作者认为欲达治疗更年期障碍的效果,必须掌握其病因。更年期障碍主要由于卵巢功能不足,通过反馈影响了下丘脑的神经传导物质的分泌,导致自律神经系统的不稳定状态。出现潮热、出汗等症状。另方面更年期妇女所受社会倾向因素、家庭情况的改变如子女另立家庭等因素的影响,较其他年龄妇女为多。致使其心理倾向于不安、焦燥、抑郁,绝经作为触发而出现身心症状如:不眠、头痛、手足麻木、呼吸困难等精神性更年期症候群。Castrogiovanni 通过对更年期妇女 SAD(self-rating scale for depression)的心理测验,结论是更年期妇女的不安、抑郁程度与血中性激素水平并无相关。作者认为绝经期症状是由雌激素不足所致,故应以雌激素治疗。精神性更年期障碍应以精神疗法为主,药物只能作为辅助治疗。绝经期症状的治 The author believes that for the purpose of treating menopausal disorders, we must grasp the etiology. Menopausal disorders mainly due to lack of ovarian function, through the feedback affect the secretion of neurotransmitters in the hypothalamus, leading to autonomic nervous system instability. Hot flashes, sweating and other symptoms. On the other hand, menopausal women are subject to social predisposition factors, changes in family circumstances such as children’s separate family and other factors, more than other age groups. As a result, psychosomatic disorders such as anxiety, anxiety, depression and menopause may trigger mental and psychiatric menopausal syndromes such as sleeplessness, headache, numbness in hands and feet, and dyspnea. Castrogiovanni, through a psychological test of self-rating scale for depression (SAD) of menopausal women, concluded that menopausal women were unaffected and that depression was not associated with blood hormone levels. The authors believe that menopausal symptoms caused by estrogen deficiency, it should be treated with estrogen. Psychiatric menopausal disorders should be the main psychotherapy, the drug can only be used as adjuvant therapy. Treatment of menopausal symptoms