Fecal progesterone and estradiol changes during the breeding season in captive female wolf

Understanding basic reproductive physiology is crucial for the management of both captive and free-ranging wolf. In the present study, we determined hormonal changes during pregnancy and the estrous cycle in captive female wolf by measuring fecal steroids collected during the breeding season with high performance liquid chromatography （HPLC）. These biochemical analyses were validated using chemical devivatization and mass spectrometry, and interpreted along with the behavioral data. All four females undergoing estrus cycles were copulated with their partners and delivered pups successfully. We found that estradiol concen-trations were significantly higher during the estrus cycle than other stages （p0.01） and progesterone was also significantly increased throughout the pregnancy （p0.01）. These hormonal fluctuations demonstrated pregnancy-specific changes in the fecal progesterone and estradiol con-centrations. Patterns of fecal estradiol and progesterone concentrations during estrous cycles were similar to those reported for other canids.

Effects of estradiol and progesterone on the proinflammatory cytokine production by mononuclear cells from patients with chronic hepatitis C

AIM:To investigate the effects of estradiol (E2) and progesterone on the unstimulated and oxidative stressstimulated production of tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-8, and macrophage chemotactic protein (MCP)-1 by peripheral blood mononuclear cells (PBMCs) from patients with chronic hepatitis C and healthy controls. METHODS:The PBMCs were separated from agematched 72 males and 71 females with and without chronic hepatitis C, who were divided into two groups based on a mean menopausal age of 50 years. Oxidative stress was induced by hydrogen peroxide in the cells incubated in serum-free media. Cytokines in the culture supernatant were measured by an enzyme-linked immunosorbent assay. RESULTS:The highest levels of the spontaneous production of TNF-α, IL-1β, IL-8, and MCP-1 by the unstimulated PBMCs were in the older male patients with chronic hepatitis C and the lowest levels were in the premenopausal female healthy controls. E2 inhibited the cytokine production by the unstimulated PBMCs from the older male and post-menopausal female patients, which was further stimulated by progesterone. The exposure to hydrogen peroxide in the PBMCs from the younger male and pre-menopausal female healthy subjects induced the production of cytokines. The change rates of the hydrogen peroxide-stimulated cytokine production were suppressed by E2 and enhanced by progesterone. CONCLUSION:These findings suggest that E2 may play a favorable role in the course of persistent liver injury by preventing the accumulation of monocytes-macrophages and by inhibiting proinflammatory cytokine production, whereas progesterone may counteract the favorable E2 effects.

Effects of Estradiol and Progesterone on the Numbers and Distribution of Mastocytes in the Uterus of Ovariectomized Rats

The purpose of this study was to investigate the effects of estradiol （E） and progesterone （P） on mastocyte distribution in the uterus of ovari- ectomized rats. Thirty-five adult female rats were divided randomly into seven groups：one sham operated control group （ SHAM ） ; one ovariectomized group （OVX） ;three ovariectomized plus E treatment grouPs （OVX ＋E 20,100,or 500 μg/kg body weight · d） ; and two ovariectomized plus P groups （ OVX ＋ P 2 or 10 mg/kg body weight · d）. Seven days after treatment, the contents of estradiol and progesterone in serum were detected by radioimmunoassay, and mastocytes in the uterus were stained by toluidine blue staining. Results were as following： （1） Compared to ovariectomized rat, the concent ration of estradiol in serum increased by 97. 13 % in OVX ＋ E 20 （P 〈 0.05）,204. 84 % in OVX＋E 100 （P〈0.05）,and 936.45 % in OVX ＋ E500 group （P〈0.05）;the progesterone concent ration increased by 77.25 % in OVX ＋P 2 （P 〈0.05） and 235.25 %in OVX ＋P 10 group （ P 〈 0.05 ）. （2） Compared to ovariectomized rat, the number of mast cells in uteri decreased by 32.65% in OVX ＋E 20,64.50 % in OVX ＋E 100 （P〈0.05）,74.49 % in OVX＋E500 （P〈0.05） and 70.67 % in OVX ＋P 10 groups （P〈0.05）. However, the number of mast cells increased by 66.73% in OVX ＋ P 2 group （ P 〈 0.05 ） compared with OVX. The trend of mast cells number in the rat uterus was decreased gradually with the increase of estrogen or progesterone concent ration. The number of mast cells in ovariectomized rat uterus was affected by estrogen or progesterone. These results demonstrated that estrogen or progesterone directly affected the number of mast cells in the uterus of rat.

