雌激素替代疗法的利与弊.pdfVIP

2006 1271301 雌激素替代疗法的利与弊 * 章婷婷 刚 君 方小玲 : 随着妇女社会地位的提高, 以及人们对健康与生活质量要 的提高, 绝经后雌激素替代疗法(HRT) 日益成为人们关注 的话题,越来越多的妇女选择在进入围绝经期后开始接受HRT,以改善因内源性雌激素分泌不足而引起的种种不适, 确实 提高了生活质量但是,这种方法有增加子宫内膜癌乳腺癌等其他疾病发病率的潜在危险, 于是我们在临床应用时应该 用辨证的眼光去看待它,试图抓住其主要矛盾, 尽可能扬其利, 避其害,以达到安全而有效地提高广大中老年妇女生活质量 的目的 :绝经期; 雌激素替代疗法;辩证法 :R459. 1 :A : 1002- 0772(2006)01- 0046- 03 Advantages and Disadvantages of Hormone Replacement Treatment ZHANG Tingting , GANG Jun. The Second X iangy a H osp ital , Changsha 410011, China Abstract:With the increase ent of wo en s social standand and people s require ent for better health and living quality, Hor one Re place ent Treat ent(HRT) is beco ing a noticeable topic day by day. More and ore wo en are taking HRT when they enter peri- enopausal period in order to i prove various indisposition caused by inadequate endogenous estrogen secretion. It does have i proved their life quality. But thistreat ent has thepotential harzard to increasethe orbility of the carcino aof endo etriu and carcino a of breast. Thus we should look at this issue in a dialecticway, trying to catch the ain conflicts andtake advantage of its benefits and avoid its har in order to i provethe living quality of the iddle- aged and elderlywo en in a safe and efficient way. Key Words : enopause; hor one replace ent teat ent;HRT; dialectics (Hor ,, , one Replace ent Treat ent,HRT)50 ,LDL- C ,HDL- C , ,HRT , (LDL- C/ HDL- C) , , , , 1 HRT 1998 , 1. 1 HRT ,, ,HRT , ,,, , , 20 90 , , ,,