理性看待绝经激素治疗与乳腺癌发病风险Rational Evaluation of Menopausal Hormone Therapy and the Risk of Breast Cancer
阮祥燕;王月姣;
RUAN Xiang-yan;WANG Yue-jiao;Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University;
摘要(Abstract):
随着当代女性对绝经认知的不断提高,越来越多的女性开始进行绝经激素治疗(menopausal hormone therapy, MHT),以缓解绝经相关症状,如月经紊乱、潮热、多汗、睡眠障碍、情绪波动、泌尿生殖道萎缩以及骨质疏松等,进而提高生活质量。但在应用MHT的过程中,乳腺癌的发病风险一直是困扰女性的重要问题之一,而MHT与乳腺癌发病风险的争论亦成为妇科内分泌领域的热点问题。本文基于循证医学证据,阐述如何理性看待二者之间的关系。
With the increasing awareness of women about menopause, an increasing number of women are taking menopausal hormone therapy(MHT) to relieve relevant symptoms(such as irregular bleeding, hot flashes, sweating, sleep disorder, etc.), genitourinary tract atrophy, and osteoporosis. But the risk of breast cancer has always been one of the major concerns for women using MHT. The main safety issue in MHT is breast cancer. The conflict between MHT and the risk of breast cancer has been a hot topic in the field of gynecological endocrinology. This article aims to tell us how to rationally view the relationship between the two based on evidence-based medicine.
关键词(KeyWords):
绝经激素治疗;乳腺癌;绝经;绝经相关症状;雌激素;孕激素
menopausal hormone therapy;breast cancer;menopause;symptoms of menopause;estrogen;progesterone
基金项目(Foundation): 国家自然科学基金(81671411);; 北京市自然科学基金(7162062);; 北京市医院管理中心“登峰”计划专项经费(DFL20181401)~~
作者(Authors):
阮祥燕;王月姣;
RUAN Xiang-yan;WANG Yue-jiao;Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University;
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- 绝经激素治疗
- 乳腺癌
- 绝经
- 绝经相关症状
- 雌激素
- 孕激素
menopausal hormone therapy - breast cancer
- menopause
- symptoms of menopause
- estrogen
- progesterone
- 阮祥燕
- 王月姣
RUAN Xiang-yan- WANG Yue-jiao
- Department of Gynecological Endocrinology
- Beijing Obstetrics and Gynecology Hospital
- Capital Medical University
- 阮祥燕
- 王月姣
RUAN Xiang-yan- WANG Yue-jiao
- Department of Gynecological Endocrinology
- Beijing Obstetrics and Gynecology Hospital
- Capital Medical University