Collagen types in relation to expression of estradiol and progesterone receptors in equine endometrial fibrosis

The aim of this study was to determine the influence of collagen I and III on the expression of estrogen and progesterone receptors in equine endometrial fibrosis. A total of 25 crossbred mares were studies. Two endometrial samples were collected from each mare,1 inthe estrus and1 inthe diestrus phase. The samples were classified according to histological changes. Collagen was typed and quantified using the picrosirius red histochemical technique, and steroid receptors were identified by immunohistochemistry. The results showed a predominance of collagen type III in all the endometrial samples. The expression of estrogen (RE2) and progesterone (RP4) receptors varied according to the estrous cycle. RE2 and RP4 expression varied in the estrus and diestrus phases;there was no influence of collagen I or II on receptor expression.

Immunomodulation of Human Carcinogenesis by the Blood Serum Antibodies against Benzo[a]pyrene, Estradiol and Progesterone

It was supposed that lung and breast cancer risks significantly increased when the levels of serum immunoglobulins A antibodies against benzo[a]pyrene and estradiol increased together, but did not separately. However, the cancer risks dramatically decreased when the levels of immunoglobulins A against progesterone elevated separately or together with immunoglobulins A against benzo[a]pyrene and estradiol. So, immunoglobulins A against benzo[a]pyrene and immunoglobulins A against estradiol acted as co-initiator and co-promoter in developing cancer scenario, but immunoglobulins A against progesterone acted along or conjointly with immunoglobulins A against benzo[a]pyrene and estradiol as strongly inhibitor in human carcinogenesis. Also it was suggested the precise mechanism of carcinogenesis modulation using anti-idiotypic antibodies against estradiol and progesterone through their membrane steroid receptors.

Effect of 17beta-Estradiol and Progesterone on Superovulatory Response of Donor and Pregnancy of Recipient

To study the effects of 17beta-estradiol （E2 ） and progesterone （P4） levels on superovulatory response and recipients conception rate, the E2 and P4 levels of embryo donor （Borderdale） and recipient ewes （Inner Mongolian sheep） were determined during multiple ovulation and em- bryo transfer （MOET）. The results showed that the E2 level increased from the day of initiation by CIDR （Controlled internal drug release devices） treatment and decreased to 3.18± 1.32 pg/ml on the day of superovulatory estrus. On the day of embryo collection, the ewes having higher levels of estrogenic peak showed better superovulatory response than the other groups having comparatively lower levels. On the day of initiation of super- ovulatory treatment, the ewes having lower levels of P4 showed better superovulatory response than those having higher levels of P4. The E2 level of the early abortion group increased from Day 0 to Day 45, while that of two pregnant recipient groups came down from Day 0 to Day 30. The ser- um P4 level of the early abortion group was significantly lower than that of the pregnant recipient groups on Day 45 （ P 〈 0.05）, but no significant difference was found between the two pregnant groups after Day 30. Therefore, the levels of E2 and P, on definite time affect superovulatory re- sponse of donors and conception rate of recipients during MOET.

<i>In vivo</i>effect of 17-β-estradiol, progesterone, hCG and expression of P53 and P21 in endometrial Ishikawa cells

The following article has been retracted due to the investigation of complaints received against it. The Editorial Board found that the first author published the paper without other authors’ consent and approval. The scientific community takes a very strong view on this matter, and the OJOG treats such behavior seriously. This paper published in Vol. 3 No. 1, 105-110 (pages), 2013, has been removed from this site.

