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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,围绝经期综合征与激素替代疗法,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,围绝经期综合征定义、诊断与临床表现,围绝经期综合征的治疗,激素替代疗法的定义及适应证,四、性激素的种类及其应用模式、原则,五、HRT的禁忌和副作用,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,围绝经期综合征定义、诊断与临床表现,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,定义,围绝经期综合征又称更年期综合征(MPS),指,妇女绝经前后出现性激素波动或减少所致的一系列以,自主神经系统功能紊乱为主,伴有神经心理症状的,组症候群。多发生于45-55岁之间。在绝经过渡期症,状已开始出现,持续到绝经后23年,少数人可持续,到绝经后510年症状才有所减轻或消失。人工绝经,者往往在手术后2周即可出现围绝经期综合征,术后2,个月达高峰,可持续2年之久。,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,我咋突然发热啊,你进人更年期了,这叫潮热分,功体,列起!,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,诊断,根据年龄,病史,症状,体格检査,激素测定等,FSH,LH均大于40国际单位/升,FSH比LH上升更高更早。,雌二醇低于20微微克/m或者60 mmol/L。,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,临床表现,精神神经心理症状情绪症状:激动易怒、焦虑不,安、情绪低落、抑郁寡欢等记忆力减退、注意力,不集中失眠,血管舒缩症状:潮热、潮红,心血管系统的相关症状:血压波动、假性心绞痛,月经不规律,阴道干燥、性交困难、反复发生的阴道炎、反复发生,的尿路感染,肌肉、关节痛,新陈代谢障碍症状:关节疼痛、肥胖、水肿,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,更年期症状流行病学研究,Hot flushes,Mood swings,94%的妇女有一种或多种症状,6%的妇女无任何症状,Reduced sex drive,64%的妇女有一种或多种严重,绝经症状,Depression,欧洲七国,voluntary loss of urine,就诊妇女,n=4201,Vaginal pain,506070,a Symptoms(total of sever and mild),Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,如何治疗,呢,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,、围绝经期综合征的治疗,Evaluation only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,
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