妇女绝经期与下尿路症状中西医诊疗的研究进展  

Chinese and Western medicine treatment for lower urinary tract dysfunctions in postmenopausal women:a systematic review

作　　者：赵越[1] 张泉东 Zhao Yue;Zhang Quandong(Department of Gynecological Endocrinology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University/Beijing Maternal and Child Health Care Hospital,Beijing 100026,China;Department of Urology,Beijing Daxing District Hospital of Integrated Chinese and Western Medicine,Beijing 102600,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院内分泌科,北京100026 [2]北京市大兴区中西医结合医院泌尿外科,北京102600

出　　处：《首都医科大学学报》2024年第5期875-880,共6页Journal of Capital Medical University

基　　金：北京市教育委员会科技发展计划一般项目(KM202010025009);北京市医院管理中心“青苗”计划专项经费资助项目(QML20181401)。

摘　　要：下尿路功能障碍(lower urinary tract dysfunctions,LUTD)是绝经期泌尿生殖系统综合征(genitourinary syndrome of menopause,GSM)症状中的关键问题,主要是由女性绝经后体内雌激素水平降低、泌尿生殖道结构改变、炎症反应、微生态菌群变化引起,严重影响女性生活质量。LUTD治疗涉及中西医防治及健康监测,其中阴道局部低雌激素用药是目前治疗的核心,任何单一药物不能替代。在诊疗过程中更要注重对GSM的综合、个体化、总体健康情况把控及长期管理。本文主要综述妇女绝经期与下尿路症状中西医诊疗的研究进展。Lower urinary tract dysfunction(LUTD)is a key problem for patients with genitourinary syndrome of menopause(GSM).LUTD is mainly caused by low estrogen levels,urogenital atrophy,urinary tract infections and alterations in the vaginal microbiota.These symptoms adversely affect many aspects of a woman s daily life.LUTD treatment involves traditional Chinese and Western medicine prevention and health monitoring.Vaginal low estrogen in the treatment of LUTD is the mainstay of medical treatment which is a key comprehensive,individualized and synergistic therapeutic approach to restore urogenital physiology.This review describes the research progress of menopause and Chinese and Western medicine treatment for LUTD.

关 键 词：绝经期 绝经期泌尿生殖系统综合征 下尿路功能障碍 激素治疗 电针技术 

分 类 号：R69[医药卫生—泌尿科学]