Effects of Estradiol on 5-HTsA and 5-HT2c Receptor Immunolabeling in Rat Hippocampus

Steroid hormones participate in the modulation of serotonergic transmission, including the regulation of synthetic and metabolic enzyme production, as well as receptor and transporter activity. The changes of 5-HT5A and 5-HT2c immunolabeling induced by steroids in the hippocampus ofovariectomized rats were studied in this work. Densitometric analysis in rat hippocampi were carried out for adjacent brain coronal immunolabeled sections after treatment with subcutaneous injections of vehicle, estradiol, progesterone or the combination of both steroids in ovariectomized rats. Exposure to estradiol and the combination of estradiol and progesterone significantly reduced the 5-HT5A-like immunosignal in the CA 1 region while progesterone did not induce changes. On the other hand, exposure to the combination of estradiol and progesterone or estradiol alone increased the 5-HT2c immunosignal in the same region. These results indicate that estradiol is involved in the discrete regulation of serotonin receptors 5-HT5A and 5-HT2c in rat hippocampus.

血清AMH及性激素水平与大学生体检多囊卵巢综合征的相关性

目的分析血清抗缪勒氏管激素(AMH)及性激素水平与大学生体检多囊卵巢综合征(PCOS)的相关性。方法收集2021年3月-2023年11月我院体检确诊为PCOS的80例大学生临床资料作为观察组,另外收集同时期体检的128例非PCOS人群临床资料为对照组。比较两组一般资料、AMH及性激素水平;受试者操作特征曲线(ROC)下面积(AUC)评价AMH及性激素6项对PCOS的预测效能;皮尔森相关性分析AMH水平与性激素水平的相关关系。结果两组年龄、身高、体重、体质量指数比较差异无统计学意义(P>0.05)。PCOS组促卵泡生成素、促黄体生成素、雌二醇、睾酮、催乳素均高于非PCOS组,孕酮低于非PCOS组,差异显著,P<0.05。将PCOS=1,非PCOS=0作为因变量,AMH、性激素6项作为自变量,进行ROC曲线分析,结果显示,AMH及性激素6项均对PCOS有良好的预测价值,AUC分别为0.946、0.924,灵敏度分别为0.850、0.850,特异度为0.977、0.891。但AMH联合性激素6项的预测效能较高,AUC最大,为0.997,灵敏度为0.988,特异度为0.977。AMH的预测阈值为7.975ng/mL。PCOS患者血清AMH水平与促黄体生成素、雌二醇呈显著正相关关系(P<0.05),与促卵泡生成素、睾酮、孕酮、催乳素的相关关系不显著(P>0.05)。结论AMH及性激素水平在大学生体检确认为PCOS血清中异常表达,血清AMH及性激素水平可能与PCOS具有一定相关性,AMH联合性激素6项目对PCOS有良好的评估价值,AMH与促黄体生成素、雌二醇呈显著正相关关系。

阴道超声测囊芽差联合血清hCG、E_(2)、P、CA125水平对早期先兆流产的诊断价值

目的:探讨阴道超声测囊芽差联合血清人绒毛膜促性腺激素(hCG)、雌二醇(E_(2))、孕酮(P)、糖类抗原125(CA125)水平对早期先兆流产(ETA)的诊断价值。方法:选取2023年2月-2024年2月北海市第二人民医院收治的63例ETA患者作为ETA组,另选取同期接受产检的45例正常孕妇作为正常妊娠组,均接受经阴道彩色多普勒超声检查和血清hCG、E_(2)、P、CA125检测,比较两组囊芽差、血清指标水平,进行单因素与多因素logistic回归分析,采用受试者工作特征(ROC)曲线评估诊断价值。结果:ETA组囊芽差异常率较正常妊娠组高,差异有统计学意义(P<0.05);ETA组hCG、E_(2)、P较正常妊娠组更低,CA125更高,孕囊差更大,差异有统计学意义(P<0.05);多因素logistic回归分析结果显示,孕囊差(OR=1.885)、CA125(OR=1.893)是影响ETA发生的独立危险因素(P<0.05),hCG(OR=0.713)、E_(2)(OR=0.629)、P(OR=0.675)是保护因素(P<0.05);绘制ROC曲线显示,囊芽差、hCG、E_(2)、P、CA125、5项联合诊断ETA的曲线下面积(AUC)分别为0.765、0.737、0.670、0.628、0.592、0.881(P<0.05)。结论:囊芽差、hCG、E_(2)、P、CA125均可用于诊断ETA,阴道超声测囊芽差异常对诊断ETA有重要意义,联合诊断价值更高,可为后续治疗提供可靠依据,提高妊娠成功率。

