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绝经后女性血压和血清钙水平变化的评估

Evaluation of the Changes of Blood Pressure and Serum Calcium Level In Postmenopausal Women.

作者信息

Dipa M I, Nessa A, Firoz S, Aktar N, Israt S, Sharmin A

机构信息

Dr Mahmoda Islam Dipa, M Phil (Thesis Part Student), Department of Physiology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

出版信息

Mymensingh Med J. 2020 Jul;29(3):509-515.

Abstract

Menopause is the permanent cessation of menstruation at the end of the reproductive life due to loss of ovarian follicular activity. The prevalence of hypertension in women increases after menopause, suggesting that an absence of female gonadal steroids may represent a major risk factor for postmenopausal hypertension. Menopause is the phase from where bone mineralization becomes critics because of various physiological and hormonal changes. Estrogen deficiency and age related processes alter the rate of calcium turnover in bone that the ageing women face. Both systolic and diastolic blood pressure is significantly higher and serum calcium level is significantly lower among post menopausal women as compared with reproductive aged women. The objective of the study was to assess the blood pressure and serum calcium level changes in healthy postmenopausal women in order to compare this parameter with healthy reproductive aged women. This comparative study was carried out in the Department of Physiology, Mymensingh Medical College, Mymensingh, Bangladesh from July 2018 to June 2019. Two hundred healthy women (100 female were postmenopausal as study group and 100 female were reproductive aged women as control group) aged between 25 to 65 years were enrolled in this study. Blood pressure was measured by indirect auscultatory method with an aneroid sphygmomanometer and serum calcium level of the individual was measured by enzymatic colorimetric method with o-cresoftaline-complexon. Data were expressed as mean±SD and statistical significance of difference among the group was calculated by unpaired students' 't' test. The mean value ±SD of blood pressure was higher and serum calcium level was lower in postmenopausal group in comparison to the reproductive women group. This study concludes, blood pressure increases and serum calcium level decreases in postmenopausal women.

摘要

更年期是由于卵巢卵泡活动丧失导致生殖生命结束时月经永久性停止。女性更年期后高血压患病率增加,这表明缺乏女性性腺类固醇可能是绝经后高血压的主要危险因素。更年期是骨矿化因各种生理和激素变化而变得关键的阶段。雌激素缺乏和与年龄相关的过程改变了老年女性面临的骨钙转换率。与生殖年龄女性相比,绝经后女性的收缩压和舒张压均显著升高,血清钙水平显著降低。本研究的目的是评估健康绝经后女性的血压和血清钙水平变化,以便将该参数与健康生殖年龄女性进行比较。这项比较研究于2018年7月至2019年6月在孟加拉国迈门辛医学院生理学系进行。本研究纳入了200名年龄在25至65岁之间的健康女性(100名绝经后女性作为研究组,100名生殖年龄女性作为对照组)。使用无液血压计通过间接听诊法测量血压,使用邻甲酚酞络合酮通过酶比色法测量个体的血清钙水平。数据以平均值±标准差表示,组间差异的统计学显著性通过非配对学生t检验计算。与生殖女性组相比,绝经后组的血压平均值±标准差更高,血清钙水平更低。本研究得出结论,绝经后女性血压升高,血清钙水平降低。

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