Chan Carina C W, Lau Winnie N T, Chiu Siu-Ping, Chen Luo-Chuan, Choi Wai-Ki, Tang Grace W K
Department of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.
Gynecol Endocrinol. 2006 Feb;22(2):70-3. doi: 10.1080/09513590600581723.
This study was conducted to determine whether a particular Chinese medicinal preparation is effective in alleviating menopausal symptoms. Chinese women with menopausal symptoms were recruited to receive treatment for 3 months followed by 3 months without treatment. The severity of menopausal symptoms and serum follicle-stimulating hormone (FSH), luteinizing hormone (LH) and estradiol levels were assessed at baseline, 3 and 6 months. Data from 97 women with a mean age of 52.3 years were analyzed. Sixty women (62%) were postmenopausal. The serum FSH level (interquartile range) was 58.0 (39.5-72.4) IU/l at baseline and rose significantly 3 months after treatment. The difference remained significant in the postmenopausal group while there was no significant difference in the perimenopausal women. The changes in serum LH and estradiol levels remained unchanged. The baseline menopausal symptom score was 8.9 +/- 6.0. The menopausal symptom score improved markedly after treatment and remained at the same level at 6 months. All individual menopausal symptoms improved significantly after 3 months of treatment except dry eye. Most of these symptoms remained significantly improved at 6 months compared with the pre-treatment assessment. We observed that the Chinese medicinal preparation used in this study is effective in improving menopausal symptoms in healthy Chinese women. Further randomized controlled trial will be needed to confirm this observation.
本研究旨在确定一种特定的中药制剂是否能有效缓解更年期症状。招募有更年期症状的中国女性接受3个月的治疗,随后3个月不接受治疗。在基线、3个月和6个月时评估更年期症状的严重程度以及血清促卵泡生成素(FSH)、促黄体生成素(LH)和雌二醇水平。对97名平均年龄为52.3岁的女性的数据进行了分析。60名女性(62%)已绝经。血清FSH水平(四分位间距)在基线时为58.0(39.5 - 72.4)IU/L,治疗3个月后显著升高。绝经后组差异仍然显著,而围绝经期女性则无显著差异。血清LH和雌二醇水平的变化保持不变。基线更年期症状评分为8.9±6.0。治疗后更年期症状评分显著改善,并在6个月时维持在同一水平。除干眼外,所有个体更年期症状在治疗3个月后均显著改善。与治疗前评估相比,大多数这些症状在6个月时仍显著改善。我们观察到本研究中使用的中药制剂对改善健康中国女性的更年期症状有效。需要进一步的随机对照试验来证实这一观察结果。