首页|自拟降火滋阴方配合醋酸亮丙瑞林治疗女童中枢性性早熟临床研究

自拟降火滋阴方配合醋酸亮丙瑞林治疗女童中枢性性早熟临床研究

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目的 探讨自拟降火滋阴方配合醋酸亮丙瑞林治疗女童中枢性性早熟的临床疗效.方法 选取86例中枢性性早熟女童,将其随机分为对照组和试验组,每组43例.对照组予以醋酸亮丙瑞林治疗,试验组予以自拟降火滋阴方配合醋酸亮丙瑞林治疗.治疗6个月后,比较2组治疗总有效率,子宫容积、最大卵泡直径、卵巢容积等超声检查指标,以及黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E2)、卵泡刺激素(follicle-stimulating hormone,FSH)等血清性激素水平.结果 治疗后,试验组总有效率为90.70%,对照组为72.09%;组间比较,差异具有统计学意义(P<0.05).2组子宫容积、最大卵泡直径、卵巢容积均较治疗前降低(P均<0.05),且试验组上述超声指标明显小于对照组(P均<0.05).2组血清LH、E2、FSH水平均较治疗前下降(P均<0.05),且试验组上述血清性激素水平明显低于对照组(P均<0.05).结论 自拟降火滋阴方配合醋酸亮丙瑞林治疗女童中枢性性早熟可显著增强疗效,改善相关超声指标,并能有效调节性激素水平.
Clinical Study on the Treatment of Central Precocious Puberty in Girls with Self-made Formula for Nourishing Yin and Reducing Fire Combined with Leuprorelin Acetate
Objective To explore the clinical efficacy of self-made formula for nourishing yin and reducing fire combined with leuprorelin acetate in the treatment of central precocious puberty in girls.Methods A total of 86 girls with central precocious puberty were selected and randomly divided into the control group and the research group,with 43 cases in each group.The control group was treated with leuprorelin acetate,while the research group was treated with self-made formula for nourishing yin and reducing fire combined with leuprorelin ace-tate.After 6 months of treatment,the total effective rate,ultrasound examination indicators such as uterine vol-ume,maximum follicle diameter,and ovarian volume,as well as serum sex hormone levels such as luteinizing hor-mone(LH),estradiol(E2),and follicle-stimulating hormone(FSH)were compared in the two groups.Results After treatment,the total effective rate of the research group was 90.70%,while the control group was 72.09%.The difference between the two groups was statistically significant(P<0.05).The uterine volume,maximum follicle di-ameter and ovarian volume in both groups decreased compared to those before treatment(P all<0.05),and the ul-trasound indicators mentioned above in the research group were significantly lower than those in the control group(P all<0.05).The serum levels of LH,E2,and FSH in both groups decreased compared to those before treatment(P all<0.05),and the above serum sex hormone levels in the research group were significantly lower than those in the control group(P all<0.05).Conclusion The self-made formula for nourishing yin and reducing fire combined with leuprorelin acetate in the treatment of central precocious puberty in girls could significantly enhance the ther-apeutic effects,improve relevant ultrasound indicators,and effectively regulate sexual hormone levels.

central precocious pubertyleuprolide acetateself-made formula for nourishing yin and reducing firesex hormone

王亚君、李贝贝、琚玮

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郑州市第三人民医院儿科,郑州 450053

河南中医药大学第一附属医院国医堂,郑州 450003

中枢性性早熟 醋酸亮丙瑞林 自拟降火滋阴方 性激素

2024

中西医结合研究
华中科技大学

中西医结合研究

影响因子:0.649
ISSN:1674-4616
年,卷(期):2024.16(1)
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