对于hirsutism的干预措施
Esther J van Zuuren1, Zbys Fedorowicz2
1Department of Dermatology, Leiden University Medical Centre, Leiden, the Netherlands.
JAMA
|November 4, 2015
概括
对于轻度的宫症,口服避孕药 (OCP) 提供改善. 较严重的病例受益于花胺或螺旋,而芬胺,GnRH类似物和甲胺对 hirsutism 治疗效果有限.
科学领域:
- 内分泌学
- 药理学
- 皮肤病学
背景情况:
- 这种疾病的特征在于女性的头发生长过度,
- 识别有效和安全的医学疗法对于治疗这种疾病至关重要.
研究的目的:
- 评估各种医疗疗法的疗效和安全性.
- 为了确定哪些治疗方法具有最大的益处和最小的不良反应.
主要方法:
- 临床试验的系统审查和元分析.
- 对 hirsutism 的治疗结果进行比较分析.
主要成果:
- 口服避孕药 (OCPs) 在轻度 hirsutism 中表现出有效性.
- 在较严重的 hirsutism 中,flutamide (250 mg两次) 和spironolactone 是有效的.
- 费纳斯特和释放淋巴腺素的类似物产生了不一致的结果.
- 甲胺没有显著的益处.
结论:
- OCPs是轻度 hirsutism的主要治疗选择.
- 建议在中度至重度的 hirsutism 中使用flutamide 和 spironolactone.
- 需要进一步的研究来澄清费纳和GnRH类型的作用.
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