S Yesmin, A Nessa, N Khatun, S Sultana, A Begum, S Sadia, S T Tithi, U H Khanom, R Jahan, E A Ardi, M Paul
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引用次数: 0
Abstract
Menopause is a natural process which is characterized by the permanent stoppage of menstrual period. It happens in women due to decrease of estrogen level at the ages of 45-55 years. The efficiency of life is disturbed because of imbalance of estrogen hormone such as irritability, night sweats, vaginal dryness, hot flushes, depression, sleep disturbance, headache etc. This cross-sectional analytical type study was done to evaluate the changes of blood pressure and serum total cholesterol levels in postmenopausal women in comparison to reproductive women and it was carried out in the Department of Physiology, Mymensingh Medical College, Mymensingh, Bangladesh from January 2023 to December 2023. Among 200 healthy women, one hundred (100) female subjects were taken as control group (Group I) age ranges from 25-45 years and one hundred (100) female subjects were taken as study group (Group II) age ranges from 45-65 years. By indirect auscultatory method with an aneroid sphygmomanometer blood pressure was calculated and by enzymatic colorimetric method the serum total cholesterol level of the individual was measured. Output were expressed as mean±SD and by using unpaired students' 't' test, statistical significance of difference among the group was calculated. The mean ±SD of systolic blood pressure of Group I and Group II were 117.30±7.26 mm of Hg and 130.95±10.89 mm of Hg respectively and diastolic blood pressure of Group I and Group II were 76.65±5.03 mm of Hg and 85.20±6.43 mm of Hg respectively. In the study group the mean±SD of Blood Pressure is notably increased in comparison with control group. The mean±SD of serum total cholesterol level of Group I and Group II were 182.30±38.25 mg/dl and 217.63±55.53 mg/dl respectively. In the study group the mean±SD of serum total cholesterol level was markedly increased in comparison with control group. Postmenopausal women with higher Blood Pressure and serum total cholesterol level caused by lower level of female sex hormone specially estrogen hormone increased the change of cardiovascular disease, stroke, chronic renal failure, type-2 diabetes mellitus, insulin resistance and metabolic syndrome. So assessment of this parameter is important for early detection and prevention of complication related to higher Blood Pressure and serum total cholesterol level for leading a healthy life.
更年期是一个自然过程,其特点是月经周期的永久停止。它发生在45-55岁的女性中,因为雌激素水平下降。由于雌激素失衡,生活效率受到干扰,如烦躁、盗汗、阴道干涩、潮热、抑郁、睡眠障碍、头痛等。这项横断面分析型研究是为了评估绝经后妇女与育龄妇女相比血压和血清总胆固醇水平的变化,该研究于2023年1月至2023年12月在孟加拉国Mymensingh医学院生理学系进行。在200名健康女性中,选取100名女性作为对照组(第一组),年龄在25-45岁之间;选取100名女性作为研究组(第二组),年龄在45-65岁之间。用无血管血压计间接听诊法计算血压,用酶比色法测定个体血清总胆固醇水平。输出以mean±SD表示,采用unpaired student 't检验,计算组间差异的统计学意义。ⅰ组和ⅱ组的收缩压均值±SD分别为117.30±7.26 mm Hg和130.95±10.89 mm Hg,ⅰ组和ⅱ组的舒张压均值分别为76.65±5.03 mm Hg和85.20±6.43 mm Hg。研究组血压平均值±SD较对照组明显升高。ⅰ组和ⅱ组血清总胆固醇水平的平均值±SD分别为182.30±38.25 mg/dl和217.63±55.53 mg/dl。研究组血清总胆固醇水平均值±SD较对照组显著升高。绝经后女性性激素特别是雌激素水平降低导致的高血压和血清总胆固醇水平升高,增加了心血管疾病、中风、慢性肾衰竭、2型糖尿病、胰岛素抵抗和代谢综合征的变化。因此,评估这一参数对于早期发现和预防高血压和血清总胆固醇相关并发症,实现健康生活具有重要意义。