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[孕早期孕酮替代后的内分泌变化]

[Endocrine changes following progesterone substitution in early pregnancy].

作者信息

Vytiska-Binstorfer E, Binder K, Huber J, Spona J

出版信息

Z Geburtshilfe Perinatol. 1986 Jul-Aug;190(4):146-8.

PMID:2429465
Abstract

250 mg hydroxy-progesteronecaproate was used for intramuscular administration in 25 patients, between 11 and 15 week's gestation, presenting either with a history of recurrent abortion or being admitted because of threatened abortion. Beta-HCG and progesterone concentrations were determined twice at intervals of 24 hours. Three women aborted without showing any increase in Beta-HCG levels nore in progesterone levels. In 20 patients Beta-HCG concentrations increased significantly after the medication, whereas only 5 patients showed a rise in progesterone levels. In 14 patients serum progesterone concentrations decreased making the use of progestational steroids in the management of threatened abortion questionable.

摘要

250毫克己酸羟孕酮用于25例妊娠11至15周、有复发性流产史或因先兆流产入院的患者进行肌肉注射。每隔24小时测定两次β-HCG和孕酮浓度。三名妇女流产,β-HCG水平和孕酮水平均未升高。20例患者用药后β-HCG浓度显著升高,而只有5例患者孕酮水平升高。14例患者血清孕酮浓度下降,使得在先兆流产管理中使用孕激素类药物存在疑问。

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