• Title/Summary/Keyword: 폐경기 증상

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Venlafaxine for Management of Hot Flashes: A Review of Randomized Controlled Trials in Human (Venlafaxine의 안면홍조 증상개선효과에 대한 최근 연구 고찰)

  • Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.2
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    • pp.138-144
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    • 2010
  • The results from eight randomized controlled studies demonstrate that venlafaxine is effective in the treatment of hot flashes with tolerable adverse effects. Based on the results of the above studies, venlafaxine can be recommended for the treatment of hot flashes. However, there are limitations in the above studies. The inclusion criteria of 5 studies reviewed in this paper was breast cancer patients, so it's hard to apply the results to the general population in clinical practice. Also 5 studies had less than 100 subjects included, and 18-week study was the longest one among studies reviewed in this paper. Therefore, large and long-term clinical studies with the general population should be conducted to use venlafaxine for the treatment of hot flashes in clinical practice.

Associations between Vasomotor Symptoms and Depression, Stress and Quality of Life in Midlife Women (중년여성에서의 혈관운동증상과 우울, 스트레스, 삶의 질과의 상관성)

  • Nam, Yoon-Min;Joe, Sook-Haeng;Kwon, Eun-Joo;Ham, Byung-Joo;Han, Chang-Su;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.146-156
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    • 2016
  • Objectives : The aim of this study was to evaluate the associations between vasomotor symptoms and factors such as sociodemographics, health behaviors, medical condition, depression, stress, anxiety, attitude toward menopause, and quality of life. Methods : We conducted a cross-sectional study in peri- and post-menopausal women enrolled by the Korean Association of Health Promotion. Subjects submitted self-report questionnaires about vasomotor symptoms and other clinical symptoms. Associations between vasomotor symptoms and clinical variables were analyzed using stepwise multiple regression analyses. Results : 1951 women completed self-report questionnaires and 1022 women were enrolled in the study. The prevalence of vasomotor symptoms in peri- and post-menopausal women was 63.9%. Variables showing significant differences between subjects with vasomotor symptoms and subjects without them were score of Beck Depression Inventory, Brief Encounter Psychosocial Instrument-Korean Version, proportions of clinically significant depression(Beck Depression Inventory ${\geq}16$), Menopausal rating scale, attitude towards menopause, the 4 subscales of World Health Organization Quality of Life-BREF(Physical health, psychological, social relationships, environment), and a History of Premenstrual syndrome/Premenstrual dysphoric disorder. Stepwise multiple regression analyses indicated that Beck Depression Inventory, Brief Encounter Psychosocial Instrument-Korean Version, Menopausal Rating Scale, and the Psychological subscale of World Health Organization Quality of Life -BREF show associations with vasomotor symptoms. Conclusions : Menopausal vasomotor symptoms are associated with various psychological factors, especially with depression. Midlife women suffering vasomotor symptoms should therefore be screened for depression. Future prospective studies where clinical subjects are diagnosed using structured interviews, focusing on the causal relationship between depression and vasomotor symptoms are necessary.

The Effect of Blood Nutrient Index on Depression (성인 여성의 혈액 영양소 지표가 우울지표에 미치는 영향)

