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对服用雷公藤治疗结缔组织疾病引起闭经的9例育龄期妇女进行了性激素水平的对比测定,同时B超探查子宫情况。结果,用药组9例FSH(卵泡刺激素),LH(黄体生成素)分别为8116±4425mU/L,8784±6710IU/L,明显高于未用药组867±381mU/L和1096±1590IU/L(P<0001和P<005)。E2(雌二醇),PRL(催乳素)分别为2230±2962pmol/L,1263±473μg/L,明显低于未用药组58088±4708pmol/L,1957±1194μg/L(P<005)。用药组6例伴有子宫萎缩,未用药组正常,其中用药组7例符合高促性腺性闭经,提示卵巢功能减退或衰竭。因此,育龄期妇女使用该药时应慎重。
9 cases of women of childbearing age who received tripterygium for the treatment of connective tissue diseases were tested for sex hormone levels and ultrasound examination of the uterus was performed. Results, FSH (follicle stimulating hormone) and LH (LH) in the medication group were 8116 ± 4425mU / L, 8784 ± 6710IU / L, which were significantly higher than those of the untreated group ± 381mU / L and 1096 ± 1590IU / L (P <0001 and P <005). E2 estradiol and prolactin were 2230 ± 2962 pmol / L and 1263 ± 473 μg / L, respectively, which were significantly lower than 58088 ± 47088 pmol / L, 1957 ± 1194μg / L (P <005). The treatment group with 6 cases of uterine atrophy, no treatment group normal, including the treatment group of 7 cases of gonadal hyperparathyroidism, suggesting ovarian dysfunction or failure. Therefore, women of childbearing age should be careful when using this medicine.