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钙对经前综合征的影响:一项双盲随机临床试验。

Effect of calcium on premenstrual syndrome: A double-blind randomized clinical trial.

作者信息

Shobeiri Fatemeh, Araste Fahimeh Ezzati, Ebrahimi Reihaneh, Jenabi Ensiyeh, Nazari Mansour

机构信息

Maternal and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Midwifery, Tuyserkan Branch, Islamic Azad University, Tuyserkan, Iran.

出版信息

Obstet Gynecol Sci. 2017 Jan;60(1):100-105. doi: 10.5468/ogs.2017.60.1.100. Epub 2017 Jan 15.

Abstract

OBJECTIVE

Premenstrual syndrome (PMS) affects millions of women and is known as the most important disorder among them. The very aim of the present study was to evaluate the effects of low dose calcium on severity of PMS.

METHODS

This study can be considered as a double-blind randomized clinical trial. Female students of Hamadan University of Medical Sciences diagnosed with PMS in 2014 participated in the present study. Sixty-six female students diagnosed with PMS were involved in the experimental and control groups. The participants were randomly assigned into two groups to receive 500 mg of calcium daily or placebo for two months. Severity of PMS was detected by Daily Record of Severity of Problems, which was used to measure symptoms during one menstrual cycle before and two menstrual cycles after the intervention.

RESULTS

No signifcant differences were observed in the mean scores of PMS symptoms between calcium and placebo groups before the treatment (=0.74). However, signifcant differences were noticed between the two intervention groups in the first (=0.01) and second menstrual cycles (=0.001) after the intervention. The differences were significant in subgroups of anxiety, depression, emotional changes, water retention, and somatic changes in calcium group compared with placebo group in the menstrual cycle before the intervention and two menstrual cycles after the intervention and among menstrual cycles (0, cycle 1, cycle 2) in calcium group (=0.01).

CONCLUSION

Overall, the results of the present study suggest that treatment with calcium supplements is an effective method for reducing mood disorders during PMS.

摘要

目的

经前期综合征(PMS)影响着数百万女性,是其中最重要的病症。本研究的目的是评估低剂量钙对经前期综合征严重程度的影响。

方法

本研究可视为一项双盲随机临床试验。2014年被诊断为经前期综合征的哈马丹医科大学女学生参与了本研究。66名被诊断为经前期综合征的女学生被纳入实验组和对照组。参与者被随机分为两组,连续两个月每天分别服用500毫克钙或安慰剂。经前期综合征的严重程度通过问题严重程度每日记录来检测,该记录用于测量干预前一个月经周期和干预后两个月经周期的症状。

结果

治疗前,钙组和安慰剂组经前期综合征症状的平均得分无显著差异(P = 0.74)。然而,干预后的第一个月经周期(P = ......(此处原文“=0.01”表述有误,可能是想表达P值为0.01))和第二个月经周期(P = 0.001),两组干预组之间存在显著差异。在干预前的月经周期以及干预后的两个月经周期中,与安慰剂组相比,钙组在焦虑、抑郁、情绪变化、水潴留和躯体变化亚组中的差异显著,且在钙组的月经周期(0、第1周期、第2周期)之间也存在显著差异(P = 0.01)。

结论

总体而言,本研究结果表明,补充钙是减轻经前期综合征期间情绪障碍的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c8/5313351/9a5f32e3c2b6/ogs-60-100-g001.jpg

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