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[单相口服避孕药复方制剂(20微克炔雌醇/150微克去氧孕烯)对止血的影响]

[Effect of the monophase oral contraceptive combination with 20 ug ethinyl estradiol/150 ug desogestrel on haemostasis].

作者信息

Uchikova E, Milchev N, Terzhumanov R, Markova D

出版信息

Akush Ginekol (Sofiia). 2004;43(4):29-32.

Abstract

The authors examined the changes in the haemostasis during the use of the oral contraceptive combination with 20 microg ethynil estradiol/150 microg desogestrel at 35 women, a basic group, who used the oral contraceptive in the duration of 12 months and a control group (n=35), who do not use the pills. We found statistically significant increase of Antithrombin III (ATIII) (p<0.011), Cofactor II of Heparin (HCII) (p<0.001), the activity of plasminogen (p<0.026) and beta2-antiplasmin (0.026), significant decrease of Protein C (PrC) (p<0.0001) and of total Protein S (TPrS) (p<0.03) in the basic group in comparision with the control one. We do not observe significant changes in the rest of the haemostatic variables between the two groups. During the use of the oral contraceptive combination with 20 microg ethynil estradiol/150 microg desogestrel the changes in the system of the natural inhibitors are balanced by these in the system of fibrinolysis.

摘要

作者对35名使用含20微克炔雌醇/150微克去氧孕烯复方口服避孕药的女性(基础组)在12个月使用期内的止血变化进行了研究,并与35名未服用避孕药的对照组女性进行了对比。我们发现,与对照组相比,基础组抗凝血酶III(ATIII)(p<0.011)、肝素辅因子II(HCII)(p<0.001)、纤溶酶原活性(p<0.026)和β2 - 抗纤溶酶(0.026)有统计学意义的显著升高,蛋白C(PrC)(p<0.0001)和总蛋白S(TPrS)(p<0.03)有显著降低。两组间其余止血变量未观察到显著变化。在使用含20微克炔雌醇/150微克去氧孕烯复方口服避孕药期间,天然抑制剂系统的变化与纤溶系统的变化相互平衡。

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