Guizhou Provincial Center for Drug Reevaluation, Guiyang, Guizhou, 550001, People's Republic of China.
Department of Obstetrics and Gynecology, Guizhou Provincial People's Hospital, NO.83, Zhongshan East Road, Guiyang, Guizhou, 550002, People's Republic of China.
Lipids Health Dis. 2017 Nov 21;16(1):219. doi: 10.1186/s12944-017-0612-5.
The safety of progestogens as a class has drawn much attention after the publication of data from the Women's Health Initiative (WHI) trial, particularly with respect to cardiovascular disease. Depending on the chemical structure, pharmacokinetics, receptor affinity and potency of action, progestogens have a divergent range of properties that may translate to very different clinical effects. The purpose of this review is to describe the role of varied progestogens in hormone replacement therapy (HRT), especially focusing on blood lipids, which are the most important parameters for assessing cardiovascular disease risk.
孕激素作为一类药物的安全性在《女性健康倡议(WHI)试验》数据公布后引起了广泛关注,尤其是在心血管疾病方面。根据化学结构、药代动力学、受体亲和力和作用效力,孕激素具有不同的性质,这可能转化为非常不同的临床效果。本综述的目的是描述不同孕激素在激素替代疗法(HRT)中的作用,特别是重点关注血脂,这是评估心血管疾病风险的最重要参数。