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不同药物治疗子宫肌瘤的效果及对患者性激素水平的影响

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目的 探讨不同药物治疗子宫肌瘤的效果及对患者性激素水平的影响.方法 选取2021年2月—2023年2月于巨野县人民医院收治的80例子宫肌瘤患者为研究对象,根据用药的不同进行分组,研究组和对照组,各40例,对照组采用米非司酮治疗,研究组在对照组的基础上实施他莫昔芬治疗.统计和比较两组患者治疗效果、血清性激素、炎症因子水平、不良反应发生率.结果 研究组总有效率为97.50%,相比于对照组的80.00%较高,差异有统计学意义(χ2=4.507,P<0.05).治疗前,两组血清性激素水平比较,差异无统计学意义(P>0.05);治疗后,研究组促卵泡素、促黄体素、雌二醇、孕酮水平均低于对照组,差异有统计学意义(P均<0.05).治疗前,两组血清炎症因子水平比较,差异无统计学意义(P>0.05);治疗后,研究组高敏C反应蛋白、白介素-6、肿瘤坏死因子-α水平均低于对照组,差异有统计学意义(P均<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 他莫昔芬联合米非司酮治疗子宫肌瘤的效果显著,可以改善患者的血清性激素水平,降低炎症因子水平.
Effects of Different Drugs on Uterine Fibroids and Their Effects on Sex Hormone Levels
Objective To investigate the effect of different drugs on the treatment of uterine fibroids and the effect on the level of sex hormone in patients.Methods A total of 80 patients with uterine fibroids admitted to Juye County People's Hospital from February 2021 to February 2023 were selected as the research objects and divided into two groups according to different drug use:study group and control group,each with 40 cases.The control group was treated with mifepristone,and the study group was treated with tamoxifen on the basis of the control group.The thera-peutic effect,levels of serum sex hormones,inflammatory factors and incidence of adverse reactions were statistically compared between the two groups.Results The total effective rate of the study group was 97.50%,which was higher than that of the control group(80.00%),and the difference was statistically significant(χ2=4.507,P<0.05).Before treatment,there was no statistically significant difference in serum sex hormone levels between the two groups(P>0.05);after treatment,the levels of follicle-stimulating hormone,luteinizing hormone,estradiol and progesterone in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Before treatment,there was no statistically significant difference in serum inflammatory factors between the two groups(P>0.05);after treatment,the levels of high-sensitive C-reactive protein,interleukin-6 and tumor necrosis factor-α in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Tamoxifen combined with mifepristone has a remarkable effect in the treatment of uterine fibroids,which can improve the serum sex hormone level of patients and reduce the level of inflammatory factors.

Uterine fibroidsTumor nerosis factor-αInflammatory factorsSex hormone

李明、李慧霞、杨波

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巨野县人民医院药剂科,山东菏泽 274900

巨野县中医院感染管理科,山东菏泽 274900

子宫肌瘤 肿瘤坏死因子-α 炎症因子 性激素

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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