  • Noh, Hyun Sun;Kim, Moon Ju
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.248-261
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    • 2021
  • The purpose of this study is that the blood nutrient indicator in adult women, is the depressive indicator. This study recruited 77 pre-menopausal women, and excluding missing values, 53 (mean age 44.2±6.5 years) blood indexes were statistically confirmed and then analyzed the effect of indexes on the Beck Depression Inventory. The Beck's Depression Inventory(BDI)'s average of the study subjects was 7.6±7.2, and most of the depression symptoms were within the normal range. Only two women were very serious and other two women were serious state. As a result of this study, 21 questions of BDI was classified into 5 sub-factors. Of these, 2 factors were considered physical depression, 1 factor was mood depression, 1 factor was cognitive depression, and 1 factor undecided. As a result of the correlation analysis, triglyceride, LDL(low density lipoprotein) cholesterol and potassium showed statistically significant positive relationship with depressive factors. On the other hand, HDL(high density lipoprotein) cholesterol, sodium and chloride ions showed negative relationship with depressive factors. When multiple regression analysis was performed. Considering the depression factors was dependent variable, and triglyceride, cholesterol, blood sugar, and ketone bodies was considered as independent variables. HDL(high density lipoprotein) cholesterol had a statistically significant negative effect on the depression factor 3. Considering the depression factors was dependent variable, and minerals were considered as independent variables. Potassium had a positive effect, and chloride ions had a negative effect on the depressive factor 3. This study was limited to 77 pre-menopausal women. In the future, post-menopausal women, men, and clinical neurological disorders group will be possible.

Effect of Koryo Hand Therapy on Menopausal Symptoms and Attitude in Perimenopausal Women (수지요법이 폐경증상과 태도에 미치는 효과)

  • Shin, Hye-Sook;Song, Young-A
    • Journal of East-West Nursing Research
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    • v.12 no.1
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    • pp.25-32
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    • 2006
  • Purpose: This study was to examine the effects of Koryo Hand Therapy on menopausal symptoms and attitude in permenopausal women. Methods: The research design was a nonequivalent controlgroup pretest-posttes. The subjects consisted of 45 women between the ages of 40 and 60 years in the Gyeonggi-do, Korea. There were 23 women in the experimental group and 22 in the control group. In this study, the experimental group received KHT of three times a week, for a total of 8weeks. The instruments for this study were to measure the effects of KHT were the menopausal symptoms scale and attitudes to the menopause(Maoz, Downty, Antonovsky & Wijsenbeek, 1970). The data were analyzed by $X^2$-test and Fisher's Exact Test, Mann-Whitney U-test, Wilcoxon signed rank test procedures, using SPSS/Win PC 13.0. Results: For menopausal symptoms, there were statistically significant differences between experimental group and control group. For menopausal attitudes, there were no statistically significant differences between groups. Conclusions: This result showed that KHT was effective in decreasing menopausal symptoms in perimenopausal women.

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Survey on Clothing Worn by Middle-aged Women Undergoing Menopause and Their Satisfaction with Garments According to Menopausal Symptoms (폐경기 증상 경험 유무에 따른 중년여성의 의복 구매 요인 및 만족도 조사)

  • Park, Soonjee;Kim, Hyejin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.11
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    • pp.1186-1196
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    • 2012
  • This study investigated the garments of middle-aged women undergoing menopause and their satisfaction with them. Data were collected through a survey of 288 middle-aged women and analyzed using SPSS 17.0. As a result (in terms of degree of symptoms) backache, arthralgia, muscular pain and heat sensation were indicated as significantly more outstanding in the menopause group rather than the menopausal transition group. As a countermeasure to physiological symptoms, a change of temperature (warming or cooling) was applied for backache and arthralgia as well as taking medicine for stomachaches and muscular pain. Body parts suffering from heat sensations were the face, back neck, chest center, waist and hip. Body parts suffering from arthralgia and muscular pain were the shoulder and hip joints. The most significant purchasing factor for menopausal women was the fit of outerwear and antibiosis in underwear; however, women not undergoing menopause selected comfortableness when moving as the most important factor. In terms of body shaping and thermoregulation function, the satisfaction degree in underwear was significantly different between the two groups. Menopausal women wanted functional underwear that provided functions such as thermoregulation, absorption of secretions, and antibiosis.

