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[抗催乳素疗法治疗乳腺良性病变。溴隐亭与麦角新碱的比较]

[Antiprolactin therapy in the treatment of benign lesions of the breast. Comparison of bromocryptine and methergoline].

作者信息

Mussa A, Sandrucci S, Dogliotti L

出版信息

Minerva Med. 1979 Nov 17;70(51):3493-8.

PMID:522987
Abstract

The Authors have treated 11 patients with benign breast diseases (fibroadenosis or fibrocystic disease) with two prolactin inhibitor drugs -- metergoline and bromocriptine -- at the dose of 8 mg/die and 7,5 mg/die respectively for sixty days with a 30 days interval from one to the other. All patients, except one, had normal serum prolactin levels before the trial; during the treatment with metergoline no long-term changes in serum prolactin levels were observed; on the contrary, bromocriptine reduced significantly prolactin values for the whole duration of the therapy. Negative clinical results were obtained with the first drug, while bromocriptine allowed to reach an 80% of positive results at the end of the trial. Coming from previous experience, the Authors conclude that the positive therapeutic effect of bromocriptine treatment is connected with the maintenance of prolactin reduction.

摘要

作者使用两种催乳素抑制剂药物——美麦角林和溴隐亭,分别以每日8毫克和7.5毫克的剂量,对11例患有良性乳腺疾病(纤维腺病或纤维囊性疾病)的患者进行了为期60天的治疗,两种药物治疗间隔30天。除1例患者外,所有患者在试验前血清催乳素水平均正常;在使用美麦角林治疗期间,未观察到血清催乳素水平的长期变化;相反,在整个治疗期间,溴隐亭显著降低了催乳素值。第一种药物治疗未取得临床效果,而在试验结束时,溴隐亭的治疗有效率达到了80%。基于以往经验,作者得出结论,溴隐亭治疗的积极疗效与催乳素水平的持续降低有关。

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