【目的】探讨米非司酮对子宫肌瘤患者术后激素水平和复发的影响。【方法】选择手术治疗的子宫肌瘤患者440例，按入院顺序分为对照组和观察组，每组220例。对照组患者仅做子宫肌瘤剔除术，观察组患者在子宫肌瘤剔除术后服用米非司酮辅助...【目的】探讨米非司酮对子宫肌瘤患者术后激素水平和复发的影响。【方法】选择手术治疗的子宫肌瘤患者440例，按入院顺序分为对照组和观察组，每组220例。对照组患者仅做子宫肌瘤剔除术，观察组患者在子宫肌瘤剔除术后服用米非司酮辅助治疗。比较两组患者术后1个月及12个月卵泡后期血清卵泡刺激素（FS H ）、雌二醇（E2）及孕酮（P ）的水平；记录两组患者术后月经恢复时间、阴道出血时间及术后3个月、6个月、12个月及24个月子宫肌瘤的复发率，并随时监测观察组患者在术后服药期间不良反应的发生情况。【结果】观察组术后1个月的血清FS H、E2及P水平显著低于对照组（ P ＜00．5），术后12个月观察组血清FS H、E2及P水平与对照组比较无显著性差异（ P ＞00．5）；观察组月经恢复时间明显长于对照组，术后阴道出血时间明显短于对照组，术后24个月内的总复发率明显低于对照组，其差异均有统计学意义（ P ＜00．5）。观察组随访期间无明显不良反应。【结论】米非司酮可预防子宫肌瘤剔除术后再复发，对激素水平无影响，不良反应小，值得临床推广应用。展开更多
OBJECTIVE: To evaluate the estrogenic efficacy of Renshen(Radix Ginseng)(GS) on reproductive target tissues in immature mice.METHODS: One hundred and ten female immature Kunming(KM) mice, 21-day-old, were randomly ass...OBJECTIVE: To evaluate the estrogenic efficacy of Renshen(Radix Ginseng)(GS) on reproductive target tissues in immature mice.METHODS: One hundred and ten female immature Kunming(KM) mice, 21-day-old, were randomly assigned to eleven groups, 10 for each; one served as control group treated with 0.154 mg/kg estradiol valerate(EV,n = 10), the rest were treated respectively with GS intragastrically at a daily dose of 0.5,1.0, 1.5, 3.0, 6.0, 12.0, 18.0, 24.0 and 30.0 g/kg(n =10 in per group) for 7 days. The estrous cycle, uterine weight, hormone levels in circulation and histomorphology changes of uterus and vagina were scrupulously examined. The estrogen receptor(ER)α and ERβ expressions in the uterus and vagina were detected by immunohistochemistry and western blotting.RESULTS: Treatment with GS at the dose of 12.0,18.0 and 24.0 g/kg resulted significant estrogenic activity in the mice, as indicated by advanced and prolonged estrous stage and increased uterine weight(all P < 0.05). GS treatment substantially promoted development of reproductive tissue by thickening the uterine endometrium and increasing vaginal epithelial layers. In addition, treatment with GS induced significant up-regulation of ERαand ERβ expressions in reproductive tissues, and ERα up-regulation was stronger than that of ERβ.GS could raise levels of circulating estrogen, simultaneously decrease levels of luteinizing hormone and follicle-stimulating hormone(all P < 0.001)compared with the control group.CONCLUSION: Our findings suggest that GS had estrogenic effect on reproductive tissues in immature mice by stimulating biosynthesis of estrogen in circulation and up-regulating ERs.展开更多
文摘【目的】探讨米非司酮对子宫肌瘤患者术后激素水平和复发的影响。【方法】选择手术治疗的子宫肌瘤患者440例，按入院顺序分为对照组和观察组，每组220例。对照组患者仅做子宫肌瘤剔除术，观察组患者在子宫肌瘤剔除术后服用米非司酮辅助治疗。比较两组患者术后1个月及12个月卵泡后期血清卵泡刺激素（FS H ）、雌二醇（E2）及孕酮（P ）的水平；记录两组患者术后月经恢复时间、阴道出血时间及术后3个月、6个月、12个月及24个月子宫肌瘤的复发率，并随时监测观察组患者在术后服药期间不良反应的发生情况。【结果】观察组术后1个月的血清FS H、E2及P水平显著低于对照组（ P ＜00．5），术后12个月观察组血清FS H、E2及P水平与对照组比较无显著性差异（ P ＞00．5）；观察组月经恢复时间明显长于对照组，术后阴道出血时间明显短于对照组，术后24个月内的总复发率明显低于对照组，其差异均有统计学意义（ P ＜00．5）。观察组随访期间无明显不良反应。【结论】米非司酮可预防子宫肌瘤剔除术后再复发，对激素水平无影响，不良反应小，值得临床推广应用。
基金Supported by the National Basic Research Program of China(973 Program)(Basic Research of the Eighteen Against Compatibility Theory of Traditional Chinese Medicine,No.2011CB505300,Research of the Eighteen Against Compatibility Theory of Traditional Chinese Medicine Based on Prejudiced Treatment,No.2011CB505305)
文摘OBJECTIVE: To evaluate the estrogenic efficacy of Renshen(Radix Ginseng)(GS) on reproductive target tissues in immature mice.METHODS: One hundred and ten female immature Kunming(KM) mice, 21-day-old, were randomly assigned to eleven groups, 10 for each; one served as control group treated with 0.154 mg/kg estradiol valerate(EV,n = 10), the rest were treated respectively with GS intragastrically at a daily dose of 0.5,1.0, 1.5, 3.0, 6.0, 12.0, 18.0, 24.0 and 30.0 g/kg(n =10 in per group) for 7 days. The estrous cycle, uterine weight, hormone levels in circulation and histomorphology changes of uterus and vagina were scrupulously examined. The estrogen receptor(ER)α and ERβ expressions in the uterus and vagina were detected by immunohistochemistry and western blotting.RESULTS: Treatment with GS at the dose of 12.0,18.0 and 24.0 g/kg resulted significant estrogenic activity in the mice, as indicated by advanced and prolonged estrous stage and increased uterine weight(all P < 0.05). GS treatment substantially promoted development of reproductive tissue by thickening the uterine endometrium and increasing vaginal epithelial layers. In addition, treatment with GS induced significant up-regulation of ERαand ERβ expressions in reproductive tissues, and ERα up-regulation was stronger than that of ERβ.GS could raise levels of circulating estrogen, simultaneously decrease levels of luteinizing hormone and follicle-stimulating hormone(all P < 0.001)compared with the control group.CONCLUSION: Our findings suggest that GS had estrogenic effect on reproductive tissues in immature mice by stimulating biosynthesis of estrogen in circulation and up-regulating ERs.
