首页|地屈孕酮对更年期综合征妇女的治疗效果及对性激素与血脂水平的影响

地屈孕酮对更年期综合征妇女的治疗效果及对性激素与血脂水平的影响

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目的 研究地屈孕酮对更年期综合征妇女的治疗效果及对性激素与血脂的影响.方法 选择2014年2月~2016年11月在北京市隆福医院诊治的更年期综合征患者104例,根据治疗方案不同分为观察组和对照组,各52例,观察组使用地屈孕酮治疗,对照组使用安慰剂治疗.治疗1个月后观察2组临床疗效,并检测比较2组治疗前后雌二醇(E2)、促卵泡刺激素(FSH)、促黄体生成素(LH)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平.结果 2组经治疗其临床总有效率无差异显著;与治疗前相比,对照组患者雌激素水平与血脂水平无明显变化,观察组患者E2与HDL-C水平明显升高,且明显高于对照组(P<0.05);FSH、LH、TC、TG、LDL水平明显降低,且明显低于对照组(P<0.05).结论 使用地屈孕酮短时间治疗更年期综合征其临床疗效与安慰剂相当,但可有效调节患者性激素与血脂水平,利于降低患者心血管疾病的发生率,提高其生活质量.
Curative efficacy of dydrogesterone in treatment of Climacteric syndrome and its effects on sex hormone and blood fat
Objective To study the curative efficacy of dydrogesterone in treatment of Climacteric syndrome and its effects on sex hormone, blood fat.Methods104 patients of Climacteric syndrome who received therapy from February 2014 to November 2016 in our hospital were selected as research objects, according to different divided into observation group and control group, treatment group used to bend progesterone therapy, the control group using a placebo.one month after treatment to observe the two groups of clinical curative effect, compare two groups before and after the treatment and testing level of estradiol (E2), follicle-stimulating hormone (FSH), luteinizing hormone (LH),total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C).ResultsAfter treatment, the clinical total effective rate in the two groups to compare have no significant difference;Compared with before treatment, the control group in estrogen level and blood lipid levels in patients with no significant change, the observation group of patients with E2 and HDL-C level increased significantly, and significantly higher than the control group (P<0.05);FSH, LH, TC, TG, LDL levels significantly decreased, and significantly lower than the control group (P<0.05).ConclusionUsing of dydrogesterone short time the clinical curative effect of treatment of menopausal syndrome with placebo, but can effectively improve patient sex hormone levels, adjust blood lipid levels, to reduce the incidence of cardiovascular disease (CVD) patients, improve their quality of life.

dydrogesteroneclimacteric syndromesex hormonesblood fat

何颖、王红、路海平

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北京市隆福医院内分泌科,北京100010

地屈孕酮 更年期综合征 性激素 血脂

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.(5)
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