首页|坤泰胶囊联合人工周期激素疗法对卵巢早衰患者的临床效果观察

坤泰胶囊联合人工周期激素疗法对卵巢早衰患者的临床效果观察

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目的 探讨坤泰胶囊联合人工周期激素疗法对卵巢早衰患者的临床效果。方法 选取106 例卵巢早衰患者作为研究对象,根据患者的用药差异性进行分组,采用雌二醇片/雌二醇地屈孕酮片等人工周期疗法治疗的患者为对照组(n=52),在对照组基础上加服坤泰胶囊治疗的患者为试验组(n=54)。对比两组患者治疗前后激素[促黄体生成素(LH)、促卵泡激素(FSH)、雌二醇(E2)]水平、卵巢体积、窦卵泡数,临床疗效,不良反应发生率。结果 相较于治疗前,两组患者治疗后LH和FSH水平均有明显的下降,E2 水平则明显提高(P<0。05);治疗后,试验组患者E2 水平(90。1±19。4)pmol/L显著高于对照组的(80。5±17。6)pmol/L(P<0。05),而两组FSH和LH水平均无显著性的差异(P>0。05)。相较于治疗前,两组患者治疗后卵巢体积较大,窦卵泡数较多(P<0。05);治疗后,试验组卵巢体积(2。59±0。04)cm3 稍大于对照组的(2。38±0。05)cm3,窦卵泡数(4。7±2。1)个多于对照组的(3。5±1。4)个(P<0。05)。试验组患者的不良反应发生率 5。6%(3/54)明显低于对照组的 19。2%(10/52)(χ2=4。604,P=0。032<0。05)。试验组临床总有效率 88。9%较对照组的 71。2%更高(P<0。05)。结论 针对卵巢早衰患者采用坤泰胶囊联合人工周期激素疗法治疗,能够让患者的雌激素水平得到显著改善,提高治疗效果,无明显不良反应发生,因而该措施更适用于临床治疗。
Clinical effect observation of Kuntai capsule combined with artificial cycle therapy on patients with premature ovarian failure
Objective To explore the clinical effect of Kuntai capsule combined with artificial cycle therapy on patients with premature ovarian failure.Methods A total of 106 patients with premature ovarian failure were selected as research subjects and divided into groups according to the differences in patients'medication.The patients treated with artificial cycle therapy such as estradiol tablets/dstradioland dydrogesterone tablets were included in the control group(n=52),and the patients treated with Kuntai capsule on the basis of the control group were included in the experimental group(n=54).Patients in both groups were compared in terms of levels of hormones[luteinizing hormone(LH),follicle-stimulating hormone(FSH)and estradiol(E2)]before and after treatment,ovarian volume,antral follicle count,clinical efficacy and incidence of adverse reactions.Results Compared with before treatment,LH and FSH levels were significantly decreased after treatment,while E2 level was significantly increased in both groups(P<0.05).After treatment,the experimental group had significantly higher E2 level of(90.1±19.4)pmol/L than(80.5±17.6)pmol/L in the control group(P<0.05),while there was no significant difference in FSH and LH levels between the two groups(P>0.05).Compared with before treatment,the ovarian volume and antral follicle count in the two groups increased after treatment(P<0.05).After treatment,the experimental group had slightly larger ovarian volume of(2.59±0.04)cm3 than(2.38±0.05)cm3 in the control group,and more antral follicle count of(4.7±2.1)than(3.5±1.4)in the control group(P<0.05).The incidence of adverse reactions in the experimental group was 5.6%(3/54),which was significantly lower than 19.2%(10/52)in the control group(χ2=4.604,P=0.032<0.05).The total clinical effective rate of the experimental group was 88.9%,which was higher than 71.2%of the control group(P<0.05).Conclusion For patients with premature ovarian failure,Kuntai capsule combined with artificial cycle therapy can significantly improve the estrogen level,and therapeutic effect of patients,and no significant adverse reactions occur,so this measure is more suitable for clinical treatment.

Premature ovarian failureKuntai capsuleArtificial cycle therapyEstrogenAdverse drug reactions

郑锦霞

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430074 武汉长动医院

卵巢早衰 坤泰胶囊 人工周期激素疗法 雌激素 药品不良反应

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(13)
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