更年期妇女潮热的相关因素分析

Correlation factors for hot flashes in climacteric women

目的探讨更年期妇女潮热发生的相关因素,进一步提高更年期妇女的生活质量。方法对792名更年期妇女进行问卷调查,内容包括一般情况、月经情况、孕产史、潮热情况、日常生活方式和性生活情况,记录身高、体重、血压、腰围和臀围。运用Logistic回归分析,研究与更年期妇女潮热的相关因素。结果单因素分析显示:年龄、文化程度、经济收入、目前月经情况、饮食习惯、豆制品食用、体格锻炼、性生活满意度、体重指数及收缩压与更年期潮热有关。多因素Logistic回归分析显示:月经不规律或绝经、体格锻炼频繁及收缩压较高为更年期妇女潮热的危险因素,文化程度较高、食用豆制品及性生活满意为保护因素。结论指导更年期妇女进行适度的体育锻炼,了解更年期相关知识,多食用豆制品,控制收缩压也许可降低潮热的发生。

Objective To investigate the correlation factors for hot flashes in climacteric women so as to improve their quality of life. Methods A questionnaire was distributed among 792 climacteric women. The questionnaire items included general information, characteristics of menstruation, reproduction history, information of hot flashes, lifestyle and sexual life. Weight, height, blood pressure, waist and hip circumferences were measured. Logistic regression analysis was made to find out the correlation factors for hot flashes. Results Univariate logistic regression analysis showed that age, education, income, present characteristics of menstruation, dietary habit, soy products intake, physical exercise, satisfaction of sexual life, body mass index （BMI） and systolic blood pressure were significantly associated with hot flashes. Multivariate logistic regression analysis revealed that irregular menstruation or menopause, frequent exercise and higher systolic blood pressure were risk factors for hot flashes in climacteric women. However, higher education, soy products intake and satisfaction of sexual life were protection factors. Conclusion Guiding climacteric women to take moderate physical exercise, knowing more about climacterium, consuming more soy products and controlling diastolic blood pressure are likely to decrease the incidence of hot flashes.