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小茴香和月见草油对更年期问题及激素水平影响的比较:一项随机对照试验

Comparison of the Effect of Fennel and Evening Primrose Oil on Menopausal Problems and Hormonal Levels: A Randomized Controlled Trial.

作者信息

Ghavi Fatemeh, Shakeri Fatemeh, Farahnaz Heshmat, Abdolahian Somayeh

机构信息

Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Midwifery, School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran.

出版信息

Iran J Nurs Midwifery Res. 2023 Jul 24;28(4):430-435. doi: 10.4103/ijnmr.ijnmr_149_22. eCollection 2023 Jul-Aug.

DOI:10.4103/ijnmr.ijnmr_149_22
PMID:37694196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10484391/
Abstract

BACKGROUND

Using natural oral supplements is one of the methods of complementary medicine that has been widely welcomed in the last decade Since studies have reported contradictory results for effectiveness of herbal medicines during menopause and no other more effective herbal medicine has been suggested yet, the researchers of this study decided to compare the fennel and Evening Primrose Oil (EPO) and their effect on menopause problems and sex hormones.

MATERIALS AND METHODS

The present study was a triple-blinded, controlled clinical trial with 125 participants randomly assigned to. An intervention group received fennel, another intervention group received evening primrose oil, and the placebo group received placebo twice daily for 8 weeks. Pre-intervention and post-intervention results were obtained using hormonal assay and the Menopause Rating Scale (MRS).

RESULTS

In this study, the mean follicle-stimulating hormone (FSH) and estradiol levels changed significantly in the fennel and EPO groups compared to placebo ( < 0.001). The difference in the mean FSH score between the fennel group and EPO group was not significant ( = 0.304), but the difference in the mean estradiol level between these groups was significant ( = 0.043). Moreover, there was a significant difference in the mean MRS score between the intervention groups before the intervention ( < 0.05). However, the difference in the mean MRS score between the fennel and EPO groups was not significant after the intervention ( = 0.322).

CONCLUSIONS

Consumption of fennel and EPO can significantly change FSH, estradiol, and psychological menopausal symptoms in postmenopausal women.

摘要

背景

使用天然口服补充剂是过去十年中广受欢迎的补充医学方法之一。由于研究报告了草药在更年期有效性方面相互矛盾的结果,且尚未有其他更有效的草药被提出,本研究的研究人员决定比较茴香和月见草油(EPO)及其对更年期问题和性激素的影响。

材料与方法

本研究是一项三盲、对照临床试验,125名参与者被随机分配。一个干预组服用茴香,另一个干预组服用月见草油,安慰剂组每天服用两次安慰剂,持续8周。干预前和干预后的结果通过激素检测和更年期评分量表(MRS)获得。

结果

在本研究中,与安慰剂组相比,茴香组和EPO组的平均促卵泡生成素(FSH)和雌二醇水平有显著变化(<0.001)。茴香组和EPO组之间的平均FSH评分差异不显著(=0.304),但这些组之间的平均雌二醇水平差异显著(=0.043)。此外,干预组干预前的平均MRS评分存在显著差异(<0.05)。然而,干预后茴香组和EPO组之间的平均MRS评分差异不显著(=0.322)。

结论

食用茴香和EPO可显著改变绝经后女性的FSH、雌二醇和更年期心理症状。

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本文引用的文献

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Review & meta-analysis: isopropanolic black cohosh extract iCR for menopausal symptoms - an update on the evidence.综述与荟萃分析:异丙醇黑升麻提取物 iCR 治疗更年期症状——证据更新。
Climacteric. 2021 Apr;24(2):109-119. doi: 10.1080/13697137.2020.1820477. Epub 2020 Oct 6.
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Investigation of the role of herbal medicine, acupressure, and acupuncture in the menopausal symptoms: An evidence-based systematic review study.
草药、指压按摩和针灸在更年期症状中的作用研究:一项基于证据的系统评价研究。
J Family Med Prim Care. 2020 Jun 30;9(6):2638-2649. doi: 10.4103/jfmpc.jfmpc_1094_19. eCollection 2020 Jun.
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The psychometric properties of the Persian menopause rating scale.波斯绝经评定量表的心理计量学特性。
BMC Womens Health. 2020 Aug 12;20(1):172. doi: 10.1186/s12905-020-01027-0.
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Menopausal Hormone Therapy and Risk of Endometrial Cancer: A Systematic Review.绝经激素治疗与子宫内膜癌风险:一项系统评价
Cancers (Basel). 2020 Aug 6;12(8):2195. doi: 10.3390/cancers12082195.
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Effect of Vitamin D on the Vaginal Health of Menopausal Women: A Systematic Review.维生素D对绝经后女性阴道健康的影响:一项系统评价
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Front Endocrinol (Lausanne). 2020 Jan 30;10:942. doi: 10.3389/fendo.2019.00942. eCollection 2019.
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Impact of evening primrose oil consumption on psychological symptoms of postmenopausal women: a randomized double-blinded placebo-controlled clinical trial.月见草油对绝经后妇女心理症状的影响:一项随机、双盲、安慰剂对照的临床试验。
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