磐安县部分女性MPS症状评分及影响因素分析

Climacteric symptom scores and influencing factors of perimenopausal syndrome of some women in Pan' an of Zhejiang Province

目的探讨围绝经期综合征(MPS)女性更年期症状评分及危险因素。方法选择2011年1月至2013年12期间在金华市磐安县妇幼保健院妇产科就诊的78例MPS患者为研究对象,选择同期在我院健康体检的72例健康女性为对照组使用女性版围绝经期Greene量表评估更年期症状。对更年期症状相关危险因素进行单因素及多因素Logistic回归分析。结果两组学历、与子女关系、性格方面比较,差异有统计学意义(x^2值分别为5.838、6.086、5.788,均P<0.05),观察组Greene评分显著高于对照组(t=9.962,P<0.05)。78例MPS患者中,轻度围绝经期症状27例(34.62%),中度围绝经期症状48例(61.54%),重度围绝经期症状3例(3.85%)。观察组症候群1~3评分显著高于对照组(t值分别为3.168、4.913、2.963,均P<0.05),观察组症候群4评分显著低于对照组(t=2.082,P<0.05)。低文化程度症候群1~3评分显著高于高文化程度(t值分别为2.019、1.990、2.287,均P<0.05);性格内向的女性症候群1~3评分显著高于性格外向组(t值分别为3.000、1.022、1.077,均P<0.05),子女关系较差的组别症候群2~3评分显著高于与子女关系好组(t值分别为3.190、3.265,均P<0.05)。结论 :MPS女性更年期症状和与子女关系、学历、性格密切相关。文化程度、与子女关系、性格、症候群1、症候群2、症候群3为MPS更年期症状的主要影响因素。

Objective To study climacteric symptom scores and risk factor of female perimenopausal syndrome （PMS）. Methods During January 2011 to December 2013 78 cases of PMS patients visiting department of gynecology and obstetrics in Pan＇an Maternal and Child Health Hospital of Jinhua in Zhejiang Province were selected as research objects in observation group. At the same period 72 cases of healthy women receiving physical examination in the hospital were selected as control group, and PMS were evaluated with female perimenopausal Greene scale. Menopausal symptom associated risk factors were analyzed by univariate and multivariate Logistic regression analysis. Results The differences between two groups in cultural degree, relationship with children, and personality were statistically significant （RE value was 5. 838, 6. 086 and 5. 788, respectively, all P 〈 0.05 ）. In the observation group Greene scores were significantly higher than in the control group （t = 9. 962, P 〈 0.05 ）. Among 78 cases of PMS, there were 27 cases （34.62%） with mild PMS, 48 cases （61.54%） with moderate menopausal symptoms, and 3 cases （3.85%） with severe menopausal symptoms, respectively. Compared with the control group, the observation group had remarkably higher scores of syndrome 1 -3 （t value was 3. 168, 4. 913 and 2. 963, respectively, all P 〈 0.05 ） but lower score of syndrome 4 （ t = 2. 082,P 〈 0.05 ）. The scores of low cultural degree syndrome 1 - 3 were obviously higher than those of high cuhure degree （ t value was 2. 019, 1. 990 and 2. 287, respectively, all P 〈 0.05 ）, and the scores of introverted female syndrome 1 - 3 were obviously higher than those of extroverted female syndromes （ t value was 3. 000, 1. 022 and 1. 077, respectively, all P 〈 0.05 ）. Scores of syndrome 2 - 3 of women with poor relationships with children were higher than those of women with good relationships with children （ t value was 3. 190 and 3. 265, respectively, both P 〈 0.05 ）. Conclusion MPS female menopausal symptoms are closely related to the relationships with children, educational level and personality. Cultural degree, relationships with children, personality, syndrome 1, 2 and 3 are risk factors.of MPS menopausal symptoms.