[Principles of pathogenetic treatment of spontaneous cyclic abdominal pain in women].

Sovetskaia meditsina Pub Date : 1991-01-01
E M Govorukhina
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Abstract

Available are the results of treatment of 104 females suffering from spontaneous cyclic abdominal pain. Clinical and paraclinical evaluation shows that sensibilization to certain estrogen fraction in the presence of estrogen-progesterone++ imbalance plays the leading role in pathogenesis of cyclic (phase I, II and in the middle of the cycle) abdominal pain. Desensitization by intracutaneous introduction of relevant estrogen fraction combined with progesterone++ provides recovery of vegetative and estrogen-progesterone++ balance, relief of pain and emotional stress. A complete response was achieved in 64.4%, partial in 25%, no response in 10.6% of the patients. Follow-up lasted for 1 to 17 years. Additional rehabilitation measures are suggested. The diagnosis and treatment were performedon the outpatient basis.

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【女性自发性周期性腹痛的病因治疗原则】。
本文对104例女性自发性周期性腹痛的治疗结果进行了分析。临床及临床旁评价表明,在雌激素-孕酮++失衡的情况下,对一定雌激素成分的敏感在周期性(一期、二期及中期)腹痛的发病机制中起主导作用。皮内引入相关雌激素成分联合孕酮++进行脱敏,恢复营养和雌激素-孕酮++平衡,缓解疼痛和情绪压力。64.4%的患者完全缓解,25%的患者部分缓解,10.6%的患者无缓解。随访1 ~ 17年。建议采取其他康复措施。诊断和治疗均在门诊进行。
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