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[激素替代疗法对绝经后骨质流失的预防作用]

[The preventive effect of HRT on postmenopausal bone loss].

作者信息

Aoki T

机构信息

Department of Gynecology, Aichi Prefectural Center of Health Care.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1992 May;44(5):603-7.

PMID:1320084
Abstract

UNLABELLED

.625mg/day of conjugated estrogen was administered to women after menopause for five years to investigate the preventive effect of HRT on postmenopausal bone loss. Bone mineral content of subjects before and after HRT was measured by the MD (microdensitometry) method. Subjects were: Group I: Those given HRT for the first time (52 cases); Group II: Those who had had HRT for more than 5 years and then were given another 5 years treatment (34 cases);

CONTROL

Those with no HRT (26 cases). In the controls, the average level of sigma GS/D decreased significantly (p less than 0.005) from 2.465 to 2.209 in 5 years, while the average sigma GS/D level increased significantly (p less than 0.005) from 2.462 to 2.532 in Group I, and from 2.536 to 2.539 in Group II. Average bone mineral content after 5 years shown by the % based on the initial bone mineral content as 100% decreased to 90.72% (9.28% decrease) in the controls, but increased to 102.91% in Group I, and 100.26% in Group II. The increase ratios were significantly (p less than 0.005) different in Groups I and II. Thus, HRT was seen to be very effective in preventing bone loss after menopause. The effect in Group II was weaker than that in Group I, but much stronger than in the controls.

摘要

未标记

对绝经后女性给予每日0.625毫克结合雌激素,持续五年,以研究激素替代疗法(HRT)对绝经后骨质流失的预防作用。采用微密度测定法(MD)测量HRT前后受试者的骨矿物质含量。受试者分为:第一组:首次接受HRT者(52例);第二组:接受HRT超过5年,然后再接受5年治疗者(34例);

对照组

未接受HRT者(26例)。在对照组中,5年内sigma GS/D的平均水平从2.465显著下降(p<0.005)至2.209,而第一组中sigma GS/D的平均水平从2.462显著上升(p<0.005)至2.532,第二组从2.536上升至2.539。以初始骨矿物质含量为100%计算,5年后对照组的平均骨矿物质含量以百分比表示降至90.72%(下降9.28%),但第一组升至102.91%,第二组升至100.26%。第一组和第二组的增加率差异显著(p<0.005)。因此,HRT在预防绝经后骨质流失方面非常有效。第二组的效果比第一组弱,但比对照组强得多。

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