围绝经期妇女激素替代治疗认知度及治疗率调查

Investigation of the cognition and treatment rate of hormone replacement therapy in perimenopause women

目的：了解围绝经期妇女激素替代治疗（HRT）的认知率和使用率。方法对因围绝期综合征首次就诊患者262例，采取调查问卷的方式，收集和分析信息，调查患者围绝经期症状，HRT 的认知度，接受程度，普及 HRT 知识后患者的接受程度及治疗比率。结果完成有效问卷248份，年龄（50.30±2．10）岁，自然绝经年龄（48．90±1．90）岁。48．79％的患者了解 HRT 的作用，12．5％的患者了解 HRT 的风险，35．48％的患者认为围绝经期有必要进行 HRT。40．73％的患者接受 HRT。经过围绝经期知识普及教育后，117例（47.18％）患者接受医生建议进行 HRT。结论围绝经期妇女对 HRT 的认知度和治疗率仍处于较低水平，应加强 HRT 相关知识的健康教育，提高围绝经期妇女对 HRT 的认知及接受程度，以提高其围绝经期的生活质量。

Objective To investigate the cognition and treatment rate of hormone replacement therapy （HRT）in perimenopause women.Methods A survey was conducted in 262 perimenopause women first coming to outpatients care.A predesigned structured questionnaire was used to collect information：the symptoms of perimenopa-use women,the cognition and acceptance to the treatment.Results Finally,248 women with the mean age of （50.30 ＆#177;2.10）years finished the questionnaire,the natural menopause age was （48.90 ＆#177;1.90）years.48.79% of these women understood the role of HRT in clinical application,and only 12.50% knew the side effect of HRT. Among them,35.48% thought that HRT was necessary for the duration of perimenopause.40.73% of them had the attitude to treatment with HRT.After the education of perimenopausal acknowledgement,117 patients （47.18%） accepted the treatment with HRT.Conclusion It showed that the awareness and treatment rate of HRT in perimeno-pause women was low.The health education should be strengthened to improve the level of perimenopause health care.