首页|地塞米松联合氯米芬治疗多囊卵巢综合症对患者血清性激素水平的影响

地塞米松联合氯米芬治疗多囊卵巢综合症对患者血清性激素水平的影响

扫码查看
目的 探讨地塞米松联合氯米芬治疗多囊卵巢综合症对患者血清性激素水平的影响.方法 选择2013年1月~2015年12月于杭州市富阳区妇幼保健院确诊并治疗的80例多囊卵巢综合症患者,根据患者及其家属意愿,将患者分为2组,每组均为40例.观察组患者采用地塞米松与氯米芬联合治疗,对照组仅采用氯米芬治疗,比较2组患者的疗效、及用药前和用药后3个月患者的血清性激素水平.结果 治疗后,观察组总有效率为95.00%,高于对照组总有效率为72.50%,差异有统计学意义(P<0.05);对照组与观察组患者的孕酮(progesterone,P)、雌二醇(estradiol,E2)、黄体生成激素(luteinizing hormone,LH)、黄体生成激素/促卵泡成熟激素(follicle-stimulating hormone,FSH)比值(LH/FSH)水平比较,差异有统计学意义(P<0.05),治疗后两者水平均较治疗前升高.观察组恢复排卵率为90.00%,高于对照组恢复排卵率为72.50%,差异有统计学意义(P<0.05).通过相关性分析结果发现采用地塞米松与氯米芬合用治疗多囊卵巢综合症患者,P、E2、FSH和LH表达水平呈显著正相关(r=0.746、0.812、0.731和0.796,P<0.05).结论 地塞米松联合氯米芬治疗多囊卵巢综合症较仅采用氯米芬治疗效果良好,其可同时提高患者血清性激素水平,有效改善患者内分泌异常情况.
Effect of dexamethasone combined with clomiphene on serum sex hormone levels in polycystic ovary syndrome
Objective To investigate the effect of dexamethasone combined with clomiphene on serum sex hormone levels in patients with polycystic ovary syndrome. Methods 80 pregnancies with polycystic ovary syndrome treated in our hospital from January 2013 to December 2015 were selected and they were randomly divided into observation group and control group with 40 cases in each group. The observation group was given dexamethasone combined with clomiphene, while the control group was given simple clomiphene. Compared the curative effect and the change of the levels of progesterone and estradiol before and after treatment for three months. Results After treatment, the total effective rate of the observation group was 95.00%, higher than the total effective rate of the control group was 72.50%, the difference was statistically significant (P<0.05), compared the levels of progesterone(P), estradiol(E2), luteinizing hormone(LH) and LH/FSH in the observation group and the control group, the difference was statistically significant (P<0.05), after treatment, both levels were higher than before treatment. The total ovulation rate of the observation group was 90.00%, higher than the total ovulation rate of the control group was 72.50%, the difference was statistically significant (P<0.05). The level of progesterone and estradiol in serum of polycystic ovary syndrome treated by dexamethasone combined with clomiphene had a obvious positive correlation (r=0.746, 0.812, 0.731 and 0.796, P<0.05). Conclusion Dexamethasone combined with clomiphene treatment of polycystic ovary syndrome than using only clomiphene treatment is good, which can also improve serum hormone levels in patients, effectively improve the patient's endocrine abnormalities.

dexamethasoneclomiphenecombinepolycystic ovary syndromehormone

徐美凤、魏青、何婷

展开 >

杭州市富阳区妇幼保健院 妇女保健科,浙江 杭州 311400

地塞米松 氯米芬 联合 多囊卵巢综合症 激素

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
  • 13
  • 17