诺雷丁龙剂量用于青少年适当的月经抑制
Theresa L Rager1, Sarah D Compton2, Olivia K Winfrey2
1University of Michigan Medical School, Ann Arbor, MI, USA.
概括
年轻的青少年不太可能通过诺雷德龙实现月经抑制,而那些肥胖或大量出血的人可能会从更高剂量的诺雷德龙酸盐中受益,以有效地抑制月经.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 青少年医学 青少年医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 使用诺雷德龙和诺雷德龙酸盐的青少年月经抑制的最佳剂量尚未确立.
- 了解影响治疗成功的因素对于改善患者治疗结果至关重要.
研究的目的:
- 在青少年中确定预测诺雷西龙与诺雷西龙酸盐成功抑制月经的因素.
- 分析与这些药物相关的处方者实践和患者满意度.
主要方法:
- 在2010-2022年期间接受治疗的青少年 (<18岁) 的回顾性图表审查.
- 数据包括人口统计,月经史,药物使用和1,3个月和12个月的随访.
- 统计分析包括千平方和多变量逻辑回归.
主要成果:
- 年龄较小,肥胖和大量月经出血与实现月经抑制有负面关联.
- 在患有肥胖或长期出血的患者中,提供者不太可能启动norethindrone 0.35 mg.
- 患有残疾的患者报告了更高的满意度.
结论:
- 患有肥胖或有大量月经出血的青少年可能需要更高剂量的诺列西酸盐来有效抑制.
- 根据这些发现,可以改进青少年月经抑制的处方做法.
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