A literature review on burning mouth syndrome (구강작열감 증후군에 대한 논문 고찰)

  • Choi, Sung-Hyeon;Lee, Bin-Na;Lim, Hae-Soon;Oh, Won-Mann;Kim, Jae-Hyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.123-131
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    • 2019
  • Burning mouth syndrome (BMS) is defined as the xerostomia, burning sensation and various discomfort of tongue and oral mucosa. BMS can occur in both men and women, but is more frequent in middle-aged menopausal women. Because exact cause can't be identified clearly and it is hard to make diagnosis in clinic, the purpose of the treatment have been to relieve symptoms. Etiology of BMS is divided into local, systemic, and psychological factors. ${\alpha}$-lipoic acid, clonazepam, supplemental therapy and cognitive behavior therapy can be prescribed for BMS. Nowdays, many experts focus attention on effect of combination therapy. It is necessary to solve the symptoms of the patients by combination of pharmacological approach and psychotherapy with cognitive behavior therapy considering the factors in various aspects.

The Effects of Meridian Massage on Climacteric Symptoms, BMD and Serum Hormone in Perimenopausal Women (경락마사지가 폐경기 여성의 폐경 증상, 골밀도 및 혈청호르몬에 미치는 효과)

  • Park, Keum-Sook;Lee, Jeong-Ran;Yang, Kyung-Hee
    • Korean Journal of Adult Nursing
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    • v.21 no.4
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    • pp.403-412
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    • 2009
  • Purpose: We analyzed climacteric symptoms, bone mineral density (BMD), serum estradiol ($E_2$) and follicle stimulating hormone (FSH) to identify the health benefits of meridian massage in perimenopausal women. Methods: There were 16 women in the experimental group and 17 people in the control group. Meridian massage was performed for 4 weeks, 3 times a week for 20 minutes each session. The data were collected pre-treatment, posttreatment and 4 weeks after treatment. SPSS/WIN 11.5 was used for data analysis. Results: After meridian massage, there were significant differences in climacteric symptoms (U = 65.50, p = .011) and BMD (U = 65.50, p = .011) between the two groups. The E2 level showed a significant difference between the two groups pre- and posttreatment (U = 75.00, p = .028). FSH showed a significant increase when measured at 4 weeks after the treatment as compared with the amount when measured post-treatment within the control group (z = -2.249, p = .025), experimental group showed a stable change in FSH. but there was no significant difference between the groups. Conclusion: In this study, we confirmed the effects of Meridian massage in decreasing climacteric symptoms, inhibiting the decrease of BMD and stabilizing serum hormone in perimenopausal women. Therefore, it can be considered for use as a nursing intervention for health management in perimenopausal women.

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The Effects of Health Promotion Program on Stress and Menopausal Symptoms in Menopausal Women (건강증진프로그램이 폐경기 여성의 스트레스와 폐경 증상에 미치는 효과)

  • Choi, So Young;Oh, Hyun Sook;Kang, Young Sil
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.353-364
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    • 2007
  • Purpose: The purpose of this study was to investigate the effects of health promotion program on physiological stress, perceived stress and menopausal symptoms in menopausal women. Methods: This study followed a nonequivalent control group pretest-post test design. The subjects consisted of 57 middle-aged women(30 in the experimental group and 27 in the control group) who were recruited from the community health center in J city. The subjects in the experimental group participated in a health promotion program for 8 weeks, which was composed of yoga and teaching for 1 session per week. Results: The health promotion program showed a statistical difference in blood pressure, pulse rate and perceived stress. However, there was not a statistical difference in serum cortisol, or menopausal symptoms. Conclusion: This health promotion program was partially effective for reducing stress and it was not effective for reducing menopausal symptoms in menopausal women. It is necessary to conduct a future study using a different time period, measurement time, and target population.

