• 제목/요약/키워드: Climacteric

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중년여성의 스트레스와 갱년기 증상과의 관계 (The Relationship between the Stress and Climacteric symptoms of Middle-Aged Women)

  • 박복희;이영숙
    • 여성건강간호학회지
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    • 제6권3호
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    • pp.383-397
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    • 2000
  • This study of purpose was to define the relationship between the stress and climacteric symptoms of middle-aged women in order to provide basic data for the development of women's health care program as nursing intervention. The research tools used were a Soon-Young Park's stress questionnaire (4 points scale) and a self diagnostic MENSI scale (3 points scale) developed by a research team of Ill-Yang Pharmacy Co. This research was conducted in Korea in Muan-Gun. Chonnam province, from 22th November to 20th December 1999. The research used a survey design. Seven hundred eleven healthy middle-aged women, aged 40 to 64, and were a convenience sample by stratified ratio using the matching fixed residential and aging blocks. The data were analyzed by GLM. Pearson correlation coefficient and Scheffe test using SAS/ PC+. The results were summarized as follows : 1. The percentage of psychological stress with the following items was: fatigue and enervation, 70.0%; nervous, 61.8%; weakness, 58.5%; The percentage of physical stress with the following items were ; fatigue of eye. 82.3%; backache, 78.0%; headache, 73.8%. 2. The level of psychological stress was 40% of below average level (0-5 points), 31.7 of average level (6-12points), 20.8% of precaution level (13-19 points), and 7.5% of warning level (over 20points). The level of physical stress were 20.1% of below average level (0-5 points), 34.8 of average level (6-12 points), 29.4 of precaution level (13-19 points), and 15.7% of warning level (over 20 points). There were higher physical stress level than psychological stress level of the subjects. 3. The percentage of climacteric symptoms with the following items were : numbness, 75.3%; forgetfulness, 71.0%; pain of joints, 71.0%. The level of climacteric symptoms were 61.8% of mild level 1(10-15 points), 33.0% of moderate level (16-30 points), 5.2% of severe level (over 31 points). 4. There were high positive correlations significantly between the climacteric symptoms and the psychological stress (r=.564. P<0.000), and between the climacteric symptoms and the physical stress of the subjects(r=.678, P<0.000). 5. There were significant differences in the climacteric symptoms of the subjects among below average level, average level, precaution level, and warning level of the psychological stress (F=74.108. P<0.000. Scheffe test). 6. There were significant differences in the climacteric symptoms of the subjects among below average level, average level and precaution level, and warning level of the physical stress ((F=128.181, P<0.000, Scheffe test). In summary, climacteric symptoms complained by middle-aged women are high positive correlated to the level of the stress. Also climacteric symptoms were affected by stress.

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갱년기(更年期) 증후군(症候群)에 미치는 대조환(大造丸)의 효과에 대한 임상 연구 (A Clinical Study on the Effect of Daejo-hwan(DJH) on Climacteric Syndrome)

  • 김수민;신선미;김의일;이정은;유동열
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.225-244
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    • 2006
  • Purpose : This study was performed to assess the clinical effect of Daejo-hwan(DJH) on climacteric syndrome, not only common symptoms such as hot flushes, anxiety, palpitation and so on, but also urogenital tract disturbances like vaginal dryness and sexual problems. Methods : We randomly divided 120 women with the climacteric syndrome into two groups. One group received only DJH 2 pills(4g) a time, three times a day for 8 weeks and the other group didn't get any treatment for the same period. We evaluated sonography, DXA, blood test, female hormone test and questionnaires in the beginning as well as after 8 weeks of the treatment. Symptoms were measured by Kupperman's index, Menopausal Rating Scale and the Greene Climacteric Scale. Results : In this study, DJH was innoxious on liver and kidney. And DJH in the treated group reduced climacteric symptoms significantly as compared to the control group without enlargement of uterus myoma and the change of estradiol. In Kupperman's index and MRS, DJH in the treated group especially had effects on fatigue, shoulder pain. anxiety, headache, hot flushes as well as sexual problems. Conclusion : These results suggest that DJH can be useful in treating various climacteric symptoms including sexual problems without influences on the size of uterus myoma and estradiol.

