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一种新型改良中药更年春配方颗粒对中国围绝经期和绝经后女性潮热、抑郁、焦虑及睡眠的影响:一项随机安慰剂对照试验

The effects of a new, improved Chinese medicine, Gengnianchun formula granules, on hot flushes, depression, anxiety, and sleep in Chinese peri- and postmenopausal women: a randomized placebo-controlled trial.

作者信息

Zhang Yang, Cao Yuankui, Wang Li

机构信息

Obstetrics and Gynecology Hospital, Fudan University, Shanghai, People's Republic of China.

出版信息

Menopause. 2020 Aug;27(8):899-905. doi: 10.1097/GME.0000000000001558.

Abstract

OBJECTIVE

The aim of the study was to investigate the effectiveness and safety of a new, improved herbal formula of a traditional Chinese medicine, improved Gengnianchun (I-GNC), on hot flushes, depression, anxiety, and sleep in peri- and postmenopausal women in China.

METHODS

A randomized, single-blind, placebo-controlled trial of peri- and postmenopausal women with Kupperman Index (KMI) scores of 15 or higher was conducted for 12 weeks. Hot flush frequencies, KMI scores, Hamilton depression scale scores, Hamilton anxiety scale scores, and Pittsburgh Sleep Quality Index scores were evaluated. Each outcome was evaluated every 4 weeks.

RESULTS

Ninety-eight participants completed the study. The I-GNC formula significantly reduced the mean (SD) frequency of hot flushes from 7 (4.554) to 1.2 (1.675) in the I-GNC group and from 6.74 (3.43) to 3.66 (2.635) in the placebo group (P < 0.01). The KMI (P < 0.01), Hamilton depression scale (P < 0.01), and Hamilton anxiety scale (P < 0.01) scores decreased in both groups after treatment, and significant differences were observed between the two groups (P < 0.01); however, no significant difference in the Pittsburgh Sleep Quality Index score was observed. I-GNC had no effect on serum follicle-stimulating hormone or E2 levels. There were no obvious adverse effects.

CONCLUSIONS

The traditional Chinese medicine herbal formula I-GNC can alleviate the symptoms of menopausal syndrome and improve quality of life among peri- and postmenopausal women. I-GNC is safe and has no notable adverse effects.

摘要

目的

本研究旨在探讨一种新的、改良的中药复方更年春(I-GNC)对中国围绝经期和绝经后女性潮热、抑郁、焦虑及睡眠的有效性和安全性。

方法

对库珀曼指数(KMI)评分在15分及以上的围绝经期和绝经后女性进行了一项为期12周的随机、单盲、安慰剂对照试验。评估潮热频率、KMI评分、汉密尔顿抑郁量表评分、汉密尔顿焦虑量表评分和匹兹堡睡眠质量指数评分。每4周对各项结果进行评估。

结果

98名参与者完成了研究。I-GNC组潮热的平均(标准差)频率从7次(4.554)显著降低至1.2次(1.675),安慰剂组从6.74次(3.43)降至3.66次(2.635)(P<0.01)。两组治疗后KMI评分(P<0.01)、汉密尔顿抑郁量表评分(P<0.01)和汉密尔顿焦虑量表评分(P<0.01)均下降,且两组间差异有统计学意义(P<0.01);然而,匹兹堡睡眠质量指数评分未观察到显著差异。I-GNC对血清促卵泡生成素或雌二醇水平无影响。未观察到明显不良反应。

结论

中药复方I-GNC可缓解围绝经期和绝经后女性的更年期综合征症状,提高生活质量。I-GNC安全,无明显不良反应。

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