奥培米芬治疗绝经后外阴及阴道萎缩的meta分析Ospemifene used for the treatment of vulvovaginal atrophy in postmenopausal women: a meta-analysis
颜溪婷;梁海莹;蒙玉刚;
摘要(Abstract):
目的:系统评价奥培米芬应用于绝经后外阴及阴道萎缩(VVA)的临床疗效和安全性。方法:检索PubMed、Medline、Embase、CBM、万方、CNKI数据库中有关奥培米芬治疗绝经后外阴及阴道萎缩的随机对照试验(RCTs)。进行质量评价,应用STATA12.0软件对数据进行meta分析。结果:总共符合纳入标准的RCT有6项,包括2086例外阴及阴道萎缩患者。Meta分析结果显示,奥培米芬组比安慰剂组在阴道成熟指数、阴道p H值及最常见症状评分均有改善。安全性方面,奥培米芬增加子宫内膜厚度,但没有出现子宫内膜非典型增生及子宫内膜癌。结论:与安慰剂相比,奥培米芬可改善阴道环境,可作为VVA患者的治疗选择。
关键词(KeyWords): 奥培米芬;选择性雌激素受体调节剂;外阴及阴道萎缩;Meta分析
基金项目(Foundation):
作者(Authors): 颜溪婷;梁海莹;蒙玉刚;
DOI: 10.13283/j.cnki.xdfckjz.2019.02.030
参考文献(References):
- [1]Management of symptomatic vulvovaginal atrophy:2013 position statement of the north american menopause society[J].Menopause,2013,20(9):888-902;quiz 903-904
- [2]Raney EC.What new therapeutic options exist for the relief of menopausal symptoms?[J].JAAPA,2015,28(7):14-16
- [3]Goldstein SR,Bachmann GA,Koninckx PR,et al.Ospemifene12-month safety and efficacy in postmenopausal women with vulvar and vaginal atrophy[J].Climacteric,2014,17(2):173-182
- [4]Portman D,Palacios S,Nappi RE.Ospemifene,a non-oestrogen selective oestrogen receptor modulator for the treatment of vaginal dryness associated with postmenopausal vulvar and vaginal atrophy:a randomised,placebo-controlled,phase III trial[J].Maturitas,2014,78(2):91-98
- [5]Portman DJ,Bachmann GA,Simon JA.Ospemifene,a novel selective estrogen receptor modulator for treating dyspareunia associated with postmenopausal vulvar and vaginal atrophy[J].Menopause,2013,20(6):623-630
- [6]Simon JA,Lin VH,Radovich C,et al.One-year long-term safety extension study of ospemifene for the treatment of vulvar and vaginal atrophy in postmenopausal women with a uterus[J].Menopause,2013,20(4):418-427
- [7]Bachmann GA,Komi JO.Ospemifene effectively treats vulvovaginal atrophy in postmenopausal women:results from a pivotal phase 3 study[J].Menopause,2010,17(3):480-486
- [8]Rutanen EM,Heikkinen J,Halonen K,et al.Effects of ospemifene,a novel SERM,on hormones,genital tract,climacteric symptoms,and quality of life in postmenopausal women:a double-blind,randomized trial[J].Menopause,2003,10(5):433-439
- [9]Constantine G,Graham S,Portman DJ,et al.Female sexual function improved with ospemifene in postmenopausal women with vulvar and vaginal atrophy:results of a randomized,placebo-controlled trial[J].Climacteric,2015,18(2):226-232