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按摩疗法对绝经后女性失眠的有益影响。

The beneficial effects of massage therapy for insomnia in postmenopausal women.

作者信息

Hachul H, Oliveira D S, Bittencourt L R A, Andersen M L, Tufik S

机构信息

Departamento de Ginecologia e Psicobiologia, Universidade Federalde São Paulo (UNIFESP), Rua Napoleão de Barros, 925, São Paulo, Brazil ; Casa de Saúde Santa Marcelina, Rua Santa Marcelina, 177, São Paulo, Brazil.

Departamento de Ginecologia, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 925, São Paulo, Brazil.

出版信息

Sleep Sci. 2014 Jun;7(2):114-6. doi: 10.1016/j.slsci.2014.09.005. Epub 2014 Sep 16.

Abstract

With increases life expectancy, the incidence of undesirable manifestations of menopause has increased as well. The effects of lost ovarian function include progressive decrease in estradiol secretion, trophic changes in the breast, vasomotor symptoms, anxiety, depression, and sleep disorders. Insomnia, which has physiological consequences and can result in a loss of quality of life, is prevalent in women after menopause. Hormone therapy has been widely used to reduce menopausal symptoms, but its use in recent years has been questioned because of the reported risks of cardiovascular events and increased incidence of tumors. This controversy has generated significant interest in non-hormonal treatments among both physicians and patients. Our previous research has shown a positive effect of massage therapy on menopausal symptoms. We explored the hypothesis that massage therapy would produce beneficial effects in postmenopausal women through inflammatory and immunological changes. Recent results from self-report questionnaires have shown improvements in sleep pattern and quality of life following massage therapy. These findings demonstrate the effectiveness of massage therapy for the treatment of postmenopausal symptoms, particularly insomnia, and indicate that it is a promising line of research.

摘要

随着预期寿命的增加,更年期不良表现的发生率也有所上升。卵巢功能丧失的影响包括雌二醇分泌逐渐减少、乳房的营养变化、血管舒缩症状、焦虑、抑郁和睡眠障碍。失眠在绝经后女性中很普遍,它会产生生理后果并可能导致生活质量下降。激素疗法已被广泛用于减轻更年期症状,但近年来由于报道的心血管事件风险和肿瘤发病率增加,其使用受到质疑。这一争议引起了医生和患者对非激素治疗的极大兴趣。我们之前的研究表明按摩疗法对更年期症状有积极作用。我们探讨了按摩疗法通过炎症和免疫变化对绝经后女性产生有益影响的假设。自我报告问卷的最新结果显示,按摩疗法后睡眠模式和生活质量有所改善。这些发现证明了按摩疗法治疗绝经后症状,尤其是失眠的有效性,并表明这是一个有前景的研究方向。

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