• 作者：L. HC. Tan¹ ; ^{Linda_Tan@gmx.de} ; Th. Rampp¹ ; L. Zhang¹ ; Z. Sun² ; ^{sunzhuojun45@tom.com} ; P. Klose¹ ; F. Musial¹ ; G.J. Dobos¹ ; ^{gustav.dobos@uni-duisburg-essen.de}
• 关键词：Menopausale Beschwerden ; Chinesische Medizin ; Kupperman Index ; Ö ; strogen ; Testosteron ; transkultureller Vergleich
• 刊名：Deutsche Zeitschrift f¨¹r Akupunktur
• 出版年：2008
• 出版时间：2008
• 年：2008
• 卷：51
• 期：4
• 页码：20-25
• 全文大小：474 K

Background

The following study follows a comparative cross-cultural multicenter trial design concerning menopausal conditions in patients from Germany and China.

Methods

Each of the 35 patients suffering from menopausal symptoms recruited out of the Institute of Complementary and Traditional Chinese Medicine, Knappschafts-Kranhenhaus, Kliniken Essen-Mitte, Germany, and from the Shugang Hospital in Shanghai, China, were examined using the Kupperman-index and a standardised TCM-questionnaire. In addition Estrogen and Testosterone parameters were collected from each patient. Means were compared using Students t-test, frequency distributions were compared using Pearson Chi-Square.

Results

The mean value of cumulative symptoms as recorded with the Kupperman-Index showed no significant difference between German and Chinese women. However, the examination of single items revealed statistically significant differences between the two groups examined. The Kupperman-Index focuses on psychological parameters in contrast to the TCM-questionnaire. On the other hand, the TCM-questionnaire examines single items and often diagnosed a ¡°Kidney-Yin-Deficiency?(74.3 % ) in Chinese women, whereas German women more often showed a ¡°Kidney-Yang-Deficiency?(51.4 % ). The Chinese exhibited significant higher levels of Testosterone, levels of Estrogen were not significantly different.

Conclusions

A combination of Western Kupperman-index and TCM-questionnaire promises a more symptom-orientated classification of menopausal women in subgroups with corresponding integrative therapeutic options. A possible classification of hormone levels with respect to ethnical or TCM-subgroups might be examined in subsequent studies by the means of larger study groups and more equally distributed group patterns.