黄红玲,曾毅.间断服用米非司酮对皮下埋植避孕使用者月经状况的影响.[J].中南医学科学杂志.,2011,39(4):419-421.
间断服用米非司酮对皮下埋植避孕使用者月经状况的影响
The Impact of Intermittent Taking Mifepristone on the Menstrual Status of Contraceptive Norplant Users
投稿时间:2010-10-15  
DOI:
中文关键词:  左炔诺孕酮  米非司酮  月经
英文关键词:levonorgestrel  mifepristone  menstrual
基金项目:
作者单位
黄红玲,曾毅 湖南省计划生育研究所专科医院 计划生育科湖南 长沙 410008 
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中文摘要:
      目的观察服用米非司酮能否改善皮下埋植避孕使用者的月经状况。方法165例皮下埋植后对象随机分成2组,实验组85例在皮下埋植术后30、60、90、120、150以及180天口服米非司酮片50 mg;对照组80例不服用药物,共观察13个月。结果实验组在服药前、服药3个月、6个月、停药后1个月与对照组在皮下埋植术前、术后3个月、术后6个月、术后7 个月比较,两组血清雌激素(E2)水平差异无显著性(P>0.05);服药前两组孕激素(P)水平差异无显著性(P>0.05);服药3个月、6个月、停药后1个月实验组血孕激素水平明显升高(P<0.05)。实验组总出血天数、出血次数均短于对照组(P<0.05);实验组和对照组均无避孕失败。结论服用米非司酮可以改善皮下埋植避孕使用者的月经状况;且不影响皮下埋植剂的避孕效果。
英文摘要:
      ObjectiveTo observe whether mifepristone can improve the menopausal status of Norplant users.Methods165 cases of subcutaneous implantation were randomly divided into 2 groups,the test group(A Group),85 cases with oral administration of non-Division ketone film 50mg in 30 days,60 days,90 days,120 days,150 days,180 days;the control group(B),80 patients not taking medications,were observed 13 months.ResultsIn A group before taking medications,taking 3 months,6 months,1 month after stopping the medications and the control group before the implantation and after 3 months,6 months,7 months,the blood estrogen(E2),showed no significant difference(P>0.05);before taking the medications the two groups progesterone(P)showed no significant difference;3 months,6 months,1 month after stopping medication the experimental groups level of serum progesterone(P)significantly increased,with significant difference in two groups(P<0.05);In test group the number of total bleeding days,bleeding times were shorter than the control group(P<0.05);test group and control group had no contraceptive failure.ConclusionMifepristone can be taken to improve the Norplant users,menopausal status;not affect the contraceptive effect of subcutaneous implants.
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