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本文介绍了采用子宫测量计(Hystero-metry)定量测定避孕药对原发性痛经妇女子宫张力的影响。一般认为原发性痛经是由于子宫强烈收缩而引起的缺血所致。作者选择患有严重痛经病人5例,即在月经期第一天腹部剧烈绞痛,伴有恶心呕吐,情绪异常等症状明显的患者。用子宫测量计分别测定上述患者月经期第一天子宫张力数值。然后于月经期第5天连续口服乙炔雌二醇0.05mg加Lynestrenol1mg22天。再在第二次月经期第一天用子宫测量计测定。同时在服药前、后测定血清中孕酮和17β一雌二醇的含量。结果表明服药前子宫张力数值为158,而服药后为117。两者经统计学处理有显著性差异(p≤0.05)。服药后3例患者症状明显缓解,2例消失。血清中孕酮和雌二醇含量,除2例孕酮略有上升外,其余均下
This article describes the use of a Hystero-metry to quantify the effects of birth control pills on uterine tension in women with primary dysmenorrhea. It is generally believed that primary dysmenorrhea is due to a strong contraction of the uterus caused by ischemia. The author chose 5 patients with severe dysmenorrhea, that is, in the first day of menstruation abrupt severe colic, accompanied by nausea and vomiting, emotional disorders and other symptoms were obvious. Uterine measurement were used to determine the first day of menstrual uterine tension values. Then orally on the 5th day of menstruation continuous oral ethinyl estradiol 0.05mg Lynestrenol1mg22 days. Then the first day of the second menstrual period by uterine measurement. At the same time before taking the medicine, serum progesterone and 17β-estradiol were measured. The results showed that uterine tension before taking the value of 158, and after taking 117. The two statistically significant differences (p≤0.05). 3 patients after taking the medicine symptoms were relieved, 2 cases disappeared. Serum progesterone and estradiol levels, in addition to 2 cases of progesterone increased slightly, the rest were