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绝经时的记忆功能:年龄对卵巢切除女性的影响。

Memory functioning at menopause: impact of age in ovariectomized women.

作者信息

Nappi R E, Sinforiani E, Mauri M, Bono G, Polatti F, Nappi G

机构信息

Department of Obstetrics and Gynecology, IRCCS S. Matteo, IRCCS Mondino, University Center of Adaptive Disorders and Headache, University of Pavia, Italy.

出版信息

Gynecol Obstet Invest. 1999;47(1):29-36. doi: 10.1159/000010058.

Abstract

Estrogens are known to act selectively on some components of memory, exerting beneficial effects on cognitive performances. However, there are few data on the long-term effect of the lack of estrogen in postmenopausal women. Therefore, we investigated attentive and verbal memory performances in physiological and surgical menopause, drawing attention to the impact of age at menopause, and we compared a well-known aging and estrogen-dependent index, the entity of bone mass loss to memory functioning. No significant differences were found in the mean scores of attentive and psychomotor performances between physiological and surgical menopause, whereas a lower number of recalled words (recency effect = PS2) was found in surgical menopause (p < 0.001) in comparison to physiological menopause. In addition, both the age at the time of ovariectomy (r = 0.47; p = 0. 014) and the years since surgery (r = -0.64; p = 0.000) correlated to short-term verbal memory performance (PS2) with better scores when surgery occurred later in women's lives. Surgical menopause is able to affect short-term verbal memory more than physiological menopause and seems to represent a critical negative event within the female brain, in particular when it occurs prematurely.

摘要

已知雌激素可选择性作用于记忆的某些成分,对认知表现产生有益影响。然而,关于绝经后女性缺乏雌激素的长期影响的数据很少。因此,我们研究了生理性绝经和手术绝经中的注意力和言语记忆表现,关注绝经年龄的影响,并将一个著名的衰老和雌激素依赖指标——骨量丢失量与记忆功能进行了比较。生理性绝经和手术绝经之间的注意力和心理运动表现的平均得分没有显著差异,而与生理性绝经相比,手术绝经中回忆起的单词数量较少(近因效应=PS2)(p<0.001)。此外,卵巢切除时的年龄(r=0.47;p=0.014)和手术后的年限(r=-0.64;p=0.000)均与短期言语记忆表现(PS2)相关,女性在生命后期进行手术时得分更高。手术绝经比生理性绝经更能影响短期言语记忆,似乎是女性大脑中的一个关键负面事件,尤其是在过早发生时。

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