月经前失调障碍的管理:一个范围审查
Sara V Carlini1, Teresa Lanza di Scalea1, Stephanie Trentacoste McNally1
1Department of Psychiatry, Maimonides Medical Center, Brooklyn, NY, USA (Carlini); Departments of Psychiatry & Behavioral Sciences and Women's Health, Dell Medical School, University of Texas at Austin, Austin, TX, USA (Lanza di Scalea); Department of Obstetrics and Gynecology, Katz Institute for Women's Health, Queens, NY, USA (McNally); Health Science Library, Long Island Jewish Medical Center, Northwell Health, New Hyde Park, NY, USA (Lester); Departments of Psychiatry, Molecular Medicine, and Obstetrics & Gynecology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA (Deligiannidis).
选择性血清素再吸收抑制剂 (SSRI) 和口服避孕药对月经前失调障碍 (PMDD) 和月经前综合征 (PMS) 有效. 其他治疗方法有希望,但需要更多的研究.
科学领域:
- 生殖内分泌学和精神病学
- 妇女健康 妇女健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 月经前失调障碍 (PMDD) 和月经前综合征 (PMS) 是在黄体阶段以周期性情绪和身体症状为特征的疾病.
- 对PMDD和PMS的有效管理策略对于改善妇女生活质量至关重要.
研究的目的:
- 在过去二十年中对PMDD和PMS治疗的研究进行临床专注的范围审查.
- 评估和总结药理,非药理和手术干预的证据.
主要方法:
- 在PubMed/Medline,Cochrane图书馆,Embase和Web of Science数据库中进行了全面的文献搜索.
- 包括194项专注于成年女性治疗选择的研究进行了审查.
- 评估了药物,补充/替代医学和手术干预的证据质量.
主要成果:
- 选择性血清素再吸收抑制剂 (SSRI) 和联合口服避孕药 (COC) 证明了PMDD/PMS治疗的最高质量的证据.
- 激素释放激素 (GnRH) 激动剂和手术对耐火病例是有效的.
- 替代性和补充性疗法 (营养药,针,) 显示出一些疗效,但研究质量各不相同.
结论:
- SSRI和COC是PMDD和PMS的主要基于证据的治疗方法.
- GnRH激动剂和手术为严重的,耐治疗的疾病提供了选择.
- 需要进一步进行高质量的研究,以验证补充和替代医学治疗.
更多相关视频
07:36Analysis of Raw and Processed Cyperi Rhizoma Samples Using Liquid Chromatography-Tandem Mass Spectrometry in Rats with Primary Dysmenorrhea
Published on: December 23, 2022
04:33Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
相关概念视频
Depressive Disorders: MDD and Dysthymia
Disorders of the Female Reproductive System
Depression: Overview
Depressive Disorders: Etiology
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Bipolar Disorder
Antidepressant Drugs: MAOIs and Other Agents
