Qi Xiaoxia, Guo Yun, Sun Lingna
Shandong Provincial Maternity & Child Care Hospital, Jinan, Shandong, PR China.
Pak J Pharm Sci. 2019 Sep;32(5(Special)):2471-2476.
Aim of the present work was to investigate the clinical efficacy of Kuntai capsule in the treatment of postmenopausal women with endometriosis, Breast pain and Vaginal Bleeding. 120 elderly female outpatients over 50 years old with Breast pain were randomly divided into control group (60 cases) and observation group (60 cases). All patients were given diclofenac sodium enteric-coated tablets 25mg, 3 times a day. The observation group was given additional Kuntai capsules at a dose of 4 capsules per time, 3 times a day. Serum estradiol (E2), follicle stimulating hormone (FSH), and luteinizing hormone (LH) were detected in all patients before and at 12 weeks after treatment. Modified Kupperman score (K score) for evaluating menopausal symptoms. The post therapeutic serum follicle-stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) level and endometrial thickness decreased significantly (p<0.05). After treatment, KMI scores of kunati group was significantly decreased compared with baseline (<0.01) and there was no significant difference between groups (p>0.05). After treatment, hot flush and insomnia scores were both improved significantly. After therapy, serum E2 level obviously higher than the control groups, while FSH and LH levels were obviously lower (p<0.05). The incidence of vaginal bleeding, breast distending pain in group was obviously higher in control group than Kuntai group. Thus, Kuntai capsule improved the ovarian function of patients, raised the level of estrogen in vivo and alleviates the clinical manifestations of Breast pain.
本研究的目的是探讨坤泰胶囊治疗绝经后子宫内膜异位症、乳房疼痛和阴道出血的临床疗效。120例年龄超过50岁、有乳房疼痛的老年女性门诊患者被随机分为对照组(60例)和观察组(60例)。所有患者均给予双氯芬酸钠肠溶片25mg,每日3次。观察组额外给予坤泰胶囊,每次4粒,每日3次。在治疗前及治疗12周后检测所有患者的血清雌二醇(E2)、促卵泡生成素(FSH)和促黄体生成素(LH)。采用改良Kupperman评分(K评分)评估绝经症状。治疗后血清促卵泡生成素(FSH)、促黄体生成素(LH)和雌二醇(E2)水平及子宫内膜厚度显著降低(p<0.05)。治疗后,坤泰组的KMI评分与基线相比显著降低(<0.01),且两组间无显著差异(p>0.05)。治疗后,潮热和失眠评分均显著改善。治疗后,血清E2水平明显高于对照组,而FSH和LH水平明显较低(p<0.05)。对照组阴道出血、乳房胀痛的发生率明显高于坤泰组。因此,坤泰胶囊改善了患者的卵巢功能,提高了体内雌激素水平,缓解了乳房疼痛的临床表现。