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人参对更年期妇女性功能障碍的影响:一项双盲、随机、对照试验。

The effect of ginseng on sexual dysfunction in menopausal women: A double-blind, randomized, controlled trial.

机构信息

Students' Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Iran.

Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Iran.

出版信息

Complement Ther Med. 2019 Aug;45:57-64. doi: 10.1016/j.ctim.2019.05.015. Epub 2019 May 22.

Abstract

OBJECTIVES

Sexual problems constitute a largely-overlooked problem for women during menopause. The present study was conducted to determine the effect of Ginseng on sexual function (primary outcome), quality of life and menopausal symptoms (secondary outcomes) in postmenopausal women with sexual dysfunction.

DESIGN

This randomized controlled trial was conducted on 62 women who were randomly assigned to the intervention/control groups using block randomization.

INTERVENTION

The intervention group received 500 mg of Panax Ginseng and the control group received placebo twice daily for four weeks.

MAIN OUTCOME MEASURES

Standard questionnaires including the Female Sexual Function Index (FSFI), the Menopause-Specific Quality of Life (MENQOL) and the Greene Menopausal Symptom Scale were completed before and four weeks after the intervention.

RESULTS

There were no statistically significant differences between the two groups in terms of demographic characteristics and the baseline scores of sexual function, quality of life and menopausal symptoms (P > 0.05). After the intervention, the mean total score of FSFI (Adjusted Mean Difference = 6.32, 95% CI = 3.48 to 9.16, P < 0.001) was significantly higher in the intervention group compared to the control group. The mean total score of quality of life (AMD=-20.79, 95% CI=-25.83 to -15.75, P < 0.001) and menopausal symptoms (AMD=-8.25, 95% CI=-10.55 to -5.95, P < 0.001) were significantly lower in the treatment group than the control group.

CONCLUSION

Ginseng has significant effects in improving sexual function and quality of life and mitigating menopausal symptoms. As a multipotent plant, Ginseng can be a suitable alternative for conventional therapies to promote the health of menopausal women.

摘要

目的

性问题是绝经后女性一个被严重忽视的问题。本研究旨在探讨人参对性功能障碍绝经后妇女的性功能(主要结局)、生活质量和更年期症状(次要结局)的影响。

设计

本随机对照试验纳入 62 名女性,采用区组随机化方法分为干预组和对照组。

干预措施

干预组每天服用 500 毫克人参,对照组服用安慰剂,疗程为 4 周。

主要结局测量指标

采用女性性功能指数(FSFI)、绝经特异性生活质量(MENQOL)和格林更年期症状量表等标准问卷,在干预前和干预 4 周后进行评估。

结果

两组在人口统计学特征和性功能、生活质量和更年期症状的基线评分方面无统计学差异(P>0.05)。干预后,干预组 FSFI 总分的平均值(调整均数差值=6.32,95%可信区间=3.48 至 9.16,P<0.001)明显高于对照组,生活质量总分的平均值(AMD=-20.79,95%可信区间=-25.83 至-15.75,P<0.001)和更年期症状总分的平均值(AMD=-8.25,95%可信区间=-10.55 至-5.95,P<0.001)均明显低于对照组。

结论

人参对改善性功能、生活质量和缓解更年期症状具有显著效果。作为一种多能植物,人参可以作为常规疗法的替代方法,促进绝经后妇女的健康。

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