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中国临床药理学与治疗学 ›› 2024, Vol. 29 ›› Issue (5): 488-494.doi: 10.12092/j.issn.1009-2501.2024.05.002

• 子宫内膜异位症药物治疗最新研究进展 • 上一篇    下一篇

他汀类药物治疗子宫内膜异位症的研究进展

秦弦,王倩,侯佳,徐冬梅   

  1. 重庆市妇幼保健院(重庆医科大学附属妇女儿童医院)妇产科,重庆 401120
  • 收稿日期:2023-08-17 修回日期:2023-09-04 出版日期:2024-05-26 发布日期:2024-04-16
  • 通讯作者: 徐冬梅,女,硕士研究生,副主任医师,研究方向:妇科内分泌与生殖外科。 E-mail:xudm82@126.com
  • 作者简介:秦弦,女,博士,主治医师,研究方向:妇科内分泌与生殖外科。 E-mail:qinxian323@foxmail.com
  • 基金资助:
    重庆市博士后科学基金项目(CSTB2023NSCQ-BHX0029);重庆市妇幼保健院院级科研课题(2021YJQN09);重庆市妇幼保健院院级科研课题(2019YJMS11)

Stains: recent research progress for endometriosis

QIN Xian, WANG Qian, HOU Jia, XU Dongmei   

  1. Department of Obstetrics and Gynecology, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing 401120, China
  • Received:2023-08-17 Revised:2023-09-04 Online:2024-05-26 Published:2024-04-16

摘要:

子宫内膜异位症(简称“内异症”)是具有活性的内膜细胞种植在子宫以外的部位而形成的一种常见的妇科内分泌疾病,影响到全球10%~15%的育龄期女性,与欧美白人女性相比,亚洲女性患内异症的风险增加了9倍。内异症不仅会引起慢性盆腔痛、痛经、性交痛等疼痛症状,还会引起不孕,进而导致患者出现疲劳、高度敏感和焦虑的情绪,降低其生活质量。随着我国人口老龄化加剧和女性生育年龄推迟,解决如内异症这种影响女性生育力的妇科内分泌疾病迫在眉睫。近年来研究表明,内异症患者血清脂质代谢异常、患心血管疾病的风险增加,同时降血脂的他汀类药物可在细胞和动物水平抑制内异症的进展,少量临床研究也表明他汀类药物对内异症的治疗具有积极作用。本文将综述内异症与心血管疾病关系的研究,并从细胞、动物、人体三个层面综述他汀类药物治疗内异症的研究进展。

关键词: 子宫内膜异位症, 他汀类药物, 脂质代谢, 治疗作用

Abstract:

Defined as a common gynecologic endocrine disease, endometriosis is characterized by the presence of endometrium outside of the uterus cavity, affecting about 10% to 15% of reproductive-aged women worldwide.Moreover, Asian women tend to have a nine-fold increased risk of endometriosis compared with their white counterparts in Europe and the United States. Endometriosis not only causes chronic pelvic pain, dysmenorrhea, painful sex and other pain symptoms, but also leads to infertility, pushing the patients into a state of fatigue, high sensitivity and anxiety, thus reducing their quality of life. As the aging of Chinese population intensifies and the women's childbearing age delays, it is highly urgent to find solutions to those gynecological endocrine diseases such as endometriosis, which hamper women's fertility. In recent years, studies have shown that patients with endometriosis have abnormal serum lipid metabolism and an increased risk of cardiovascular diseases. At the same time, as a type of cholesterol-lowering drug, statins can inhibit the progression of endometriosis at the cellular and animal levels. Also, a few clinical studies have exhibited that statins exert a positive effect on the treatment of endometriosis. Therefore, this article aims to review the researches regarding the relationship between endometriosis and the cardiovascular disease, as well as the research progress of statin therapy on endometriosis based on the level of cells, animals and human beings. 

Key words: endometriosis, statins, lipid metabolism, treatment

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