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加巴喷丁对绝经后女性潮热强度和持续时间的影响:一项随机对照试验。

The effect of gabapentin on intensity and duration of hot flashes in postmenopausal women: a randomized controlled trial.

作者信息

Saadati Najmieh, Mohammadjafari Razieh, Natanj Solmaz, Abedi Parvin

机构信息

PhD in Community Nutrition, Assistant professor in Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Glob J Health Sci. 2013 Sep 10;5(6):126-30. doi: 10.5539/gjhs.v5n6p126.

Abstract

BACKGROUND

Menopause is the stage of time in which the menstruation stops following the loss of ovarian activity. The purpose of this study was to find out the effectiveness of gabapentin on hot flashes in postmenopausal women.

MATERIALS & METHODS: A randomized controlled trial from Feb 2010 to 2011 was conducted. Sixty postmenopausal women who were referred to obstetrics and gynecology ward of two educational hospitals were recruited and divided into two groups (intervention and control). Intervention group received 300 mg gabapentin three times a day for three months, while control group received placebo. The Intensity and duration of hot flashes in women scored and recorded using visual analog scale. Independent, Paired t-test and chi-square test were used for analyzing data.

RESULTS

Intensity of hot flashes in the beginning of research in the intervention group was significantly different with the first, second and third follow-up visit (P<0.05). Also at the end of intervention a significant difference between intervention and control groups were observed regarding the intensity, frequency and duration of hot flashes (P<0.05 and P=0.01 respectively).

CONCLUSION

According to the findings of this study; it appears that the use of gabapentin could decrease the intensity, duration and frequency of hot flashes in postmenopausal women. For postmenopausal women who hormone therapy is contraindicated, gabapentine could be an acceptable alternative.

摘要

背景

更年期是卵巢功能丧失后月经停止的阶段。本研究的目的是探讨加巴喷丁对绝经后女性潮热的疗效。

材料与方法

2010年2月至2011年进行了一项随机对照试验。招募了60名转诊至两家教学医院妇产科病房的绝经后女性,并将其分为两组(干预组和对照组)。干预组每天三次服用300毫克加巴喷丁,持续三个月,而对照组服用安慰剂。使用视觉模拟量表对女性潮热的强度和持续时间进行评分和记录。采用独立样本t检验、配对t检验和卡方检验进行数据分析。

结果

干预组研究开始时潮热强度与首次、第二次和第三次随访时有显著差异(P<0.05)。此外,在干预结束时,干预组和对照组在潮热强度、频率和持续时间方面存在显著差异(分别为P<0.05和P=0.01)。

结论

根据本研究结果;似乎使用加巴喷丁可以降低绝经后女性潮热的强度、持续时间和频率。对于激素治疗禁忌的绝经后女性,加巴喷丁可能是一种可接受的替代药物。

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