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螺内酯与口服避孕药联合使用:多毛症的一种替代治疗方法。

Spironolactone in combination with an oral contraceptive: an alternative treatment for hirsutism.

作者信息

Chapman M G, Dowsett M, Dewhurst C J, Jeffcoate S L

出版信息

Br J Obstet Gynaecol. 1985 Sep;92(9):983-5. doi: 10.1111/j.1471-0528.1985.tb03081.x.

DOI:10.1111/j.1471-0528.1985.tb03081.x
PMID:4041402
Abstract

The clinical efficacy of a combination of spironolactone and an oral contraceptive pill (Conova 30) was assessed in 23 patients presenting with hirsutism of whom 20 completed 6 months of treatment. Of the 20 patients, 16 showed improvement on objective (Ferriman & Gallwey hair score) and subjective assessment. Serum levels of androgens (testosterone, androstenedione and 17-hydroxy progesterone) were suppressed and sex hormone binding globulins were elevated. Nausea was the only significant side effect.

摘要

对23名多毛症患者评估了螺内酯与口服避孕药(Conova 30)联合使用的临床疗效,其中20名患者完成了6个月的治疗。在这20名患者中,16名在客观(费里曼和高尔韦毛发评分)和主观评估中显示有改善。雄激素(睾酮、雄烯二酮和17-羟孕酮)的血清水平受到抑制,性激素结合球蛋白升高。恶心是唯一显著的副作用。

相似文献

1
Spironolactone in combination with an oral contraceptive: an alternative treatment for hirsutism.螺内酯与口服避孕药联合使用:多毛症的一种替代治疗方法。
Br J Obstet Gynaecol. 1985 Sep;92(9):983-5. doi: 10.1111/j.1471-0528.1985.tb03081.x.
2
Hirsutism: metabolic effects of two commonly used oral contraceptives and spironolactone.多毛症:两种常用口服避孕药和螺内酯的代谢效应
Contraception. 1991 Aug;44(2):113-24. doi: 10.1016/0010-7824(91)90112-s.
3
Comparison of spironolactone-oral contraceptive versus cyproterone acetate-estrogen regimens in the treatment of hirsutism.螺内酯-口服避孕药与醋酸环丙孕酮-雌激素方案治疗多毛症的比较。
Fertil Steril. 1996 Aug;66(2):216-9. doi: 10.1016/s0015-0282(16)58441-6.
4
Successful treatment of hirsutism in HAIR-AN syndrome using flutamide, spironolactone, and birth control therapy.
Arch Dermatol. 1997 Apr;133(4):431-3.
5
The effect of an oral contraceptive containing ethinylestradiol and desogestrel on hair growth and hormonal parameters of hirsute women.一种含有炔雌醇和去氧孕烯的口服避孕药对多毛症女性毛发生长和激素参数的影响。
Int J Gynaecol Obstet. 1986 Oct;24(5):361-8. doi: 10.1016/0020-7292(86)90156-6.
6
The influence of combined cyproterone acetate-ethinyl oestradiol therapy on serum levels of dehydroepiandrosterone, androstenedione, and testosterone in hirsute women.醋酸环丙孕酮 - 炔雌醇联合疗法对多毛症女性血清脱氢表雄酮、雄烯二酮和睾酮水平的影响。
Acta Endocrinol (Copenh). 1977 Feb;84(2):333-42. doi: 10.1530/acta.0.0840333.
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Oral contraceptive pills, gonadotropin-releasing hormone agonists, or use in combination for treatment of hirsutism: a clinical research center study.口服避孕药、促性腺激素释放激素激动剂或联合使用治疗多毛症:一项临床研究中心的研究。
J Clin Endocrinol Metab. 1995 Apr;80(4):1169-78. doi: 10.1210/jcem.80.4.7714086.
8
Use of spironolactone in treatment of hirsutism.
Cleve Clin J Med. 1990 May;57(3):285-7. doi: 10.3949/ccjm.57.3.285.
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Long-term treatment of hirsutism: desogestrel compared with cyproterone acetate in oral contraceptives.多毛症的长期治疗:去氧孕烯与醋酸环丙孕酮在口服避孕药中的比较。
Fertil Steril. 1991 May;55(5):877-81. doi: 10.1016/s0015-0282(16)54291-5.
10
Efficacy of second versus third generation oral contraceptives in the treatment of hirsutism.第二代与第三代口服避孕药治疗多毛症的疗效比较
Contraception. 2003 May;67(5):349-53. doi: 10.1016/s0010-7824(03)00027-1.

引用本文的文献

1
The role of androgen and androgen receptor in skin-related disorders.雄激素和雄激素受体在皮肤相关疾病中的作用。
Arch Dermatol Res. 2012 Sep;304(7):499-510. doi: 10.1007/s00403-012-1265-x. Epub 2012 Jul 25.
2
A risk-benefit assessment of pharmacological therapies for hirsutism.多毛症药物治疗的风险效益评估。
Drug Saf. 2001;24(4):267-76. doi: 10.2165/00002018-200124040-00004.
3
A practical guide to the diagnosis and management of amenorrhoea.闭经诊断与管理实用指南
Drugs. 1996 Nov;52(5):671-81. doi: 10.2165/00003495-199652050-00005.
4
Endocrine and clinical effects of spironolactone in female hyperandrogenism.螺内酯对女性雄激素过多症的内分泌及临床影响
Arch Gynecol. 1987;240(2):67-73. doi: 10.1007/BF02134038.
5
Unwanted hair.多余的毛发。
Br Med J (Clin Res Ed). 1986 Aug 9;293(6543):348-9. doi: 10.1136/bmj.293.6543.348-a.