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口服避孕药与生理变量

Oral contraceptives and physiological variables.

作者信息

Ostrander L D, Lamphiear D E, Block W D, Williams G W, Carmen W J

出版信息

JAMA. 1980 Aug 15;244(7):677-9.

PMID:6993716
Abstract

Physiological variables were compared among women who had never used oral contraceptives, past users, and current users. Randomly selected subjects were aged 30 to 59 years. Blood was sampled for determination of blood glucose, serum cholesterol and triglyceride, and plasma insulin concentration. Summed postchallenge glucose and insulin values were used in analyses to represent the magnitude of response. Contours of glucose and insulin curves were represented by single numerical variables termed "G-CON" and "I-CON." Current users of oral contraceptives had significantly higher values of G-CON, I-CON, triglyceride, and systolic blood pressure than women who never used oral comtraceptives. Current users also had significantly higher levels of summed glucose, G-CON, and I-CON than former users. Use of currently prescribed oral contraceptives is associated with adverse physiological changes that are reversible after discontinuing such use.

摘要

对从未使用过口服避孕药的女性、过去的使用者以及目前的使用者的生理变量进行了比较。随机选取的受试者年龄在30至59岁之间。采集血液样本以测定血糖、血清胆固醇和甘油三酯以及血浆胰岛素浓度。分析中使用激发后葡萄糖和胰岛素值的总和来表示反应程度。葡萄糖和胰岛素曲线的轮廓由称为“G-CON”和“I-CON”的单个数值变量表示。目前使用口服避孕药的女性的G-CON、I-CON、甘油三酯和收缩压值显著高于从未使用过口服避孕药的女性。目前的使用者的葡萄糖总和、G-CON和I-CON水平也显著高于以前的使用者。使用目前处方的口服避孕药与不良生理变化有关,停止使用后这些变化是可逆的。

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