北京妇产医院就诊妇女更年期症状发生率的调查研究

Investigation on the prevalence of menopausal symptoms of women in Beijing Obstetrics and Gynecology Hospital

目的通过对更年期妇女健康状况的调查,了解妇女在绝经后的特征。方法对就诊于首都医科大学附属北京妇产医院门诊的绝经后妇女进行更年期症状评分。建立数据库,应用SPSS 17.0软件进行统计分析。结果 194名妇女完成调查,出现更年期症状的前5位症状依次为疲乏(79.38%)、失眠(76.80%)、易激惹(74.23%)、抑郁(67.01%)、心悸(67.01%),绝经后妇女为膝关节疼痛(100.00%)、阴道干燥(100.00%)、尿失禁(100.00%)、疲乏(77.68%)、失眠(75.89%)。其中性交疼痛和蚁走感的发生率低于50.00%,潮热的发生率为55.36%。对194名妇女相关性分析显示:高卵泡刺激素(follicle stimulating hormone,FSH)值、较大年龄、文化程度低妇女更年期症状重。结论北京妇产医院就诊的更年期妇女的更年期症状分布不同于西方妇女的更年期症状,年龄、教育程度、FSH可能与更年期症状有相关性,总胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、高密度脂蛋白(high density lipoprotein cholesterol,HDL-C)、低密度脂蛋白(low density lipoprotein cholesterol,LDL-C)、黄体生成素(luteinizing hormone,LH)、孕酮(progesterone,P)、睾酮(testosterone,T)、雌二醇(estradiol,E2)与更年期症状相关性不明显。

Objective To investigate climacteric symptoms and the health status of perimenopausal women in Hospital .Methods The questionnaire survey was carried out on menopausal women .SPSS 17 .0 software was used to analyze the data .Results There are 194 women completed the survey.The five most frequent symptoms in menopausal women were fatigue （79.38%）, insomnia（76.80%）, irritability（74.23%）, depression（67.01%）, palpitation（67.01%）, while in postmenopausal women were knee pain （100%）, vaginal dryness（100%）, urinary incontinence（100%）, fatigue（77.68%）, insomnia（75.89%）.Higher follicle stimulating hormone （FSH）, aging and poor education were related to climacteric syndrome .Conclusion Our results of menopausal symptoms were different from the westerners’.Education, age, FSH may be associated with menopausal symptoms .Total cholesterol（TC）, triglyceride（TG）, high density lipoprotein cholesterol（HDL-C）, low density lipoprotein cholesterol （LDL-C）, luteinizing hormone（LH）, progesterone（P）, testosterone （T）, estradiol（E2） may not be associated with symptoms of menopause .