屈螺酮炔雌醇片(Ⅱ)与炔雌醇醋酸环丙孕酮治疗多囊卵巢综合征患者的疗效对比

目的 探讨多囊卵巢综合征患者采用屈螺酮炔雌醇片(Ⅱ)与炔雌醇醋酸环丙孕酮治疗的效果。方法 选取118例多囊卵巢综合征患者,按照随机数字表法进行分组,对照组59例予以炔雌醇醋酸环丙孕酮治疗,试验组59例予以屈螺酮炔雌醇片(Ⅱ)治疗,比较治疗效果。结果 治疗后,两组体质量指数、腰臀比、胰岛素抵抗指数、多毛评分比较差异无统计学意义(P>0.05);治疗后,两组总胆固醇、三酰甘油水平比较差异无统计学意义(P>0.05),试验组高密度脂蛋白水平高于对照组、低密度脂蛋白水平低于对照组(P<0.05);治疗后,试验组黄体生成素、卵泡刺激素、雌二醇、睾酮水平低于对照组(P<0.05)。结论 屈螺酮炔雌醇片(Ⅱ)治疗多囊卵巢综合征患者的疗效与炔雌醇醋酸环丙孕酮相当,但对患者的血脂、雌孕激素水平等改善效果更佳,值得推广。

水牛早孕诊断方法比较研究

本试验的目的是通过比较几种不同的妊娠诊断方法,建立一套简便而准确的水牛早孕诊断方法。选择体况相似的8头中国沼泽型奶水牛为研究对象,通过视诊法连续观测8头母水牛配种后15个时间点眼睛形态学特征的变化;采用ELISA法检测8头母水牛人工授精后8个时间点晨血的血清中孕酮、雌二醇水平;采用牛早孕试纸检测卡检测尾根血清中的早期妊娠相关糖蛋白,以上早孕检测结果均与B超孕检结果进行对比分析。结果发现:配种后前28d观测水牛的眼部未见异常形态;怀孕母牛的孕酮水平均为5.76ng/mL,自16d开始保持在4.9~8.43ng/mL,至24d有小幅度升高,而未怀孕母牛的孕酮水平则表现下降趋势;配种后28d时采用牛早孕试纸检测卡检测发现有4头水牛怀孕,与B超孕检结果相一致。可以得出,配种后前28d形态学观察法不适用于水牛早期的妊娠诊断;孕牛与未孕母牛的孕酮激素水平变化规律存在差异,可为今后建立水牛早孕诊断方法提供技术支撑;牛早孕试纸检测卡在28d后获得较高的准确率,可应用于水牛早期妊娠诊断。该试验的开展可为今后水牛早期妊娠诊断研究提供参考,同时对促进水牛产业的健康发展具有重要的意义。

血清E2/P、AMH及25(OH)D3水平在冻融胚胎移植妊娠中的临床意义

目的分析血清雌二醇(E2)/孕酮(P)值、抗苗勒管激素(AMH)、血清25羟维生素D3[25(OH)D3]水平在冻融胚胎移植技术(FET)妊娠中的临床意义。方法选取2020年1月至2023年6月邯郸市中心医院收治的214例不孕患者作为研究对象,根据妊娠结局分为妊娠组和未妊娠组。比较两组相关资料;采用多因素Logistic回归分析影响FET妊娠结局的危险因素;采用ROC曲线评估E2/P、AMH及25(OH)D3对FET妊娠结局的预测价值。结果214例接受FET的患者中,共确诊临床妊娠104例(妊娠组),未妊娠者110例(未妊娠组),临床妊娠率为48.59%,两组年龄、移植胚胎数、子宫内膜厚度、E2/P、AMH、25(OH)D3水平比较,差异有统计学意义(P<0.05);经多元Logistic回归分析可知,E2/P、AMH、25(OH)D3值偏低、子宫内膜厚度小、高龄均是影响FET妊娠结局的危险因素(P<0.05);ROC曲线显示,E2/P、AMH与25(OH)D3三者联合预测的AUC值高于各指标单独检测者(P<0.05)。结论血清E2/P、AMH及25(OH)D3水平与不孕患者FET妊娠结局有一定关系,三者联合检测能够更全面地评估患者的妊娠潜力和风险,为临床制定个性化的治疗方案提供参考依据。

