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γ-谷维素联合替勃龙治疗围绝经期综合征的临床疗效

Clinical efficacy of gamma-oryzanol combined with Femoston for perimenopausal syndrome.

作者信息

Kuang Yang-Yang, Xiong Min-Qi, Cai Jin-Xia

机构信息

Women's Health Management Center, Jiujiang Maternal and Child Health Hospital, Jiujiang 332000, Jiangxi Province, China.

出版信息

World J Clin Cases. 2024 Aug 6;12(22):4992-4998. doi: 10.12998/wjcc.v12.i22.4992.

Abstract

BACKGROUND

Perimenopausal syndrome (PMS) is a chronic disease associated with estrogen deficiency. Because of the unsatisfactory outcomes of current conventional treatments for this condition, its treatment must be continuously explored and optimized.

AIM

To assess the clinical effectiveness of γ-oryzanol in combination with Femoston for PMS.

METHODS

A total of 119 patients with PMS were selected from June 2023 to December 2023, which included 59 and 60 patients in the control and observation group, respectively. The control and observation groups were treated with Femoston and γ-oryzanol + Femoston, respectively. Comparative analyses were performed in terms of clinical effectiveness, safety (dizziness and headache, nausea and vomiting, and breast tenderness), sex hormones [estradiol (E), luteinizing hormone (LH), and follicle-stimulating hormone (FSH)], lumbar spine (L1-4) and bilateral femoral bone mineral density (BMD), and sleep quality (sleeping time and frequency of awakenings from sleep).

RESULTS

Compared with the control group, the observation group had statistically higher total effective rates of treatment; lower overall incidence of adverse events; higher post-treatment E levels and L1-4 and bilateral femoral BMD; and lower LH and FSH levels, sleeping time, and frequency of awakenings from sleep after treatment.

CONCLUSION

Therefore, for the treatment of PMS, γ-oryzanol combined with Femoston is significantly better than Femoston alone in terms of clinical effectiveness, exhibiting more pronounced clinical advantages in improving safety, sex hormone levels, BMD, and sleep quality.

摘要

背景

围绝经期综合征(PMS)是一种与雌激素缺乏相关的慢性疾病。由于目前针对该病症的传统治疗效果不尽人意,其治疗方法必须不断探索和优化。

目的

评估谷维素联合芬吗通治疗围绝经期综合征的临床疗效。

方法

选取2023年6月至2023年12月期间的119例围绝经期综合征患者,其中对照组59例,观察组60例。对照组采用芬吗通治疗,观察组采用谷维素+芬吗通治疗。对两组的临床疗效、安全性(头晕头痛、恶心呕吐、乳房胀痛)、性激素[雌二醇(E)、促黄体生成素(LH)和促卵泡生成素(FSH)]、腰椎(L1-4)和双侧股骨骨密度(BMD)以及睡眠质量(睡眠时间和睡眠中觉醒频率)进行比较分析。

结果

与对照组相比,观察组的总有效率在统计学上更高;不良事件总发生率更低;治疗后E水平、L1-4和双侧股骨BMD更高;治疗后LH和FSH水平、睡眠时间和睡眠中觉醒频率更低。

结论

因此,对于围绝经期综合征的治疗,谷维素联合芬吗通在临床疗效方面明显优于单用芬吗通,在改善安全性、性激素水平、骨密度和睡眠质量方面具有更显著的临床优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/822f/11238790/de55825c6cb9/WJCC-12-4992-g001.jpg

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