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[克龄蒙疗法对绝经后女性血清血脂的影响]

[Effect of Kliogest therapy on serum blood lipids in postmenopausal women].

作者信息

Warenik-Szymankiewicz A, Hadaś K, Halerz-Nowakowska B, Korcz-Maciejewska M, Meczekalski B, Dydowicz M, Wiza M

机构信息

Kliniki Endokrynologii Ginekologicznej Instytutu Ginekologii i Połoznictwa AM w Poznaniu.

出版信息

Ginekol Pol. 1995 Sep;66(9):541-6.

PMID:8778013
Abstract

Serum lipids (TG, chLDL, chHDL, TC), pituitary gonadotropins (FSH and LH) and 17 beta estradiol were examined in 28 healthy postmenopausal women (mean age 53) before and after treatment. They received continuously 17 beta estradiol in dosage 2 mg daily and 1 mg of norethisterone acetate daily during one year period. Patients were suffering from climacteric symptoms estimated by Green scale before our treatment. After one month of treatment Green scale score lowered from 29 to 7.7 points, after treatment -3.0. 17 beta estradiol rose from the concentrations below sensitivity of our laboratory tests (0.014 ng/ml), to the mean concentrations 0.092 ng/ml (SD = 0.1119, p < 0.01). There was fall in total cholesterol concentration from 240.3 mg% mean (SD = 32,208) to 195.03 mg% mean (SD = 44,6743, p < 0.01). Low density lipoprotein cholesterol concentration decreased from 145.38 mg% mean (SD = 37,81) to 90.51 mg% mean (SD = 68,7097, p < 0.05). Triglicerydes decreased from 182 mg% mean (SD = 55,167) to 136.65 mg% mean (SD = 67,5366) (p < 0.05). There were no statistically significant changes in high density lipoprotein cholesterol concentrations.

摘要

对28名健康绝经后女性(平均年龄53岁)治疗前后的血清脂质(甘油三酯、胆固醇低密度脂蛋白、胆固醇高密度脂蛋白、总胆固醇)、垂体促性腺激素(促卵泡激素和促黄体生成素)及17β-雌二醇进行了检测。她们在一年期间持续每日接受2mg的17β-雌二醇和1mg的醋酸炔诺酮治疗。在我们治疗前,患者存在根据格林量表评估的更年期症状。治疗1个月后,格林量表评分从29分降至7.7分,治疗后为-3.0分。17β-雌二醇从低于我们实验室检测灵敏度的浓度(0.014ng/ml)升至平均浓度0.092ng/ml(标准差=0.1119,p<0.01)。总胆固醇浓度从平均240.3mg%(标准差=32.208)降至平均195.03mg%(标准差=44.6743,p<0.01)。低密度脂蛋白胆固醇浓度从平均145.38mg%(标准差=37.81)降至平均90.51mg%(标准差=68.7097,p<0.05)。甘油三酯从平均182mg%(标准差=55.167)降至平均136.65mg%(标准差=67.5366)(p<0.05)。高密度脂蛋白胆固醇浓度无统计学显著变化。

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