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绝经后女性的“褪黑素替代疗法”:是否合理?

"Melatonin replacement therapy" for postmenopausal women: is it justified?

作者信息

Brzezinski A

机构信息

Department of Obstetrics and Gynecology, Hebrew University Hadassah Medical School, Jerusalem, Israel.

出版信息

Menopause. 1998 Spring;5(1):60-4.

PMID:9689196
Abstract

OBJECTIVE

Aging, sleep, and breast cancer are important concerns of postmenopausal women. There now is evidence that melatonin, the hormone secreted by the pineal gland, may have a role in the regulation of various human biological processes including sleep, tumor growth, and perhaps aging. The current knowledge concerning these questions is briefly and critically reviewed.

CONCLUSIONS

Melatonin might be implicated in menopause-associated processes such as insomnia, breast cancer, and general aging. Its beneficial effect on sleep has been demonstrated in controlled clinical trials, however, "melatonin replacement therapy" for all postmenopausal women is currently unjustified.

摘要

目的

衰老、睡眠和乳腺癌是绝经后女性关注的重要问题。目前有证据表明,松果体分泌的褪黑素可能在调节包括睡眠、肿瘤生长以及可能的衰老在内的各种人类生物过程中发挥作用。本文对有关这些问题的现有知识进行了简要且批判性的综述。

结论

褪黑素可能与绝经相关的过程有关,如失眠、乳腺癌和全身衰老。其对睡眠的有益作用已在对照临床试验中得到证实,然而,目前对所有绝经后女性进行“褪黑素替代疗法”是不合理的。

相似文献

1
"Melatonin replacement therapy" for postmenopausal women: is it justified?绝经后女性的“褪黑素替代疗法”:是否合理?
Menopause. 1998 Spring;5(1):60-4.
2
Melatonin and climactery.褪黑素与更年期
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[Melatonin as a regulator of human sleep and circadian systems].[褪黑素作为人类睡眠和昼夜节律系统的调节因子]
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Does melatonin play a role in aging processes?褪黑素在衰老过程中起作用吗?
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J Pineal Res. 2005 Apr;38(3):145-52. doi: 10.1111/j.1600-079X.2004.00196.x.
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[Melatonin: a popular hormone].褪黑素:一种广为人知的激素
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The ageing pineal gland and its physiological consequences.衰老的松果体及其生理后果。
Bioessays. 1992 Mar;14(3):169-75. doi: 10.1002/bies.950140307.
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Circadian rhythm of melatonin in postmenopausal asthmatic women with hormone replacement therapy.接受激素替代疗法的绝经后哮喘女性褪黑素的昼夜节律
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Reproductive hormones, aging, and sleep.生殖激素、衰老与睡眠。
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引用本文的文献

1
Depressive Symptoms, Sleep Profiles and Serum Melatonin Levels in a Sample of Breast Cancer Patients.一组乳腺癌患者的抑郁症状、睡眠状况及血清褪黑素水平
Nat Sci Sleep. 2020 Feb 13;12:135-149. doi: 10.2147/NSS.S206768. eCollection 2020.
2
Melatonin and health: an umbrella review of health outcomes and biological mechanisms of action.褪黑素与健康:健康结局及生物学作用机制的综合评价
BMC Med. 2018 Feb 5;16(1):18. doi: 10.1186/s12916-017-1000-8.
3
The Effect of Melatonin on Climacteric Symptoms in Menopausal Women; A Double-Blind, Randomized Controlled, Clinical Trial.
褪黑素对绝经后女性更年期症状的影响;一项双盲、随机对照临床试验。
Iran J Public Health. 2014 Oct;43(10):1405-16.