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两种结合雌激素对改善绝经期综合征的临床观察

Clinical observation of two kinds of conjugated estrogen in the treatment of menopausal symptoms

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【作者】 王美莲; 钟华绣; 孙丽洲; 王淑玉;

【Author】 WANG Mei-lian*, ZHONG Hua-xiu, SUN Li-zhou, WANG Shu-yu (Department of Obstetrics and Gynecology,the First Affiliated Hospital of NJMU,Nanjing 210029,China)

【机构】 南京医科大学第一附属医院妇产科; 南京医科大学第一附属医院妇产科 江苏南京210029; 江苏南京210029;

【摘要】 目的:观察比较结合雌激素片(试验组)与结合雌激素倍美力片(对照组)治疗绝经期综合征的疗效和安全性。方法:选取60例符合诊疗标准的患者随机分成试验组和对照组,每日服结合试验或对照药物1片,28天为1周期,第15~28天均添加安宫黄体酮片每日4mg,通过随机开放平行对照方法对两组潮热症状评分,Kupperman评分、血清E2水平、血脂的变化及不良反应发生情况比较。结果:两组治疗后,潮热症状评分及Kupperman评分均明显下降,血清雌二醇、甘油三酯(TG)和高密度脂蛋白(HDL-C)均升高,低密度脂蛋白(LDL-C)降低,组内比较(P<0.001),差异有统计学意义。组间等效性检验比较(P>0.05),无显著性差异。不良反应两组之间比较(P>0.05),无显著差异。结论:国产结合雌激素片和倍美力一样能有效、安全地治疗妇女绝经期综合征。

【Abstract】 Objective:To compare the efficacy and the safety of conjugated estrogen(CE) in the treatment of menopausal with conjugated equine estrogen(Premarin). Methods:According to the standards ,a total of 60 patients were randomly divided into 2 groups:CE group and Premarin group,a period of 28 days,and from 15 to 28 days plus medroxyprogesterone(MPA) 4 mg Daily.Treatment lasted for 3 periods. This randomly publicly parallel was adopted to compare the hot flashes symptom scores,serum level of estradiol,Kupperman measurement Index and serum lipid. Results:The scores of menopausal symptom,hot flash scores and the serum level of estradiol ascent. TG、HDL-C ascented and LDL-C were reduced after treatment with CE or Premarin(P < 0.001),No significant differences were discovered between the two groups through equivalence margin(P > 0.05). There are no significant differences between the two groups on side effect(P > 0.05). Conclusion:CE is safe and effective in treatment of menopausal symptoms.

【基金】 江苏省高校自然科学研究基金资助(05KJB320087)
  • 【文献出处】 南京医科大学学报(自然科学版) ,Acta Universitatis Medicinalis Nanjing(Natural Science) , 编辑部邮箱 ,2007年09期
  • 【分类号】R711.75
  • 【被引频次】11
  • 【下载频次】127
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