上海地区围绝经期综合征妇女流行病学调查

Epidemiological investigation of perimenopausal women in Shanghai

目的:通过对上海地区围绝经期综合征妇女的流行病学调查,了解患者对疾病的认知程度、心理状态及围绝经期综合征的证型分布特点。方法:应用围绝经期妇女一般生活问题调查表,了解围绝经期妇女对围绝经期综合征的认知程度;应用抑郁自评量表,评价围绝经期妇女的心理特点;应用围绝经期综合征中医症状调查表,总结围绝经期综合征的临床证型分布情况。结果:有效调查问卷634例,其中74.76%(474/634)的被调查者对围绝经期综合征的相关知识缺乏了解和认识,有抑郁倾向者占被调查者总数的77.29%(490/634),有抑郁表现者占8.36%(53/634),有72.40%(459/634)的被调查者具有烦躁易怒、夜寐不安、口干口苦等心肝火旺的临床表现。结论:被调查者对围绝经期综合征的认知程度不足,并且存在不同程度的抑郁心理,根据本次被调查者的主要临床表现得出围绝经期综合征的主要证型为心肝火旺。

Objective： To explore the cognitive level and the mental status of the patients suffering from perimenopausal syndrome in Shanghai, and to identify the traditional Chinese medicine syndrome distribution feature of perimenopausal syndrome. Methods： The cognitive level of the perimenopausal women was evaluated by using general living problem questionnaire. The mental status of the perimenopausal women was evaluated by using self-rating depressive scale. The traditional Chinese medicine syndrome distribution feature of perimenopausal syndrome was identified by using traditional Chinese medical symptoms questionnaire. Results： A total of 634 perimenopausal women finished the investigation. There were 74.76% （474/634） patients who knew little about the perimenopausal syndrome; 77.29% （490/634） patients had a depressive tendency; 8.36% （53/634） patients had depressive disorder. There were 72.40% （459/634） patients who had the symptoms such as susceptibility to anger and restlessness, restless sleep at night, thirst with dry throat and bitter taste, and all these symptoms could be classified into hyperactivity of heart and liver fire syndrome. Conclusion： Patients suffering from perimenopausal syndrome know little about this disease and mostly have depressive tendency, and the major traditional Chinese medicine syndrome pattern is hyperactivity of heart and liver fire based on the chief clinical manifestations of the patients.