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[正常周期方案(奥维奥)中含 0.05 毫克炔雌醇和 0.125 毫克去氧孕烯的激素避孕药的效果]

[Effect of hormonal contraceptives containing 0.05 mg ethinyl estradiol and 0.125 mg desogestrel in normophasic regimen (Oviol)].

作者信息

Weijers M J

出版信息

Fortschr Med. 1982 Apr 29;100(16):764-7.

PMID:6211403
Abstract

This evaluation is based on data obtained from a multicentre trial in which to date 953 women have used the tested oral contraceptive for a total of 15,737 cycles (average 16.5 cycles, maximum 40). The contraceptive is a combination of an estrogen (ethinylestradiol) and a progestogen (desogestrel). It is designed to be used in 28-day cycles: 22 days of tablet-taking followed by 6 tablet-free days during which a withdrawal bleeding may normally be expected to occur. On days 1-7 the dose in 50 micrograms ethinylestradiol, and on days 8-22 it is 50 micrograms ethinylestradiol + 125 micrograms desogestrel. This trial shows the described oral contraceptive to be highly effective. No pregnancies occurred when the tablets were taken as directed: one pregnancy occurred in a cycle in which two tablets were missed and in which there was also an acute bout of gastroenteritis. No serious side effects occurred, and the incidence of minor complaints which arose was lower than during a non-treated control cycle. Cycle regularity was exceptionally good. Withdrawal bleedings occurred in 97.6% of the treated cycles. Spottings occurred in 3%, and breakthrough bleedings in 2.1%. These facts combine to suggest that the tested oral contraceptive is highly effective, safe, and very acceptable.

摘要

本评估基于一项多中心试验所获得的数据,截至目前,953名女性使用了受试口服避孕药,共计15737个周期(平均16.5个周期,最多40个周期)。该避孕药是雌激素(炔雌醇)和孕激素(去氧孕烯)的复方制剂。其设计为按28天周期服用:服药22天,随后6天不服药,在此期间通常会出现撤退性出血。在第1 - 7天,剂量为50微克炔雌醇,在第8 - 22天,剂量为50微克炔雌醇 + 125微克去氧孕烯。该试验表明所描述的口服避孕药非常有效。按指示服药时未发生妊娠:在一个漏服两片药且同时伴有急性肠胃炎发作的周期中发生了一次妊娠。未出现严重副作用,出现的轻微不适发生率低于未治疗的对照周期。月经周期规律性非常好。97.6%的治疗周期出现了撤退性出血。点滴出血发生率为3%,突破性出血发生率为2.1%。这些事实共同表明受试口服避孕药高效、安全且非常可接受。

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