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대조환(大造丸) 투약만으로 호전된 갱년기 환자에서 치료 3개월 후 임상경과에 대란 조사연구 (A Survey on Clinical Outcomes in Climacteric womens had improved by Received only Daejo-hwan at 3 months after the End of Treatment)

  • 김수민;이정은;유동열;김의일
    • 대한한방부인과학회지
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    • 제19권1호
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    • pp.251-260
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    • 2006
  • Purpose : To assess the duration of the therapeutic effect and recurrence symptoms after stopping Herb Medication therapy for climacteric womens. Methods : 28 climacteric womens received only Daejo-hwan(DJH): 2pills(4g) a time, three times a day for a total 8 weeks as maintenance therapy and were followed up for 3 months. Grading of climacteric symptoms were measured by Kupperman's index(K.I.), Greene scale(G.S.) and MRS. Results : The results were as follows. 1. After DJH-treatment, the climacteric symptoms were improved and each mean score of K.I., G.S., and MRS reduced significantly. 2. At 3 months after the end of treatment(EOT), each mean score of K.1., G.S., and MRS reduced significantly as compared with Baseline, and increased significantly as compared with EOT. 3. At 3 months after EOT, each climacteric symptoms kept up the favorable turn and the mean score of MRS reduced significantly as compared with Baseline, but made no significant difference as compared with EOT. Conclusion : In this study, we can consider the DJH-treatment therapeutic effect was kept up for 3 months after EOT and recurrence symptoms did not appeared after EOT to climacteric womens.

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Clinical Effectiveness of Korea Ginseng on Climacteric Disturbances and Its Possible Mechanism of Action

  • Ogita, Sacchio
    • 고려인삼학회:학술대회논문집
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    • 고려인삼학회 1990년도 Proceedings of International Symposium on Korean Ginseng, 1990, Seoul, Korea
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    • pp.20-24
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    • 1990
  • The climacteric is that phase in the aging process during which a woman passes from the reproductive to the non-reproductive stage. The signals, such as hot flashes, vaso-motoric disturbances, perspiration, stiff shoulders, emotional symptoms, are refereed to as climacteric disturbances. Treatment of climacteric symptoms centers on estrogen replacement and transquilizers, but there are many problems to be solved to use these hormones/drugs as far as dosage, duration and complications are concerned. The care of women during the climacteric years should provide relief of distressing symptoms with as high a degree of safety as possible. From this viewpoint, we used red ginseng powder to those patients with high menopausal index successfully. We studied its mechanism of action and proved that red ginseng improved the micro-circulation system via improvement of erythrocyte deferability which enhanced sex steroidgenesis consequently

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갱년기 안면홍조에 대한 매선치료 : 체계적 문헌고찰 (Systematic Review of Acupoint Catgut Embedding Therapy for Climacteric Hot Flush)

  • 송미화;홍가경;최창민
    • 대한한방부인과학회지
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    • 제30권2호
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    • pp.71-80
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    • 2017
  • Objectives: The purpose of this systematic review was to overview and evaluate the effectiveness of acupoint catgut embedding for climacteric hot flush. Methods: We searched articles from CNKI, Pubmed CENTRAL, Koreantk, Oasis online databases. After searching the articles, we performed quality assessment using Cochrane risk of bias (RoB) tools. Results: Among the 20 articles were searched, one radomized controlled clinical trial (RCT) was selected. 1 Study showed that Acupoint catgut embedding treatment has significant effect on climacteric hot flush in terms of the effectiveness rate. Conclusions: This study found encouraging but limited evidence of aupoint catgut embedding theragpy for climacteric hot flush.

발반사마사지가 중년여성의 갱년기 증상, 피로 및 생리지수에 미치는 효과 (Effects of Foot Reflexology Massage on Climacteric Symptom, Fatigue and Physiologic Parameters of Middle Aged Women)

  • 이윤미
    • 성인간호학회지
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    • 제18권2호
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    • pp.284-292
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    • 2006
  • Purpose; This study was aimed to identify the effect of foot reflexology massage on climacteric symptom, fatigue and physiologic parameters of middle-aged women. Method; A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Forty participants were assigned to either an experimental group(20) or a control group(20). Foot reflexology massage was administered twice a week for 6 weeks in the participant in experimental group. Results: There were statistically significant differences in climacteric symptom, fatigue, total cholesterol and cortisol level. However, there were no statistically significant differences in triglyceride, high density lipoprotein and low density lipoprotein. Conclusion; These results suggest that foot reflexology massage could be utilized as an effective nursing intervention to reduce climacteric symptom and fatigue in middle-aged women.

