Hormone Replacement Therapy – Computer Assisted Individualized Approach

B. Petrikovsky
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Abstract

The use of hormone-replacement therapy (HRT) has undergone many changes since it was first introduced into clinical practice in the 1940s. At present, the pendulum seems to be swinging back to more acceptance of its use, following a marked reduction in prescriptions after the results of the Women’s Health Initiative (WHI) study were published in the early 2000s [2]. HRT was shown to significantly decrease the incidence of menopausal symptoms, risk of osteoporotic fractures, and improve the overall quality of life. In younger, healthy women (aged 50-60 years), the risk-benefit balance is clearly in favor of using HRT [1-3]. HRT is not risk-free. An increased risk of stroke with HRT has been reported in several studies [4,5].
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激素替代疗法——计算机辅助个性化方法
自20世纪40年代首次引入临床实践以来,激素替代疗法(HRT)的使用经历了许多变化。目前,在21世纪初妇女健康倡议(WHI)的研究结果公布后,处方明显减少,钟摆似乎又回到了人们对其使用的接受程度[2]。HRT被证明可以显著降低更年期症状的发生率、骨质疏松性骨折的风险,并提高整体生活质量。在年轻、健康的女性(50-60岁)中,风险收益平衡显然有利于使用激素替代疗法[1-3]。HRT并非没有风险。几项研究报告了激素替代疗法增加中风风险[4,5]。
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