首页|炔雌醇环丙孕酮及综合治疗对多囊卵巢综合征患者内分泌功能的影响

炔雌醇环丙孕酮及综合治疗对多囊卵巢综合征患者内分泌功能的影响

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目的 研究炔雌醇环丙孕酮及综合治疗对多囊卵巢综合征(PCOS)患者内分泌功能的影响.方法 选取 2022 年 1 月-2023年 6 月丰城市妇幼保健院收治的 80 例PCOS患者,经随机数字表法分为对照组(40 例)与观察组(40 例),对照组采用常规综合治疗,观察组在其基础上给予炔雌醇环丙孕酮治疗,比较两组临床疗效、内分泌功能[睾酮(T)、促卵泡成熟激素(FSH)、促黄体生成素(LH)]、症状表现(月经紊乱发生率、Ferriman-Gallway毛发评分、Pillsbury痤疮评分)、不良反应.结果 观察组治疗总有效率为 95.00%,高于对照组的 80.00%(P<0.05);两组治疗后T、FSH、LH水平低于治疗前,且观察组T、FSH、LH水平低于对照组(P<0.05);两组治疗后月经紊乱发生率、Ferriman-Gallway毛发评分、Pillsbury痤疮评分均小于治疗前,且观察组月经紊乱发生率、Ferriman-Gallway毛发评分、Pillsbury痤疮评分均小于对照组(P<0.05);观察组与对照组不良反应发生率比较,差异无统计学意义(P>0.05).结论 炔雌醇环丙孕酮联合综合治疗可提高PCOS的临床疗效,改善患者内分泌功能,缓解其月经紊乱、多毛、痤疮症状,具有较高用药安全性.
Effect of Ethinylestradiol and Cyproterone Acetate with Comprehensive Treatment on Endocrine Function in Patients with Polycystic Ovary Syndrome
Objective To study the effect of ethinylestradiol and cyproterone acetate with comprehensive treatment on endocrine function in patients with polycystic ovary syndrome(PCOS).Methods A total of 80 patients with PCOS admitted to Fengcheng Maternal and Child Health Hospital from January 2022 to June 2023 were selected and divided into control group(40 patients)and observation group(40 patients)by random number table method.The control group was treated with conventional comprehensive treatment,and the observation group was treated with ethinylestradiol and cyproterone acetate on the basis of the control group.The clinical efficacy,endocrine function[testosterone(T),follicle stimulating hormone(FSH),luteinizing hormone(LH)],symptoms(incidence of menstrual disorders,Ferriman-Gallway hair score,Pillsbury acne score)and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.00%,which was higher than 80.00%in the control group(P<0.05).After treatment,the levels of T,FSH and LH in the two groups were lower than those before treatment,and the levels of T,FSH and LH in the observation group were lower than those in the control group(P<0.05).After treatment,the incidence of menstrual disorders,Ferriman-Gallway hair score and Pillsbury acne score in the two groups were lower than those before treatment,and the incidence of menstrual disorders,Ferriman-Gallway hair score and Pillsbury acne score in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P>0.05).Conclusion Ethinylestradiol and cyproterone acetate with comprehensive treatment can improve the clinical efficacy of PCOS,improve the endocrine function of patients,relieve the symptoms of menstrual disorder,hirsutism and acne,and has high drug safety.

Polycystic ovary syndromeEthinylestradiol and cyproterone acetateComprehensive treatmentEndocrine functionSexual hormonesMenstrual disorders

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丰城市妇幼保健院住院部妇产二科,江西 丰城 331100

多囊卵巢综合征 炔雌醇环丙孕酮 综合治疗 内分泌功能 性激素 月经紊乱

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(19)