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[黄体溶解法使用LRH-A避孕的临床研究]

[Clinical study on LRH-A contraception by luteolysis].

作者信息

Lu R K

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1989 Jan;24(1):26-8, 58.

PMID:2667912
Abstract

Thirty-eight healthy female volunteers, aged 26-38 years with regular menstrual cycles entered into a clinical trial for contraception with Chinese made superactive stimulatory analog of LRH i.e., (D-Ala, des-GLY-EA10)-LRH yielding luteolysis. LRH-A 1 mg a day was administered by intranasal spray from the 15th through 25th day of the menstrual cycle for 1-12 consecutive cycles. During LRH-A administration no additional contraceptive was used. Luteolysis refers to reduction in plasma progesterone and shortening of the luteal phase. The results showed that luteolysis occurred in 154/158 cycles, 4 pregnancies occurred due to faulty administration. No severe side-effects were observed during administration and apparently normal cycles occurred immediately after the withdrawal of LRH-A spray. The above data indicated that LRH-A may provide a fairly good luteolytic effect. More intensive study is required for clinical application in contraceptive practice.

摘要

38名年龄在26至38岁之间、月经周期规律的健康女性志愿者参加了一项使用国产超活性促黄体生成素释放激素(LRH)类似物即(D-丙氨酸,去甘氨酸-乙基酰胺10)-LRH进行避孕的临床试验,该类似物可导致黄体溶解。从月经周期的第15天至25天,每天通过鼻喷雾剂给予1毫克LRH-A,连续给药1至12个周期。在给予LRH-A期间,未使用其他避孕措施。黄体溶解是指血浆孕酮水平降低和黄体期缩短。结果显示,在158个周期中有154个周期发生了黄体溶解,4例怀孕是由于给药不当所致。给药期间未观察到严重副作用,停用LRH-A喷雾剂后月经周期立即恢复正常。上述数据表明,LRH-A可能具有相当好的黄体溶解作用。在避孕实践中的临床应用还需要更深入的研究。

相似文献

1
[Clinical study on LRH-A contraception by luteolysis].[黄体溶解法使用LRH-A避孕的临床研究]
Zhonghua Fu Chan Ke Za Zhi. 1989 Jan;24(1):26-8, 58.
2
[Clinical observations on LRH-A used for contraception by luteolysis in normal women--analysis of 88 cases].
Shengzhi Yu Biyun. 1987;7(1):39-40, 45-7.
3
Chronic treatment with the gonadotropin-releasing hormone agonist D-Ser(TBU)6-EA10-LRH for contraception in women and men.使用促性腺激素释放激素激动剂D-Ser(TBU)6-EA10-LRH对女性和男性进行长期避孕治疗。
Int J Fertil. 1980;25(3):239-46.
4
Luteolytic activity of LHRH and [D-Ser(TBU)6, des-Gly-NH2(10)]LHRH ethylamide: a new and physiological approach to contraception in women.促黄体生成素释放激素(LHRH)和[D-丝氨酸(叔丁基)6,去甘氨酰胺(10)]LHRH乙酰胺的溶黄体活性:一种新型女性避孕生理方法
Int J Fertil. 1980;25(3):203-12.
5
Effects of a luteinizing hormone-releasing hormone agonist on luteal function in women.促黄体生成素释放激素激动剂对女性黄体功能的影响。
Contraception. 1980 Sep;22(3):287-93. doi: 10.1016/s0010-7824(80)80007-2.
6
[Peptid contraception--new principles for family planning].[肽类避孕——计划生育的新原则]
Lakartidningen. 1981 Aug 19;78(34):2845-8.
7
Intranasal LHRH agonist (Buserelin) after ovulation: a post-coital contraceptive approach.排卵后经鼻给予促黄体生成素释放激素激动剂(布舍瑞林):一种性交后避孕方法。
Contracept Deliv Syst. 1983 Apr;4(2):107-25.
8
[A clinical study on the inhibitory effect of ovulation caused by interrupted administration of intranasal spray with China-made LRH-A in normal fertile women].[国产LRH-A鼻喷雾剂间断给药对正常育龄妇女排卵抑制作用的临床研究]
Shengzhi Yu Biyun. 1988 Aug;8(3):23-8.
9
Luteinizing hormone releasing hormone analogues for contraception.用于避孕的促黄体生成素释放激素类似物
Clin Obstet Gynaecol. 1984 Dec;11(3):551-72.
10
Luteolysis induced by a luteinizing hormone-releasing hormone agonist is prevented by human chorionic gonadotropin.
Contraception. 1980 Oct;22(4):341-7. doi: 10.1016/0010-7824(80)90019-0.