女性の不定愁訴と卵巣機能

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概要

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• The author conducted a research to investigate the relationship between non-specific complaints in females and ovarian functions from the standpoint of gynecological histories and the pattern of basal body temperature. These patients with non-specific complaints were examined at the department of internal medicine. The results were as follows ;1. According to the investigations on gynecological histories in 300 patients whose ages ranged from 16 to 57,the distribution of the patients with non-specific complaints was as follows : climacterium 21.7%, adolescence 15.7%, after-delivery 13.0%, after-artificial abortion 12.0%, after-ovarietomy 5.0%, after-hystrectomy 3.3%, after-ligation of uterine tubes 3.0%, after-abortion 2.7%, after-administration of hormone 2.0%, after-pregnance 1.7%, and others 20% (middle-aged women who showed ovarian insufficiency in the pattern of basal body temperature, although the cause of ovarian insufficiency was not clear).In addition, patients whose complaints were apparently induced by psychogenic causes 78 (26.0%) out of 300 and the complaints of the rest were considered to have been caused were mainly by the change of gonadial environments.2. An abnormal pattern of basal body temperature showing marked luteal insufficiency and non-ovulation phase was observed in 63.6% of adult patients whose complaints were induced by psychogenic causes and in 47.7% of those whose complaints were induced by endocrinic causes.3. As a whole, the frequency of the apperance of non-specific complaints in female patients was considerably higher in the post menstrual stage as compared to the premenstrual stage. Especially, complaints such as stiff shoulder, myalgia, nausea, stomach distress and stomach ache were more frequently observed in the follicular and ovulation phases as compared to the luteal phase and the menstrual period.4. A combination therapy of chlordiazepoxide and vitamin E showed good effects on the decrease of non-specific complaints when compared to a combination therapy of chlordiazepoxide and γ-oryzanol or a single administration of chlordiazepoxide. In addition, a decrease in non-specific complaints was observed along with the improvement of the pattern on basal body temperature after a combination therapy of chlordiazepoxide and vitamin E in some patients with non-specific complaints.

• 日本心身医学会の論文
• 1976-06-01

著者

• 藤井 高明

  藤井内科医院

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