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激素替代疗法对绝经后女性情绪和睡眠质量的影响。

Effects of hormone replacement therapy on mood and sleep quality in menopausal women.

作者信息

Liu Qing, Huang Zhen, Xu Ping

机构信息

Department of Gynecology, Ganzhou Women's and Children's Hospital, Ganzhou 341000, Jiangxi Province, China.

出版信息

World J Psychiatry. 2024 Jul 19;14(7):1087-1094. doi: 10.5498/wjp.v14.i7.1087.

Abstract

BACKGROUND

Hormone replacement therapy is an effective treatment strategy for the management of symptoms in naturally menopausal women. However, some patients report experiencing adverse effects.

AIM

To analyze the effects of hormone replacement therapy in menopausal female patients.

METHODS

A total of 152 menopausal female patients admitted to the Gynecology Department of the Ganzhou Maternal and Child Health Hospital between January 2021 and December 2023 were divided into the observation group ( = 76, conventional treatment + hormone replacement therapy) and the control group ( = 76, conventional treatment only) random casting. The improvement observed in the following items were compared between the groups: Kupperman menopausal index (KMI), emotional state [The Positive and Negative Affect Scale (PANAS)], sleep quality [Self-Rating Scale of Sleep (SRSS)], treatment effectiveness, and treatment safety.

RESULTS

The modified KMI and SRSS scores of the observation group were lower than those of the control group after three rounds of treatment. The improvement in the PANAS score observed in the observation group was greater than that observed in the control group ( < 0.05). The total treatment effectivity rate in the observation group was higher than that in the control group (86.84% 96.05%, = 4.121, = 0.042). The incidence rate of adverse reactions in the two groups was comparable (6.58% 9.21%, = 0.361, = 0.547).

CONCLUSION

Hormone replacement therapy effectively improved the clinical symptoms, actively channeled negative emotions, and improved the quality of sleep in menopausal patients, indicating its effectiveness and safety.

摘要

背景

激素替代疗法是治疗自然绝经女性症状的有效策略。然而,一些患者报告有不良反应。

目的

分析激素替代疗法对绝经女性患者的影响。

方法

选取2021年1月至2023年12月在赣州市妇幼保健院妇科住院的152例绝经女性患者,随机分为观察组(n = 76,常规治疗 + 激素替代疗法)和对照组(n = 76,仅常规治疗)。比较两组在以下项目上观察到的改善情况:库珀曼绝经指数(KMI)、情绪状态[正负性情绪量表(PANAS)]、睡眠质量[睡眠自评量表(SRSS)]、治疗效果和治疗安全性。

结果

经过三轮治疗后,观察组的改良KMI和SRSS评分低于对照组。观察组观察到的PANAS评分改善大于对照组(P < 0.05)。观察组的总治疗有效率高于对照组(86.84%对96.05%,Z = 4.121,P = 0.042)。两组不良反应发生率相当(6.58%对9.21%,Z = 0.361,P = 0.547)。

结论

激素替代疗法有效改善了绝经患者的临床症状,积极疏导了负面情绪,提高了睡眠质量,表明其有效性和安全性。

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