自然周期冻融胚胎移植日血清雌二醇、孕酮水平对妊娠结局的影响

目的探讨自然周期冻融胚胎移植(NT-FET)中胚胎移植日血清雌二醇(E2)、孕酮(P)水平对妊娠结局的影响。方法回顾性分析2019年5月至2021年5月于山东中医药大学附属医院生殖中心行NT-FET的不孕症患者共503个周期的临床资料,根据有无活产结局分为活产组140个周期和无活产组363个周期,比较两组移植日血清激素水平及其他相关资料。另根据503个周期移植日血清孕酮水平四分位数、移植日血清雌二醇水平四分位数再各分四个亚组,比较四组的活产率及临床妊娠率,并分析移植日血清雌二醇、孕酮水平及其他相关资料对活产结局的影响。结果活产组和无活产组的移植日血清雌二醇水平、移植日血清孕酮水平、移植胚胎数、移植优质胚胎数、年龄、移植日内膜厚度差异有统计学意义(P<0.05),体重、体质指数差异无统计学意义(P>0.05)。移植日血清孕酮水平四组间、移植日血清雌二醇水平四组间活产率及临床妊娠率差异均无统计学意义(P>0.05),通过组间两两比较,16.4 ng/mL<P≤21.6 ng/mL组的活产率显著高于P≤12.7 ng/mL组(P=0.008)。移植日血清孕酮水平升高(P=0.021,OR=0.84,95%CI=0.73~0.97)、移植优质胚胎数增加(P=0.048,OR=0.71,95%CI=0.51~1.00)是活产结局的保护因素;年龄增长(P=0.020,OR=1.35,95%CI=1.05~1.75)、移植日血清雌二醇水平升高(P=0.017,OR=1.21,95%CI=1.04~1.42)是活产结局的危险影响因素。结论NT-FET移植日血清雌二醇、孕酮水平是妊娠结局的影响因素。

乳腺康胶囊对乳腺增生大鼠的影响及镇痛实验研究

目的:研究乳腺康胶囊对乳腺增生大鼠的影响及镇痛作用。方法:运用雌孕激素序贯造模法制备乳腺增生模型鼠,经病理证实模型制备成功后随机分为模型对照组、逍遥丸组(0.93 g/kg)及乳腺康胶囊高、中、低剂量组(0.8 g/kg,0.4 g/kg,0.2 g/kg)。给药组予相应药物灌胃,空白组和模型对照组予等体积蒸馏水灌胃,连续给药45 d后,测量大鼠第1、2对乳头的直径和高度,运用ELISA测定大鼠血清雌二醇(E_(2))、催乳素(PRL)、孕激素(P)水平,光学显微镜下观察大鼠乳腺病理组织变化。采用冰醋酸扭体致痛模型,观察空白组、阿司匹林组及乳腺康胶囊高、中、低剂量组实验小鼠出现扭体反应的次数、第1次扭体反应的时间(潜伏期)、镇痛率。结果:与空白组比较,模型对照组E_(2)含量增多、P含量降低、E_(2)/P比例降低、PRL含量升高(P<0.01),大鼠第1、2对乳头高度和直径显著增高(P<0.01);与模型对照组比较,逍遥丸组、乳腺康胶囊各剂量组E_(2)含量降低、P含量升高、E_(2)/P比例降低、PRL含量降低,其中逍遥丸组、乳腺康胶囊高、中剂量组差异有统计学意义(P<0.01),大鼠第1、2对乳头高度和直径显著缩小(P<0.01);乳腺康胶囊各剂量组大鼠的乳腺组织增生情况均有改善,导管上皮细胞排列整齐,腺泡数量明显减少,腺小叶体积明显变小。与空白组比较,阿司匹林组、乳腺康胶囊各剂量组的扭体次数明显减少、潜伏时间显著延长(P<0.01),镇痛率均高于空白组。乳腺康胶囊各剂量组镇痛率分别为59.55%、57.57%、53.35%。结论:乳腺康胶囊具有良好的抗乳腺增生作用及镇痛作用。

