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二甲双胍联合来曲唑片对PCOS患者的影响

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目的:观察二甲双胍联合来曲唑片对多囊卵巢综合征(polycystic ovary syndrome,PCOS)患者的影响。方法:选取 2022 年 1 月—2023 年 12 月苏州大学附属第一医院收治的 100 例PCOS患者作为研究对象。根据随机数表法将其分为来曲唑组与联合组,各 50 例。来曲唑组给予来曲唑片,联合组在来曲唑组基础上给予盐酸二甲双胍片。比较两组治疗后临床疗效,治疗前后相关指标、性激素指标。结果:治疗后,联合组治疗总有效率高于来曲唑组,差异有统计学意义(P<0。05)。治疗后,两组子宫内膜厚度增加,两侧卵巢体积缩小,联合组子宫内膜厚度高于来曲唑组,两侧卵巢体积小于来曲唑组,差异有统计学意义(P<0。05)。治疗后,两组睾酮(testosterone,T)、抗米勒管激素(anti-Müllerian hormone,AMH)、硫酸脱氢表雄酮(dehydroepiandrosterone sulfate,DHEA-S)水平均降低,联合组T、AMH、DHEA-S水平均低于来曲唑组,差异有统计学意义(P<0。05)。结论:二甲双胍联合来曲唑片治疗能够降低PCOS患者的血清T、AMH、DHEA-S水平,改善卵巢体积及子宫内膜厚度,提高治疗效果。
Effect of Metformin Combined with Letrozole Tablets on PCOS Patients
Objective:To observe the effect of Metformin combined with Letrozole Tablets on polycystic ovary syndrome(PCOS)patients.Method:A total of 100 PCOS patients admitted to the First Affiliated Hospital of Suzhou University from January 2022 to December 2023 were selected as the study objects.They were divided into Letrozole group and combined group according to random number table method,with 50 cases in each group.Letrozole group was given Letrozole Tablets,and combined group was given Metformin Hydrochloride Tablets on the basis of Letrozole group.The clinical efficacy after treatment,related indexes and sex hormone indexes before and after treatment were compared between the two groups.Result:After treatment,the total effective rate of combined group was higher than that of Letrozole group,and the difference was statistically significant(P<0.05).After treatment,endometrial thickness increased and bilateral ovarian volume decreased in both groups,the endometrial thickness in combined group was higher than that in Letrozole group,and bilateral ovarian volume was lower than that in Letrozole group,the differences were statistically significant(P<0.05).After treatment,testosterone(T),anti-Mullerian hormone(AMH),dehydroepiandrosterone sulfate(DHEA-S)levels were decreased in both groups,the levels of T,AMH and DHEA-S in combined group were lower than those in Letrozole group,and the differences were statistically significant(P<0.05).Conclusion:Metformin combined with Letrozole Tablets can reduce the levels of serum T,AMH and DHEA-S in PCOS patients,improve the ovarian volume and endometrial thickness,and improve the therapeutic effect.

MetforminLetrozole TabletsPolycystic ovary syndromeSex hormone

赵子伟、翁瑜菁、张菊、周卫琴

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苏州大学附属第一医院 江苏 苏州 223800

二甲双胍 来曲唑片 多囊卵巢综合征 性激素

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(28)