在周期性乳腺疼痛中对gestrinone进行多中心研究
1Department of Obstetrics and Gynecology, St Hildegardis Hospital, Johannes Gutenberg University, Mainz, Germany.
Lancet (London, England)
|January 25, 1992
概括
与安慰剂相比,gestrinone显著降低了周期性乳腺痛的疼痛和症状. 这项研究发现gestrinone有效和耐受于管理周期性乳腺疼痛.
科学领域:
- 内分泌学 在内分泌学.
- 妇科 妇科 妇科 妇科
- 药理学 药理学是指药理学的学科.
背景情况:
- 循环性乳头痛的病因不明,人们对其了解甚少.
- 可能是由于雌激素的优势而导致的益生素刺激反应的增加是一个一致的发现.
- 降血素药物和抗雌激素是使用的治疗方法.
研究的目的:
- 研究gestrinone在治疗周期性乳头疼痛中的疗效和安全性.
- 格斯特林具有雄激素,抗雌激素和抗孕激素的特性.
主要方法:
- 一个多中心,双盲,随机的研究.
- 73名患者接受了gestrinone (2.5毫克每周两次),72名患者接受了安慰剂3个月.
- 乳腺疼痛和症状分别使用视觉模拟尺度和0-3尺度得分.
主要成果:
- 孕组在1,2,3个月的乳腺疼痛得分显著减少 (p < 0.0001).
- 在研究结束时,所有六种乳腺症状都在孕激素组显著改善.
- 孕治疗降低了血清中的雌激素,孕和三铁,但没有影响其他激素.
结论:
- 格斯特里诺因在治疗周期性乳头疼痛方面非常有效.
- 格斯特林耐受性很好,大多数副作用都是以雄激素为媒介的.
- 与安慰剂相比,在gestrinone组中停止治疗的患者较少.
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