首页|雌激素、来曲唑联合绒促性素治疗内分泌失调的效果及用药安全性

雌激素、来曲唑联合绒促性素治疗内分泌失调的效果及用药安全性

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目的:分析雌激素、来曲唑联合绒促性素治疗内分泌失调的效果及用药安全性。方法:选取 2021 年 1 月—2023 年 3 月石狮市医院妇产科收治的 80 例内分泌失调患者。根据 1∶1 比例原则随机将其分为对照组和观察组,各 40 例。对照组给予雌激素、来曲唑治疗,观察组在对照组基础上给予注射用绒促性素。比较两组临床疗效,治疗前后性激素、血清相关指标及不良反应。结果:治疗后,两组卵泡刺激素(follicle-stimulating hormone,FSH)及促黄体生成素(luteinizing hormone,LH)水平均降低,雌二醇(estradiol,E2)水平升高,观察组LH、FSH水平均低于对照组,E2 水平高于对照组,差异有统计学意义(P<0。05)。治疗后,两组抗米勒管激素(anti-Müllerian hormone,AMH)、抑制素B(inhibin B,INHB)及丝氨酸蛋白酶抑制因子(Vaspin)水平均降低,观察组AMH、INHB、Vaspin水平均低于对照组,差异有统计学意义(P<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:雌激素、来曲唑和绒促性素联合用药治疗内分泌失调取得理想效果,可改善患者性激素水平,且未增加用药不良反应,安全性好。
Efficacy of Estrogen,Letrozole Combined with Chorionic Gonadotropin in the Treatment of Endocrine Disorders and Drug Safety
Objective:To analyze the efficacy of estrogen,Letrozole combined with Chorionic Gonadotropin in the treatment of endocrine disorders and drug safety.Method:A total of 80 patients with endocrine disorders admitted to the Department of Obstetrics and Gynecology of Shishi City Hospital from January 2021 to March 2023 were selected.According to the 1∶1 ratio principle,they were randomly divided into control group and observation group,40 cases in each group.The control group was treated with Estrogen and Letrozole,and the observation group was treated with Chorionic Gonadotrophin for Injection on the basis of the control group.The clinical efficacy,sex hormones,serum related indexes before and after treatment and adverse reactions were compared between the two groups.Result:After treatment,follicle-stimulating hormone(FSH)and luteinizing hormone(LH)levels decreased,and estradiol(E2)levels increased in both groups,the levels of LH and FSH in the observation group were lower than those in the control group,and the level of E2 was higher than that in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of anti-Müllerian hormone(AMH),inhibin B(INHB),and serine protease inhibitor(Vaspin)decreased in both groups,the levels of AMH,INHB,and Vaspin in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of estrogen,Letrozole and Chorionic Gonadotropin in the treatment of endocrine disorders has achieved ideal effect,can improve the level of sex hormones in patients,and does not increase the adverse reaction of drugs,and has good safety.

EstrogenLetrozoleChorionic GonadotropinEndocrine disorder

王培巡

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石狮市医院 福建 石狮 362700

雌激素 来曲唑 绒促性素 内分泌失调

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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