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已停止激素治疗的女性使用补充和替代医学缓解血管舒缩症状的情况。

Complementary and alternative medicine use for vasomotor symptoms among women who have discontinued hormone therapy.

作者信息

Kupferer Elizabeth M, Dormire Sharon L, Becker Heather

机构信息

Duramed Research, Inc., Medical Affairs, Bala Cynwyd, PA, USA.

出版信息

J Obstet Gynecol Neonatal Nurs. 2009 Jan-Feb;38(1):50-9. doi: 10.1111/j.1552-6909.2008.00305.x.

Abstract

OBJECTIVES

To explore the use and perceived usefulness of complementary and alternative medicine therapies and nonhormonal conventional medicine alternatives to treat vasomotor symptoms occurring after withdrawal from hormone therapy.

DESIGN

Retrospective, single cross sectional descriptive study.

SETTING

Study volunteers were recruited via a direct mailed questionnaire sent to a sample of women throughout the United States. Additional respondents were recruited through flyers and postcards advertising the study placed with permission at several health care provider offices and other locations.

PARTICIPANTS

A sample of 563 menopausal women who had discontinued the use of hormone therapy completed a questionnaire describing their experiences with the use of complementary and alternative medicine.

MAIN OUTCOME MEASURES

Responses to an investigator developed survey.

RESULTS

Nearly half of the women surveyed used complementary and alternative medicine. The most common choices of complementary and alternative medicine were (a) multivitamins and calcium, (b) black cohosh, (c) soy supplements and food, (d) antidepressants, (e) meditation and relaxation, (f) evening primrose oil, (g) antihypertensives, and (h) homeopathy. Of the alternative therapies that were used by at least 5% of the sample, antidepressants were perceived as the most useful.

CONCLUSIONS

With the increased adoption of complementary and alternative medicine, it is important for health care providers to be familiar with the various methods so they are comfortable discussing the benefits and risks with their patients to assist them in making informed decisions.

摘要

目的

探讨补充和替代医学疗法以及非激素常规医学替代疗法在治疗激素治疗撤药后出现的血管舒缩症状中的应用及感知有用性。

设计

回顾性单横断面描述性研究。

设置

通过直接邮寄问卷招募研究志愿者,问卷寄给美国各地的女性样本。另外,通过在几家医疗服务提供者办公室及其他地点经许可张贴的研究传单和明信片招募更多受访者。

参与者

563名已停止使用激素治疗的绝经后女性样本完成了一份描述她们使用补充和替代医学经历的问卷。

主要观察指标

对研究者编制的调查问卷的回答。

结果

近一半接受调查的女性使用补充和替代医学。补充和替代医学最常见的选择为:(a)多种维生素和钙;(b)黑升麻;(c)大豆补充剂和大豆食品;(d)抗抑郁药;(e)冥想和放松;(f)月见草油;(g)抗高血压药;(h)顺势疗法。在至少5%的样本使用的替代疗法中,抗抑郁药被认为最有用。

结论

随着补充和替代医学的使用增加,医疗服务提供者熟悉各种方法很重要,这样他们就能自如地与患者讨论其益处和风险,以帮助患者做出明智的决定。

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