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促性腺激素释放激素激动剂治疗的比较效果。临床研究综述及其意义。

Comparative effects of GnRH agonist therapy. Review of clinical studies and their implications.

作者信息

Agarwal S K

机构信息

Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.

出版信息

J Reprod Med. 1998 Mar;43(3 Suppl):293-8.

PMID:9564664
Abstract

OBJECTIVE

To understand why differences in gonadotropin releasing hormone (GnRH) agonist therapeutic protocols may affect their efficacy and safety profiles, to understand the important study design facets regarding the literature on GnRH agonist treatment of endometriosis and to compare the efficacy and side effect profiles of FDA-approved GnRH agonist therapies used for the management of endometriosis and consider the implications.

STUDY DESIGN

Review of the English-language literature regarding the use of GnRH agonists for the management of endometriosis.

RESULTS

A limited number of studies are available that directly compare the effects of different GnRH agonists. However, contrary to medical opinion, it appears that there are significant differences between GnRH agonist therapies.

CONCLUSION

The data suggest that it may be possible to reduce doses or alter regimens of GnRH agonists so as to reduce side effects while maintaining efficacy.

摘要

目的

了解促性腺激素释放激素(GnRH)激动剂治疗方案的差异为何会影响其疗效和安全性,了解GnRH激动剂治疗子宫内膜异位症文献中重要的研究设计方面,并比较美国食品药品监督管理局(FDA)批准的用于治疗子宫内膜异位症的GnRH激动剂疗法的疗效和副作用情况,并考虑其意义。

研究设计

回顾关于使用GnRH激动剂治疗子宫内膜异位症的英文文献。

结果

仅有数量有限的研究直接比较了不同GnRH激动剂的效果。然而,与医学观点相反,GnRH激动剂疗法之间似乎存在显著差异。

结论

数据表明,有可能减少GnRH激动剂的剂量或改变给药方案,以便在维持疗效的同时减少副作用。

相似文献

1
Comparative effects of GnRH agonist therapy. Review of clinical studies and their implications.促性腺激素释放激素激动剂治疗的比较效果。临床研究综述及其意义。
J Reprod Med. 1998 Mar;43(3 Suppl):293-8.
2
Current approaches to optimizing the treatment of endometriosis in adolescents.优化青少年子宫内膜异位症治疗的当前方法。
Gynecol Obstet Invest. 2008;66 Suppl 1:19-27. doi: 10.1159/000148027. Epub 2008 Oct 21.
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Bone densitometry as an adjunct to GnRH agonist therapy.骨密度测定作为促性腺激素释放激素激动剂治疗的辅助手段。
J Reprod Med. 1998 Mar;43(3 Suppl):321-30.
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GnRH analogs: options for endometriosis-associated pain treatment.促性腺激素释放激素类似物:子宫内膜异位症相关疼痛治疗的选择
J Minim Invasive Gynecol. 2006 Nov-Dec;13(6):539-45. doi: 10.1016/j.jmig.2006.07.007.
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Add-back therapy in the treatment of endometriosis-associated pain.加用疗法治疗子宫内膜异位症相关性疼痛
Fertil Steril. 2004 Nov;82(5):1303-8. doi: 10.1016/j.fertnstert.2004.03.062.
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Human issues and medical economics of endometriosis. Three- vs. six-month GnRH-agonist therapy.子宫内膜异位症的人文问题与医学经济学。三个月与六个月促性腺激素释放激素激动剂治疗对比
J Reprod Med. 1998 Mar;43(3 Suppl):299-308.
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Prospective randomized study comparing the GnRH-agonist leuprorelin acetate and the gestagen lynestrenol in the treatment of severe endometriosis.比较醋酸戈舍瑞林激动剂和炔诺酮治疗重度子宫内膜异位症的前瞻性随机研究。
Gynecol Endocrinol. 2001 Jun;15(3):202-9.
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Treatment of endometriosis with a long-acting gonadotropin-releasing hormone agonist plus medroxyprogesterone acetate.长效促性腺激素释放激素激动剂联合醋酸甲羟孕酮治疗子宫内膜异位症。
Obstet Gynecol. 1990 Apr;75(4):641-5.
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Combined treatment of endometriosis. GnRH agonists and laparoscopic surgery.子宫内膜异位症的联合治疗。促性腺激素释放激素激动剂与腹腔镜手术。
J Reprod Med. 1998 Mar;43(3 Suppl):316-20.
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Randomized clinical trial of a levonorgestrel-releasing intrauterine system and a depot GnRH analogue for the treatment of chronic pelvic pain in women with endometriosis.左炔诺孕酮宫内节育系统与长效促性腺激素释放激素类似物治疗子宫内膜异位症女性慢性盆腔疼痛的随机临床试验
Hum Reprod. 2005 Jul;20(7):1993-8. doi: 10.1093/humrep/deh869. Epub 2005 Mar 24.

引用本文的文献

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Pharmacokinetics and Bioavailability of the GnRH Analogs in the Form of Solution and Zn-Suspension After Single Subcutaneous Injection in Female Rats.GnRH类似物溶液和锌混悬液单次皮下注射后在雌性大鼠体内的药代动力学和生物利用度
Eur J Drug Metab Pharmacokinet. 2017 Apr;42(2):251-259. doi: 10.1007/s13318-016-0342-5.
2
Morphological and enzymatic changes caused by a long-term treatment of female rats with a low dose of gonadoliberin agonist and antagonist.长期低剂量使用促性腺激素释放激素激动剂和拮抗剂对雌性大鼠形态和酶的影响。
Med Sci Monit. 2012 Aug;18(8):BR315-330. doi: 10.12659/msm.883264.