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2005年我们在绝经后激素治疗方面处于什么状况?

Where are we with postmenopausal hormone therapy in 2005?

作者信息

Lam Po M, Chung Tony K H, Haines Christopher

机构信息

Department of Obstetrics and Gynecology, Prince of Wales Hospital, Hong Kong SAR, China.

出版信息

Gynecol Endocrinol. 2005 Nov;21(5):248-56. doi: 10.1080/09513590500279733.

DOI:10.1080/09513590500279733
PMID:16373243
Abstract

Recently, two large randomized placebo-controlled studies on long-term postmenopausal hormone replacement therapy, the Heart and Estrogen/progestin Replacement Study (HERS) and the Women's Health Initiative (WHI), have raise a lot of controversies, especially on the cardiovascular aspects. We briefly review these two trials and discuss what we know and do not know about postmenopausal hormone therapy, including the evidence on novel choices such as raloxifene and tibolone.

摘要

最近,两项关于绝经后长期激素替代疗法的大型随机安慰剂对照研究,即心脏和雌激素/孕激素替代研究(HERS)以及妇女健康倡议(WHI),引发了诸多争议,尤其是在心血管方面。我们简要回顾这两项试验,并讨论我们对绝经后激素疗法已知和未知的情况,包括关于雷洛昔芬和替勃龙等新选择的证据。

相似文献

1
Where are we with postmenopausal hormone therapy in 2005?2005年我们在绝经后激素治疗方面处于什么状况?
Gynecol Endocrinol. 2005 Nov;21(5):248-56. doi: 10.1080/09513590500279733.
2
Postmenopausal hormone therapy: cardiovascular risks.绝经后激素治疗:心血管风险
Prescrire Int. 2003 Apr;12(64):65-9.
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Health risks outweigh benefits for combined estrogen plus progestin. Clinical trial stopped early in major study.雌激素加孕激素联合使用时,健康风险大于益处。一项主要研究提前终止了临床试验。
Ginecol Obstet Mex. 2002 Aug;70:411-2.
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Invited Commentary: Hormone therapy risks and benefits--The Women's Health Initiative findings and the postmenopausal estrogen timing hypothesis.特邀评论:激素治疗的风险与益处——妇女健康倡议研究结果及绝经后雌激素时机假说
Am J Epidemiol. 2009 Jul 1;170(1):24-8. doi: 10.1093/aje/kwp113. Epub 2009 May 25.
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A comparative review of the risks and benefits of hormone replacement therapy regimens.激素替代疗法方案的风险与益处的比较性综述。
Am J Obstet Gynecol. 2004 Apr;190(4):1141-67. doi: 10.1016/j.ajog.2003.09.033.
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Is the estrogen controversy over? Deconstructing the Women's Health Initiative study: a critical evaluation of the evidence.雌激素争议结束了吗?剖析妇女健康倡议研究:对证据的批判性评估。
Ann N Y Acad Sci. 2005 Jun;1052:43-56. doi: 10.1196/annals.1347.004.
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Lessons from hormone replacement therapy trials for primary prevention of cardiovascular disease.激素替代疗法用于心血管疾病一级预防试验的经验教训。
Curr Opin Cardiol. 2007 Sep;22(5):434-42. doi: 10.1097/HCO.0b013e328201cb7a.
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A clinician's review of the WHI-related literature.临床医生对与妇女健康倡议(WHI)相关文献的综述。
Int J Fertil Womens Med. 2004 Nov-Dec;49(6):252-67.
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[After the early termination of the Women's Health Initiative study. New American recommendations for postmenopausal hormone therapy].[在妇女健康倡议研究提前终止之后。美国关于绝经后激素治疗的新建议]
Lakartidningen. 2003 May 15;100(20):1790-7.
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Clinical appraisal of the Women's Health Initiative.妇女健康倡议的临床评估
J Obstet Gynaecol Res. 2005 Apr;31(2):80-93. doi: 10.1111/j.1447-0756.2005.00251.x.

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