摘要
绝经期泌尿生殖综合征(GSM)发病率高,严重影响绝经后女性生活质量。自GSM的概念提出以来,关于如何提高其诊疗规范并在原有的基础上寻求更安全有效的治疗方式,国内外的研究从未间断,近年来对泌尿道症状的治疗也逐渐成为研究热点。目前激素补充仍是GSM的经典治疗方法,但考虑到长期用药的安全性且激素使用存在禁忌,一些新兴治疗如选择性雌激素受体调节剂、阴道脱氢表雄酮及激光治疗等,也成为可供选择的治疗方案。更重要的是,GSM的治疗并非仅限于短期干预,还应加强患者的自我认知,并对其进行长期健康管理,从而达到满意的治疗效果。该文就GSM的治疗进展及健康管理策略作一综述。
Genitourinary syndrome of menopause(GSM)seriously affects the quality of life of postmenopausal women with high incidence.Since the concept of GSM was put forward,researches on how to improve its diagnosis and treatment norms and seek more safe and effective treatments have never been stopped.In recent years,the treatment of urinary tract symptoms has attracted increasing attention.Hormone therapy is still the standard treatment for GSM now.Considering the safety of long-term use and contraindications of hormone therapy,however,some emerging treatments such as selective estrogen receptor modulator,vaginal dehydroepiandrosterone and laser therapy have also become alternative options.More importantly,the treatment of GSM shouldn′t be limited to short-term intervention,and it does make sense to improve self-awareness of patients and carry out long-term health management,which can contribute to a satisfactory result.This article reviews the advances in the treatment of GSM and introduces some health management strategies.
作者
舒涵(综述)
熊正爱(审校)
SHU Han;XIONG Zheng′ai(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《重庆医学》
CAS
2020年第15期2572-2576,共5页
Chongqing medicine
基金
国家自然科学基金面上项目(81671415)。
关键词
绝经期泌尿生殖综合征
性功能
激素治疗
健康管理
综述
genitourinary syndrome of menopause
sexual function
hormone therapy
health management
review
