城市育龄期已婚职业妇女乳腺增生症影响因素的研究

Factors causing breast adenosis of married vocational urban women during the reproductive life

目的 探讨特定人群中影响乳腺增生症的因素。方法 以赣州市2004-04～2004-12育龄期已婚职业妇女为研究对象，采用单纯随机抽样的方式随机抽取部分妇检对象组成病例组（n=158）和对照组（n=119），以问卷询问的方式进行调查。采用Logistic回归、t检验和x^2检验等统计方法。结果 基本情况分析表明两组问具可比性；Logistic回归分析结果说明经前综合征、自觉睡眠质量、胸围差、多梦、婚龄依次是主要危险因素（P〈0．05），哺乳月数、有效行经是保护性因素（P〈0．05）；单因素分析结果显示体质指数（BMI）、疾病史、手术史及近期月经紊乱史的妇女是病例组高于对照组（P〈0．05），性生活频数、哺乳次数是病例组低于对照组（P〈0．05）；哺乳方式和性生活态度病例组与对照组有高度统计学意义（P〈0．01）。结论 乳腺增生症与BMI、胸围差、疾病史、月经、哺乳、睡眠、性生活等有关。

Objective To investigate the causes of breast adenosis in married vocational urban women during the reproductive life. Methods By using the questionnaire these women were investigated. They were randomly divided into case group（ n = 158） and control group（ n = 119）. Logistic regression, t test and x^2 test were employed to analyze the factors causing breast adenosis. Results Data analysis showed that there was significant difference between the two groups. The output of Logistic regression showed that pre-menses syndrome, self-filling sleeping quality, bad chest measurement, being dreaminess, marriage years were major factors with their significance ranging from high to low （P 〈 0.05）. Lactation duration and valid menses were protective factors（ P 〈 0.05）. Single factor analysis showed that factors of body mass index （BMI）, medical history, operative history and irregular menses were higher in case group than that in the control group（P〈0.05）, while times of sexual life and duration of lactation were lower in the case group than in the control group. The differences of way of lactation and sexual attitude between both groups were very significant （P〈 0.01）. Conclusion Breast adenosis is correlated with BMI, chest measurement, medical history, pre- menses syndrome, lactation, sleeping, and sexual life.