目的:了解黄浦区社区围绝经妇女围绝经期症状的发生情况.方法:采用2个阶段随机抽样方法,选取南京东路社区40～60岁妇女作为调查对象,进行问卷调查.结果:被调查677例妇女中自然绝经者386例,平均绝经年龄为49.36±3.71岁.围绝经期症状发生率70.3%.在13项症状中,出现频率最高前5位症状依次为潮热出汗(53.2%)、骨关节痛(47.6%)、性生活障碍(45.2%)、眩晕(41.5%) 、疲乏(41.2%).围绝经期症状的严重程度随年龄的增长而加重.经多元线性回归分析显示,是否工作、性生活满意度及是否患有慢性病与围绝经期症状有相关性.结论:绝大多数妇女在围绝经期存在围绝经期症状,其发病与雌激素水平降低有关.依托社区,加强健康教育;针对病因进行预防,可降低围绝经期症状的发生率,提高妇女生活质量.
Objective: To investigate perimenopausal symptoms of perimenopausal women in Huangpu District Community.Methods: Using two-stage random sampling method women aged 40- 60 years in Nanjing Road Community were selected, all participants were underwent questionnaire surveys. Results: Among 677 participants, were 386 women with menopause, the average menopause age 49. 36 ± 3.71 years. The incidence of climacteric symptoms 70. 3％. Out of 13 symptoms, the five most frequent symptoms were aching in hot flashes(53.2 ％ ), bone and joint pain (47. 6 ％ ), sexual disorder (45.2 ％ ), dizziness (41.5％), fatigue (41.2％). Perimenopausal symptoms, the severity increased with age. Multivariate linear regression analysis showed that the work, sexual satisfaction and with chronic diseases in perimenopausal symptoms relevant. Conclutions:Most of the existence of perimenopausal women around menopause symptoms. Lower estrogen levels which cause disease should rely on the community and strengthen health education. For the cause of prevention, this can reduce symptoms in perimenopausal women and improve the quality of women's lives.
陆亦琼;汤振宇;许薇
上海市黄浦区妇幼保健所妇科,上海,200010复旦大学公共卫生学院,上海,200032
医药卫生
围绝经期;围绝经期症状
《中国临床医学》 2011 (002)
209-211 / 3
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