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低剂量雌孕激素制剂对凝血酶原复合因子的影响:8个月试验后无显著增加。

The effect of low-dose estroprogestinic preparations on prothrombin complex factors: no significant increase after an 8-month trial.

作者信息

Girolami A, Procidano M, Vicariotto M, Cappellato G, Vicari T

出版信息

Blut. 1985 Mar;50(3):141-8. doi: 10.1007/BF00320070.

DOI:10.1007/BF00320070
PMID:3978241
Abstract

The behavior of the prothrombin complex factors in 16 healthy women during low-dose estroprogestinic treatment (laevonorgestrel 0.15 mg and ethynilestradiol 0.30 mg) at basal conditions and during 8 months of therapy has been investigated. We found a statistically significant decrease of the PTT (Partial Thromboplastin Time). The prothrombin time, on the other hand, became slightly decreased, but not to a statistically significant extent. Among the prothrombin time derived tests for evaluating the prothrombin complex only the PP test (Prothrombin Proconvertin test) was significantly shortened. Of the coagulation factors (factors II, VII and X) only a modest, but not statistically significant, increase in Factor VII and Factor X was noted. We conclude that, during the 8 month observation period, prothrombin complex factors are not altered substantially.

摘要

对16名健康女性在低剂量雌孕激素治疗(左炔诺孕酮0.15毫克和炔雌醇0.30毫克)基础状态及治疗8个月期间凝血酶原复合物因子的行为进行了研究。我们发现部分凝血活酶时间(PTT)有统计学意义的下降。另一方面,凝血酶原时间略有下降,但未达到统计学显著程度。在用于评估凝血酶原复合物的凝血酶原时间衍生检测中,只有凝血酶原促转化素试验(PP试验)显著缩短。在凝血因子(因子II、VII和X)中,仅观察到因子VII和因子X有适度增加,但无统计学意义。我们得出结论,在8个月的观察期内,凝血酶原复合物因子没有实质性改变。

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本文引用的文献

1
[Estrogen therapy and vascular risk].[雌激素疗法与血管风险]
Nouv Presse Med. 1980 Jun 7;9(25):1753-6.
2
Oral contraceptives and blood coagulation: a critical review.口服避孕药与血液凝固:一项批判性综述。
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Effects of oestro-progestogenic oral contraceptives on blood coagulation, fibrinolysis, and platelet aggregation.
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Low-dose oral contraceptive usage and coagulation.低剂量口服避孕药的使用与凝血
Am J Obstet Gynecol. 1981 Sep 1;141(1):71-5. doi: 10.1016/0002-9378(81)90677-3.
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Oral contraceptives and thromboembolic disease: effects of lowering oestrogen content.口服避孕药与血栓栓塞性疾病:降低雌激素含量的影响
Lancet. 1980 May 24;1(8178):1097-101. doi: 10.1016/s0140-6736(80)91550-0.
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The coagulation mechanism in oral contraception.口服避孕药中的凝血机制。
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Investigation of relation between use of oral contraceptives and thromboembolic disease. A further report.口服避孕药使用与血栓栓塞性疾病关系的调查。进一步报告。
Br Med J. 1969 Jun 14;2(5658):651-7. doi: 10.1136/bmj.2.5658.651.
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Investigation of relation between use of oral contraceptives and thromboembolic disease.口服避孕药的使用与血栓栓塞性疾病之间关系的调查。
Br Med J. 1968 Apr 27;2(5599):199-205. doi: 10.1136/bmj.2.5599.199.
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Thromboembolic disease and the steroidal content of oral contraceptives. A report to the Committee on Safety of Drugs.血栓栓塞性疾病与口服避孕药的甾体成分。提交给药品安全委员会的一份报告。
Br Med J. 1970 Apr 25;2(5703):203-9. doi: 10.1136/bmj.2.5703.203.
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Dural sinus and cerebral venous thrombosis. Incidence in young women receiving oral contraceptives.硬脑膜窦及脑静脉血栓形成。服用口服避孕药的年轻女性中的发病率。
Arch Neurol. 1970 May;22(5):440-4. doi: 10.1001/archneur.1970.00480230058006.