冻融胚胎移植前IVF-ET助孕患者的血清E_(2)、孕酮表达情况及其与妊娠结局的相关性分析

目的分析冻融胚胎移植前体外受精-胚胎移植(IVF-ET)助孕患者的血清雌二醇(E_(2))、孕酮表达情况及其与妊娠结局的相关性。方法选择2020年3月至2022年3月收治的126例IVF-ET助孕患者,冻融胚胎移植前检测血清E_(2)、孕酮表达情况,完成IVF-ET助孕后统计妊娠结局,比较不同妊娠结局患者冻融胚胎移植前血清E_(2)、孕酮表达,并分析冻融胚胎移植前IVF-ET助孕患者的血清E_(2)、孕酮表达与妊娠结局的相关性。结果126例IVF-ET助孕患者妊娠成功51例,成功率为40.48%。妊娠失败患者冻融胚胎移植前血清E_(2)、孕酮低于妊娠成功患者(P<0.05)。经Logistic回归分析结果显示,血清E_(2)、孕酮表达与妊娠结局有关(P<0.05)。结论IVF-ET助孕患者的妊娠结局与冻融胚胎移植前血清E_(2)、孕酮表达密切相关。

Observation on lower-reinforcing and upper- reducing acupuncture method for hyperplasia of mammary gland and its influence on estradiol and progesterone

Objective： To observe the clinical effect of lower-reinforcing and upper-reducing acupuncture method for hyperplasia of mammary gland （HMG） and its influence on estradiol （E2） and progesterone （P）. Methods： A randomized, single-blinded and controlled trial was conducted. A total of 124 cases conforming to the inclusion criteria were randomized by random number table into a treatment group and a control group, with 62 cases in each group. Patients in both groups received acupuncture therapy at the same acupoints, while patients in the treatment group received lower-reinforcing and upper-reducing method, and patients in the control group received even reinforcing-reducing manipulation. The treatment started around 10 d before menstruation and was conducted every other day. Patients received 5 treatments in each menstruation cycle for consecutive 3 cycles. The levels of E2, P and E2/P and clinical efficacy were measured before and after treatment. Results： After treatment, the breast lump size, pain intensity and concomitant symptoms score in both groups were substantially lower than those before treatment, showing statistical significances （all P〈0.01）, and the improvement in the treatment group was higher than that in the control group, and the between-group comparisons showed statistical significances （all P〈0.01）. After treatment, the overall effective rate was 91.9% in the treatment group, higher than 72.6% in the control group, and the between-group comparison showed a statistical significance （P〈0.01）. After treatment, levels of E2, P and E2/P value showed no statistical significance when compared with those before treatment in the two groups （all P〉0.05）. Conclusion： Lower-reinforcing and upper-reducing acupuncture method can effectively alleviate clinical symptoms and signs in HMG patients, and produce a better effect than even reinforcing-reducing manipulation. The majority of HMG patients＇ E2, P level and E2/P value were not beyond the normal ranges; therefore, acupuncture showed no substantial influence on E2 and P levels and E2/P value.

