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非马瑞林治疗绝经后妇女更年期综合征的疗效:一项开放标签试验。

Efficacy of Femarelle for the treatment of climacteric syndrome in postmenopausal women: An open label trial.

作者信息

Chen Fang-Ping, Chang Chee Jen, Chao An-Shine, Huang Hong-Yuan, Huang Jian-Pei, Wu Meng-Hsing, Tsai Ching-Chou, Kung Fu-Tsai, Chang Ching-Wen, Tsai Yung-Chieh

机构信息

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Linkou and Kaohsiung, Chang Gung University, Taoyuan, Taiwan.

Clinical Informatics and Medical Statistics Research Center, Chang Gung University, Taoyuan, Taoyuan, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2016 Jun;55(3):336-40. doi: 10.1016/j.tjog.2016.04.008.

Abstract

OBJECTIVE

To assess the effects of 2 months of treatment with Femarelle for climacteric syndrome in Taiwanese postmenopausal women.

MATERIALS AND METHODS

A multi-center, open-label trial of 260 postmenopausal women, age ≥ 45 years with vasomotor symptoms. Women were enrolled after obtaining a detailed medical history and a thorough physical examination. They then received Femarelle (640 mg/d) twice daily for 8 weeks. The primary outcome was the changes in the frequency and severity of hot flushes from baseline to 4 weeks (1 month) and 8 weeks (2 months). Changes of general climacteric syndrome were assessed using a modified climacteric scale designed by Greene.

RESULTS

The frequency and severity of hot flushes were significantly improved with Femarelle use (p < 0.001). After 8 weeks of treatment, the percentage of women with various climacteric syndromes was reduced (from 100% to 20.9% for hot flushes, from 97.7% to 87.9% for psychological symptoms, from 93.8% to 78.8% for somatic symptoms, and from 87.8% to 74.9% for sexual symptoms). General climacteric syndrome scores also significantly decreased, from 20.8 ± 0.7 at the time of enrollment to 12.9 ± 0.7 after 8 weeks of Femarelle treatment (p < 0.0001). Participants experienced improvement of various climacteric symptoms and signs after 8 weeks of treatment (75.1% for hot flushes, 68.7% for psychological symptoms, 70.6% for somatic symptoms, and 69.0% for sexual problems respectively). After 4 weeks and 8 weeks of treatment with Femarelle, patients showed statistically significant improvement in climacteric symptoms (p < 0.0001). Three women (1.2%) withdrew from the study after 4 weeks of treatment due to adverse effects.

CONCLUSION

Femarelle significantly improved climacteric symptoms in Taiwanese postmenopausal women. However, further evaluation is needed regarding the safety of long-term consumption.

摘要

目的

评估服用Femarelle治疗2个月对台湾绝经后妇女更年期综合征的影响。

材料与方法

一项针对260名年龄≥45岁且有血管舒缩症状的绝经后妇女的多中心开放标签试验。在获取详细病史和进行全面体格检查后招募妇女。然后她们每天服用两次Femarelle(640毫克/天),持续8周。主要结局是潮热频率和严重程度从基线到4周(1个月)和8周(2个月)的变化。使用Greene设计的改良更年期量表评估一般更年期综合征的变化。

结果

服用Femarelle后潮热的频率和严重程度显著改善(p<0.001)。治疗8周后,患有各种更年期综合征的妇女百分比降低(潮热从100%降至20.9%,心理症状从97.7%降至87.9%,躯体症状从93.8%降至78.8%,性症状从87.8%降至74.9%)。一般更年期综合征评分也显著降低,从入组时的20.8±0.7降至Femarelle治疗8周后的12.9±0.7(p<0.0001)。治疗8周后,参与者的各种更年期症状和体征有所改善(潮热改善75.1%,心理症状改善68.7%,躯体症状改善70.6%,性问题改善69.0%)。服用Femarelle治疗4周和8周后,患者的更年期症状有统计学意义的改善(p<0.0001)。3名妇女(1.2%)在治疗4周后因不良反应退出研究。

结论

Femarelle显著改善了台湾绝经后妇女的更年期症状。然而,需要对长期服用的安全性进行进一步评估。

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