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[溴隐亭在多囊卵巢综合征中的作用]

[Effect of bromocryptin in polycystic ovary syndrome].

作者信息

Fuhrer J, Cheviakoff S, Rubio V

机构信息

Servicio de Obstetricia y Ginecología, Hospital San José.

出版信息

Rev Chil Obstet Ginecol. 1989;54(6):364-9; discussion 369-70.

PMID:2485372
Abstract

Ten patients with polycystic ovarian disease and normoprolactinemia received bromocriptine 5 mg daily for up to 4 months. The following parameters were evaluated before treatment and at monthly intervals menstrual patterns, hirsutism score, weight, and blood pressure and LH, FSH, prolactine, unbound and total testosterone in plasma. In 5 out of 10 subjects with oligomenorhea or amenorhea normal menstruations were observed; 3 additional subjects got more frequent but not normal menstruation and 2 patients got pregnant. No changes in LH, FSH and androgens were observed. Prolactin levels fell significantly in all subjects. No clinical nor biochemical parameter predicted the improvement in menstrual patterns. Bromocriptine may have a place in the treatment of polycystic ovarian diseases with normoprolactinemia though its mechanism of action is unclear.

摘要

10例患有多囊卵巢疾病且催乳素水平正常的患者每日服用5毫克溴隐亭,持续长达4个月。在治疗前以及每月对以下参数进行评估:月经模式、多毛症评分、体重、血压以及血浆中的促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素、游离睾酮和总睾酮。10名月经过少或闭经的受试者中有5人月经恢复正常;另有3名受试者月经更频繁但仍不正常,2名患者怀孕。促黄体生成素、促卵泡生成素和雄激素水平未见变化。所有受试者的催乳素水平均显著下降。没有临床或生化参数能够预测月经模式的改善情况。尽管溴隐亭的作用机制尚不清楚,但它可能在治疗催乳素水平正常的多囊卵巢疾病中占有一席之地。

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