Song Junhong, Wang Yan, Yu Lili
Department of Gynecology and Obstetrics, The Affiliated Yantai Yuhuangding Hospital of Medical College, Qingdao University, Yantai, China.
Department of Centerfor Reproductive Medicine, The Affiliated Yantai Yuhuangding Hospital of Medical College, Qingdao University, Yantai, China.
Pak J Pharm Sci. 2018 Sep;31(5(Special)):2197-2201.
Endometriosis is a common disease among women of childbearing age, and it is the main cause of dysmenorrhea and infertility. This article analyzes the efficacy of mifepristone and gestrinone in the treatment of endometriosis. The results showed that the recurrence rate of mifepristone group and gestrinone group were 8.33% and 5%, respectively, which was significantly lower than 23.33% of the control group. Before and after treatment, LH, endocrine test results FSH PRL had no obvious change in mifepristone group and gestrinone group, while E2 decreased, as mifepristone group (141.7±31.2) pmol/L, gestrinone group (64.2±11.7) pmol/L. The incidence of adverse reactions and liver dysfunction in the mifepristone group were significantly lower than those the gestrinone group (P<0.05). Mifepristone and gestrinone can be used for endometriosis postoperative adjuvant treatment, is safe and effective, but using mifepristone has the lower rate of adverse reaction. In conclusion, mifepristone is a current research focus, its mechanism of action in the process of exploration, has broad prospects in the treatment of endometriosis, its long-term application security is paid more and more attention.
子宫内膜异位症是育龄期女性的常见疾病,是痛经和不孕的主要原因。本文分析米非司酮和孕三烯酮治疗子宫内膜异位症的疗效。结果显示,米非司酮组和孕三烯酮组的复发率分别为8.33%和5%,显著低于对照组的23.33%。治疗前后,米非司酮组和孕三烯酮组的LH、内分泌检测结果FSH、PRL无明显变化,而E2降低,米非司酮组为(141.7±31.2)pmol/L,孕三烯酮组为(64.2±11.7)pmol/L。米非司酮组的不良反应发生率和肝功能异常发生率显著低于孕三烯酮组(P<0.05)。米非司酮和孕三烯酮可用于子宫内膜异位症术后辅助治疗,安全有效,但米非司酮的不良反应发生率较低。综上所述,米非司酮是当前的研究热点,其作用机制正在探索中,在子宫内膜异位症治疗方面具有广阔前景,其长期应用安全性越来越受到关注。