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A Study on Dietary Isoflavone Intake from Soy Food and Urinary Isoflavone Excretion and, Menopausal Symptoms in Korean Women in Rural Areas (농촌지역 일부 폐경기 여성의 일상 식이 중 대두식품을 통한 이소플라본의 섭취 및 소변 중 배설량과 갱년기 증상에 관한 연구)

  • 승정자;최선혜;김미현;박민혜;고병섭;김호경
    • Korean Journal of Community Nutrition
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    • v.5 no.1
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    • pp.120-129
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    • 2000
  • Very little is known about the relation between isoflavone intake and menopausal symptoms in Korean woman To find the effects and correlations between these factors, questionnaires(maternal factors, menopausal symptoms) anthropometric measurement, 24hr dietary recalls, and urinary isoflavones analysis were conducted in 100 postmenopausal women residing in the Kyunggi-do rural area. The average age hight and weight of the subject were 61.5 years, 153.6 cm and 56.2kg. The average age at menarche, menopause, and menstrual cycle were 16.7 years, 47.2 years, 29.8 years, respectively. Most of the postmenopausal women experienced mildly menopausal symptoms. The mean calorie, protein and calcium intake were 1417.6 kcal(74.7% of the Korean RDA) 53.2 g(88.6% of the Korean RDA) and 454.0mg(65.6% of the Korean RDA) respectively. The ration of energy from carbohydrate, protein, and fat was 68: 15: 17 The average isoflavone intake from soy foods was 27.27 mg. The major food source of the isoflavone were soybeans and soybean curd. The average urinary isoflavone excretion was 2. 78nmol/mg Cr and showed significant positive correlation with isoflavone intake. Isoflavone intake from soy foods had a negative correlation with the severity of menopausal symptoms. Therefore, soy foods which contain isoflavone may have a protective effect on menopausal symptoms of women in Korea.

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장기제어방출 투여 시스템의 개발(1) : Ethylene-vinyl acetate 막을 이용한 ethinyl estradiol의 경피흡수

  • 신상철;오인준;이용복
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1993.04a
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    • pp.103-103
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    • 1993
  • 목적: Estroge 결핍으로 나타나는 폐경기의 주요 증상을 경감 치료하기 위해, estrogen경구 투여시 위장장애, 위장에서의 대사, 간 초회효과, 자주 투여로 인한 환자의 불편 등의 단점이 있나, 이러한 점을 개선하기 위한 투여경로의 하나로 피부를 통해 일정약물을 장기간 일정속도로 송달시키는 경피 흡수 시스템의 개발이 필요하다. 따라서 (EE)의 장기제어방출을 위해 ethylene vinyl acetate (EVA)를 사용하여 장기 제어방출 및 경피 흡수의 최적화 조건을 설정하여 경피흡수 시스템을 위한 막의 개방을 목적으로 한다. 방법: VA 함량이 18-40%까지의 EVA를 사용하여 EE를 함유한 matrix를 casting 방법으로 제조하고 변형된 Keshary-Chien cell을 이용하여 방출실험을 실행하였다. 이때 방출에 미치는 여러 가지 인자로서 EVA 주의 VA함량, 막의 두께, receptor 중 PEG 400의 용량비율, 방출 매개체의 온도, loading 된 약물의 량 등에 대해 검토하였다. 그리고 점개한 mouse skin에 대한 투과 실험을 행하고 이에 미치는 PEG 400과 자질층의 역할을 검토하였다. 결과: EE의 용해도는 saline so PEG 400의 용량 비율이 증가함에 따라 지수 함수적으로 증가하였다. 그리고 VA 함량이 증가될수록, PEG 400의 용량비율, 방출 매개체의 온도, loading 된 약물의 양이 증가될수록 PEG 400의 용량비율, 방출 매개체의 온도, loading 된 약물의 양이 증가될수록 EE의 방출속도와 부과속도는 증가하였다. 또한 투과속도는 막두께의 역수와 직선상의 상관 관계를 보였다. 그리고 EVA matrix로부터 EE가 방출되는 양상은 diffusion-controlled model을 따랐으며 이때 단위면적당 방출된 총량은 T에 비례되었다. 절개한 mouse skin을 통한 EE의 permeation은 PEG 400의 첨가에 의해 상승되었다. 이와 같이 EVA 막이 EE의 부과 및 방출을 조절하는 것으로 보아 경피 흡수를 위해 사용될 수 있다고 사료된다.

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