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螺内酯治疗特发性多毛症和多囊卵巢综合征。

Spironolactone in the treatment of idiopathic hirsutism and the polycystic ovary syndrome.

作者信息

Evans D J, Burke C W

出版信息

J R Soc Med. 1986 Aug;79(8):451-3. doi: 10.1177/014107688607900806.

Abstract

Forty-eight hirsute women were treated with spironolactone 100 mg twice daily for 3 to 12 months. Both facial and body hirsuties improved by 30-40%, and there was a threefold reduction in frequency of local treatments such as waxing or shaving. Plasma testosterone fell by 30%, though the improvement in hirsuties grading did not correlate with the fall in plasma testosterone. Six subjects discontinued treatment because of lack of effect, and 4 because of menstrual disturbance. Spironolactone was equally effective in the treatment of idiopathic hirsutism and of the polycystic ovary syndrome.

摘要

48名多毛症女性患者接受了螺内酯治疗,剂量为每日100毫克,分两次服用,疗程为3至12个月。面部和身体多毛症状均改善了30%至40%,诸如脱毛或剃须等局部治疗的频率降低了三倍。血浆睾酮水平下降了30%,不过多毛症状分级的改善与血浆睾酮水平的下降并无关联。6名受试者因无效而停止治疗,4名因月经紊乱而停止治疗。螺内酯在治疗特发性多毛症和多囊卵巢综合征方面同样有效。

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本文引用的文献

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A novel use of spironolactone: treatment of hirsutism.
J Clin Endocrinol Metab. 1980 Sep;51(3):429-32. doi: 10.1210/jcem-51-3-429.
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