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不同成分的激素避孕药——对血小板功能的影响(作者译)

[Hormonal contraceptives of differentiated composition -- effects on thrombocyte function (author's transl)].

作者信息

Brandt M, Sommer J, Hofmann K D

出版信息

Zentralbl Gynakol. 1981;103(11):631-43.

PMID:7269873
Abstract

The number, proliferation, and aggregation of thrombocytes, platelet adhesiveness, and thromboblastographic values were investigated in the context of 52 women, who were on a compound hormonal contraceptive with threefold-differentiated gestagen, and of ten women with a compound hormonal contraceptive of two-fold gestagen differentiation. Tests were conducted over six months. Significant deviations from normal values were recordable. No definite conclusions, however, can be drawn from such individual observations. Disorders in thrombocyte function and change in thromboblastographic values, when considered with all their implications, are likely to suggest the presence of effects from hormonal contraceptives. Yet, both type and concentrations of oestrogens and gestagens are of minor importance to such change. Nevertheless, somewhat higher risk of thrombo-embolism should be assumed, if other conductive factors are present, at the same time.

摘要

对52名使用含三重分化孕激素的复方激素避孕药的女性和10名使用含双重孕激素分化的复方激素避孕药的女性,研究了血小板的数量、增殖和聚集、血小板黏附性以及血栓形成图值。测试持续了六个月。记录到与正常值有显著偏差。然而,从这些个体观察中无法得出明确结论。考虑到血小板功能障碍和血栓形成图值的变化及其所有影响,可能表明存在激素避孕药的作用。然而,雌激素和孕激素的类型和浓度对这种变化的影响较小。不过,如果同时存在其他促成因素,则应假定血栓栓塞风险略高。

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