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자궁절제술 후유증을 동반한 갱년기증후군 환자 치험 1례 (Clinical study on one case of climacteric syndromes induced hysterectomy)

  • 이진아;반혜란;양승정;박경미;조성희
    • 대한한의학방제학회지
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    • 제12권1호
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    • pp.263-276
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    • 2004
  • Clinical study on one case of climacteric syndrome induced hysterectomy climacteric syndrome is symptoms of physical, mental, physiological in menopausal period. Importance of treatment of climacteric symptoms was on the rise recently. I have treated one patient who has mental depression, anxiety, impatience, impotence, palpitations, facial flushing, abdominal pain in the menopausal period in Dongshin University Oriental Hospital. I took acupunture, moxibustion, cupping, and also I made herbal medicine-gamiguibitang(加味歸脾湯). As a result, I got a good effect through above methods. So I came to write this case report.

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갱년기(更年期) 장애(障碍)의 원인(原因) 치법(治法) 및 침구치료(鍼灸治療)에 관(關)한 문헌적(文獻的) 고찰(考察) (Literatural Study on the etiology, symptoms, and treatment with acupuncture about climacteric syndrome)

  • 이종년;유동열
    • 혜화의학회지
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    • 제9권1호
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    • pp.287-304
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    • 2000
  • The study was done to evaluate the aetiology, symptoms, and treatment with acupuncture about climacteric syndrome on literature. The results were obtained as follows. 1. The aetiologies of the climacteric syndrome are insufficiency of Chung-Im, outside evil, injury of the five emotions, Labor, exceeding of lust, blood heat, insufficiency of Yin(陰), gathering of phlegm. 2. The climacteric syndrome is to connected with conception vessel, the pulse of Spleen, and Liver. 3. The treatments of climacteric syndrome are nutrition of Kidney and Liver, that of Kidney heat, descending Yang(陽) of Liver, nutrition of blood of heart, having a comunication with Kidney and heart, nutrition of Spleen and Stomarch. 4. For treatment with acupuncture, they have been used the conception vessel, the pulse of Spleen, Bladder, and they use acupuncture points for nutrition of Yin(陰), paece of soul, nurition of blood of Spleen. 5. The acupuncture point in ear for treatment of climacteric syndrome are Pi-Jil-Ha(皮質下), Kyo-Gam(交感), Nae-Bun-Bi-Jeom(內分泌點). These acupuncture points are to connected with estrogen and Kidney functure.

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골반결핵과 단측 난소절제의 병력이 있는 환자의 조기 폐경 후 갱년기 증상 치험 1례 (A Case Report of Climacteric Symptoms in Premature Ovarian Failure Patient Who Has One Side Ovariectomy and Pelvic Tuberculosis)

  • 이연경;유영기;이동녕;김형준
    • 대한한방부인과학회지
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    • 제21권3호
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    • pp.269-278
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    • 2008
  • Purpose: The purpose of this study is to report the effect of Traditional Korean Medicine therapy on climacteric symptoms in premature ovarian failure patient. Methods: The patient in this case was 32 years old female. She had a history of the right side ovariectomy and antituberculous chemoteraphy caused by pelvic tuberculosis. And she was diagnosed with premature ovarian failure in October, 2007. She had a climacteric symptoms when she admitted to the OBGY department of Se-Myung University in Je-Cheon. She received Korean Medicine therapies such as herbal medicine, moxibustion, acupuncture. We evaluated patient's health status by Kupperman's index and VAS. Results: After the treatment, the climacteric symptoms in premature ovarian failure patient was improved. Conclusion: This case study shows that Korean Medicine therapies have significant effect on climacteric symptoms in premature ovarian failure.

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갱년기 증후군의 약침 치료에 대한 국내 연구 동향 고찰 (A Review of the Domestic Study Trends on Climacteric Syndrome Treated with Pharmacopuncture)

  • 황현지;안수연;김동철
    • 대한한방부인과학회지
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    • 제34권3호
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    • pp.79-95
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    • 2021
  • Objectives: The purpose of this review is to analyze the domestic study trends on climacteric syndrome treated with pharmacopuncture. Methods: We investigated the studies on pharmacopuncture for climacteric syndrome via searching 6 online databases. Results: 18 studies were selected. There were 2 case reports, 1 randomised controlled trial, and 15 animal experiments. There were 14 studies about osteoporosis, 1 study about hot flush and sweating, 1 study about abdominal obesity, 1 study about neck pain, and 1 study about learning disability and memory disorder. Nokyong was most frequently used for pharmacopuncture, followed by Honghwa. 陰谷 (KI10) was most frequently used for acupuncture point, followed by 腎兪 (BL23). Conclusions: This study shows that pharmacopuncture could be one of the effective treatments for climacteric syndrome. More well-designed clinical studies using pharmacopuncture for climacteric syndrome will be needed.