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更年期的补充和替代医学

Complementary and Alternative Medicine for Menopause.

作者信息

Johnson Alisa, Roberts Lynae, Elkins Gary

机构信息

1 Baylor University, Waco, TX, USA.

出版信息

J Evid Based Integr Med. 2019 Jan-Dec;24:2515690X19829380. doi: 10.1177/2515690X19829380.

Abstract

Menopause is associated with problematic symptoms, including hot flashes, sleep problems, mood disorders, sexual dysfunction, weight gain, and declines in cognitive functioning. Many women seek complementary and alternative medicine (CAM) for symptom management. This article critically reviews the existing literature on CAM treatments most commonly used for menopausal symptoms. Electronic searches were conducted to identify relevant, English-language literature published through March 2017. Results indicate that mind and body practices may be of benefit in reducing stress and bothersomeness of some menopausal symptoms. In particular, hypnosis is a mind-body intervention that has consistently shown to have a clinically significant effect on reducing hot flashes. Evidence is mixed in regard to the efficacy of natural products and there are some safety concerns. Health care providers should consider the evidence on CAM in providing an integrative health approach to menopausal symptom management.

摘要

更年期与一些问题症状相关,包括潮热、睡眠问题、情绪障碍、性功能障碍、体重增加以及认知功能下降。许多女性寻求补充和替代医学(CAM)来管理这些症状。本文对最常用于更年期症状的补充和替代医学治疗的现有文献进行了批判性综述。通过电子检索来识别截至2017年3月发表的相关英文文献。结果表明,身心锻炼可能有助于减轻某些更年期症状的压力和困扰。特别是,催眠是一种身心干预方法,一直显示出对减轻潮热有临床显著效果。关于天然产品的疗效证据不一,并且存在一些安全问题。医疗保健提供者在提供综合健康方法来管理更年期症状时应考虑补充和替代医学的证据。

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