温经汤加减治疗卵巢早衰临床研究

目的:观察温经汤加减治疗卵巢早衰的临床疗效。方法:将2022年12月至2023年12月就诊于河南中医药大学第一附属医院的86例卵巢早衰患者按照随机数字表法分为对照组和观察组,每组各43例。对照组给雌孕激素序贯疗法,观察组给予温经汤加减。比较两组患者的临床疗效及治疗前后性激素水平[卵泡刺激素(follicle-stimulating hormone,FSH)、雌二醇(estradiol,E_(2))、促黄体生成素(luteinizing hormone,LH)]、卵巢动脉血流动力学参数(卵巢动脉收缩期峰值流速、搏动指数和阻力指数)、卵巢储备功能[卵巢最大平面平均直径、窦卵泡数抗苗勒管激素(nti-mullerian hormone,AMH)]变化情况。结果:观察组有效率为76.74%,对照组有效率为65.11%,差异具有统计学意义(P<0.05)。两组患者治疗后E_(2)高于本组治疗前,FSH、LH低于本组治疗前,差异具有统计学意义(P<0.05),两组患者治疗后E_(2)、FSH、LH比较,差异无统计学意义(P>0.05)。两组患者治疗后卵巢动脉收缩期峰值流速高于本组治疗前,巢动脉搏动指数、阻力指数低于本组治疗前,且治疗后组间比较,差异具有统计学意义(P<0.05)。两组治疗后卵巢最大平面平均直径、窦卵泡数及AMH高于本组治疗前,差异具有统计学意义(P<0.05);两组治疗后卵巢最大平面平均直径、窦卵泡数及AMH比较,差异无统计学意义(P>0.05)。结论:温经汤加减治疗卵巢早衰疗效确切,可改善患者激素水平、卵巢动脉血流动力学参数及卵巢储备功能。

生殖道HPV感染孕妇血清孕酮雌二醇表达水平及其对妊娠结局的影响

目的 探讨生殖道人乳头瘤病毒(HPV)感染孕妇血清孕酮、雌二醇表达水平及妊娠结局的影响因素。方法 选取101例生殖道HPV感染孕妇设为观察组,另选取50例无HPV感染的健康孕妇设为对照组。检测HPV感染分型,记录新生儿HPV阳性检出率;对比两组孕妇血清孕酮、雌二醇水平;记录不良妊娠结局,Logistic回归分析影响妊娠结局的因素。制作受试者工作特征(ROC)曲线,以曲线下面积(AUC)评估血清孕酮、雌二醇及两者联合对生殖道HPV感染孕妇妊娠结局的预测效能。结果 生殖道HPV感染孕妇低危型48例,高危型53例,新生儿HPV阳性检出率为40.59%。观察组孕妇血清孕酮、雌二醇水平均低于对照组,不良妊娠结局总发生率高于对照组(P<0.01)。有不良妊娠结局组孕妇的血清孕酮、雌二醇水平均低于无不良妊娠结局组(P<0.01)。多因素分析结果显示,血清孕酮、雌二醇是影响生殖道HPV感染孕妇妊娠结局的危险因素(OR=1.578、1.839,P<0.01)。ROC曲线分析结果显示,血清孕酮、雌二醇及两者联合对生殖道HPV感染孕妇妊娠结局预测的AUC为0.813、0.809、0.902。结论 临床上可通过检测生殖道HPV感染孕妇血清孕酮、雌二醇水平对不良妊娠结局进行评估。

胎宝汤治疗黄体功能不全型先兆流产疗效研究

目的:探究胎宝汤对治疗黄体功能不全型先兆流产患者的应用价值。方法:选取黄体功能不全型先兆流产患者72例,采用信封随机抽取法分为对照组(n=36)和治疗组(n=36),对照组给予地屈孕酮治疗,治疗组给予胎宝汤联合地屈孕酮治疗。比较两组疗效、中医症状评分、症状缓解时间、血清同型半胱氨酸(Hcy)和内分泌激素水平[血绒毛膜促性腺激素(β-HCG)、孕酮(P)、雌二醇(E2)]及不良反应。结果:治疗组临床总有效率(97.22%)高于对照组(80.56%)(P<0.05);治疗后治疗组中医症状评分低于对照组(P<0.05);治疗组腹痛、腰酸消失时间、阴道止血时间及孕酮恢复时间均短于对照组(P<0.05);治疗后两组Hcy均下降,且治疗组低于对照组;β-HCG、P及E2均上升,且治疗组高于对照组(均P<0.05);对照组和观察组不良反应总发生率分别为16.67%和8.33%(P>0.05)。结论:胎宝汤治疗黄体功能不全型先兆流产疗效佳,可有效缓解临床症状,促进血清内分泌激素水平升高,Hcy水平降低,且安全性良好。