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左炔诺孕酮宫内缓释系统用于治疗无排卵性功血的效果观察
引用本文:孙燕,蒋晓莉,袁媛,黎荔.左炔诺孕酮宫内缓释系统用于治疗无排卵性功血的效果观察[J].中国计划生育学杂志,2011(10):618-621.
作者姓名:孙燕  蒋晓莉  袁媛  黎荔
作者单位:广西医科大学第一附属医院计划生育科;
摘    要:目的:观察和比较左炔诺孕酮宫内缓释系统(LNG-IUS)和口服炔诺酮治疗无排卵性功血的疗效。方法:将65例无排卵性功血患者随机分为LNG-IUS组(30例)和炔诺酮组(35例)进行治疗,对治疗前及治疗后3个月、6个月的月经情况、经前子宫内膜厚度、血红蛋白、激素水平、肝肾功能、血脂及治疗满意度等进行比较。结果:两组治疗6个月后月经量均明显减少,血红蛋白显著增加,经前子宫内膜变薄,肝肾功能及血脂水平均无明显变化。与治疗前相比,LNG-IUS组激素水平无明显变化,炔诺酮组雌二醇水平下降,孕酮水平升高;LNG-IUS组治疗满意度高于炔诺酮组。结论:LNG-IUS和炔诺酮治疗无排卵性功血均效果明显,但LNG-IUS较炔诺酮治疗更具优势。

关 键 词:无排卵性功血  左炔诺孕酮宫内缓释系统  左炔诺孕酮  随机对照试验

Effect of levonorgestrel-releasing intrauterine system on treatment of anovulatory dysfunctional uterine bleeding
Sun Yan,Jiang xiaoli,Yuan yuan,Li Li.Effect of levonorgestrel-releasing intrauterine system on treatment of anovulatory dysfunctional uterine bleeding[J].Chinese Journal of Family Planning,2011(10):618-621.
Authors:Sun Yan  Jiang xiaoli  Yuan yuan  Li Li
Institution:Sun Yan,Jiang xiaoli,Yuan yuan,Li Li Department of Gynecology & Obstetrics,the First Affiliated Hospital of Guaugxi Medical University,Nanning 530021
Abstract:Objective: To evaluate and compare the effects of levonorgestrel-releasing intrauterine system (LNG-IUS) and oral norethindrone on the treatment of anovulatory dysfunctional uterine bleeding. Methods: Sixty-five Patients with anovulatory dysfunctional uterine bleeding were randomly divided into LNG-IUS group (n=30) and the norethindrone group (n=35). Menstruation, endometrial thickness, serum concentrations of hemoglobin and sex hormone, liver and kidney function, blood lipids and treatment satisfaction wer...
Keywords:Dysfunctional uterine bleeding  Levonorgestrel-releasing intrauterine system  Norethindrone  Randomized controlled trial  
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