊卵巢综合征患者采用屈螺酮炔雌醇片(Ⅱ)与炔雌醇醋酸环丙孕酮治疗的效果.方法 选取118例多囊卵巢综合征患者,按照随机数字表法进行分组,对照组59例予以炔雌醇醋酸环丙孕酮治疗,试验组59例予以屈螺酮炔雌醇片(Ⅱ)治疗,比较治疗效果.结果 治疗后,两组体质量指数、腰臀比、胰岛素抵抗指数、多毛评分比较差异无统计学意义(P>0.05);治疗后,两组总胆固醇、三酰甘油水平比较差异无统计学意义(P>0.05),试验组高密度脂蛋白水平高于对照组、低密度脂蛋白水平低于对照组(P<0.05);治疗后,试验组黄体生成素、卵泡刺激素、雌二醇、睾酮水平低于对照组(P<0.05).结论 屈螺酮炔雌醇片(Ⅱ)治疗多囊卵巢综合征患者的疗效与炔雌醇醋酸环丙孕酮相当,但对患者的血脂、雌孕激素水平等改善效果更佳,值得推广.
Comparison of the therapeutic effects of levonorgestrel ethinyl estradiol tablets(Ⅱ)and ethinyl estradiol acetate cyprogesterone acetate in the treatment of patients polycystic ovary syndrome
Objective To investigate the therapeutic effect of drospirosterone ethinylestradiol tablets(Ⅱ)and cyproterone ethinylestradiol acetate in the treatment of patients polycystic ovary syndrome.Methods 118 patients with polycystic ovary syndrome were selected and divided into groups according to random number table method.59 patients in the control group were treated with cyproterone ethinylestradiol acetate,and 59 patients in the experimental group were treated with drospirosterone ethinylestradiol tablets(Ⅱ).and the experimental group was treated with drospirenone ethinylestradiol tablets(Ⅱ).The therapeutic effects were compared.Results After treatment,there was no significant difference in body mass index,waist-hip ratio,insulin resistance index and hirsutism score between the two groups(P>0.05).After treatment,there was no significant difference in the levels of total cholesterol and triglyceride between the two groups(P>0.05).The level of high-density lipoprotein in the experimental group was higher than that in the control group,and the level of low-density lipoprotein was lower than that in the control group(P<0.05).After treatment,luteinising hormone,follicle-stimulating hormone,oestradiol and testosterone levels in the test group were lower than those in the control group.ketone levels were lower than those of the control group(P<0.05).Conclusion The curative effect of drospirenone ethinylestradiol tablets(Ⅱ)in the treatment of polycystic ovary syndrome is similar to that of ethinylestradiol cyproterone acetate,but it has a better effect on improving patients'blood lipid,estrogen and progesterone levels,which is worth popularizing.

Drospirenone ethinylestradiol tablets(Ⅱ)Ethinyl estradiol cyproterone acetatePolycystic ovary syndromeTherapeutic effectEstrogen and progesterone

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建湖县人民医院 妇产科,江苏 盐城 224700

屈螺酮炔雌醇片(Ⅱ) 炔雌醇醋酸环丙孕酮 多囊卵巢综合征 治疗效果 雌孕激素

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(13)