徐州市云龙区妇女围绝经期综合征的影响因素分析

Analysis on influence factors of female perimenopausal syndrome in Yunlong District of Xuzhou

目的调查徐州市云龙区妇女围绝经期综合征患病情况，分析其影响因素。方法2014年6月-2015年12月采用便利抽样的方法随机抽取徐州市云龙区45～55岁妇女600名，采用自编调查表和改良Kupperman量表进行问卷调查。计量资料比较采用t检验，计数资料比较采用x2检验，更年期综合征的影响因素分析采用Logistic同归分析，P〈0．05为差异有统计学意义。结果徐州市云龙区妇女围绝经期综合征患病率为38．83％，其中轻、中、重度围绝经期综合征患病率依次为21．33％、14．33％、3．17％。围绝经期综合征症状发生率前五位依次为：疲乏（76．33％）、易激动（70．50％）、失眠（68．17％）、头痛（63．83％）、骨关节痛（59．67％）。多因素分析结明，年龄大、无定期锻炼、很少吃豆制品、月经紊乱、停经是围绝经期综合征发生的危险因素（OR=1．565，95％CI为1．108～2．186；OR=2．029，95％CI为1．334～3．138；OR=2．732，95％CI为1．595～4．695；OR=1．953，95％CI为1．268～3．062；OR=2．614，95％CI为1．561～4．389）；而文化程度为高中或中专、大专及以上，月收入为1500～3000元、〉3000元是围绝经期综合征发生的保护因素（OR=0．845，95％CI为0．735～0．933；OR=0．723，95％CI为0．589～0．871；OR=0．871，95％CI为0．783—0．963；OR=0．639，95％CI为0．472～0．856）。结论徐州市云龙区妇女围绝经期综合矸患病率较高，有关部门应当重视对围绝经期妇女的健康教育工作，促进女性身心健康发展。

Objective To investigate the prevalence of perimenopausal syndrome in Ynnlong District of Xuzhou, and analyze the influence factors of perimenopausal syndrome. Methods A total of 600 females were collected randomly from June 2014 to December 2015, adopted self-designed questionnaire and improved kupperman rating scale to survey. Measurement data was processed by t test, count data was used by chi square test, influence factors of perimenopausal syndrome were analyzed by Logistic regression analysis, P〈0.05 was considered statistically significant. Results The prevalence of perimenopansal syndrome was 38.83%, and the prevalences of mild, moderate and severe perimenopausal syndrome were 21.33%, 14.33%, 3.17%, respectively. The top five incidences of perirnenopausal symptoms were fatigue （76.33%）, irritability （70.50%）, insomnia （68.17%）, headache （63.83%）, bone and joint pain （59.67%）. Multivariate analysis results showed that risk factors of perimenopausal syndrome were elder, without regular exercise, rarely eat bean products, paramenia and menelipsis（OR=1.565, 95%CI 1.108-2.186; OR=2.029, 95%CI 1.334-3.138; OR=2.732, 95%CI 1.595-4.695; OR=1.953, 95%CI 1.268-3.062; OR=2.614, 95%CI 1.561-4.389）. The protective factors were education technical secondary school or above, college degree or above, 1 500-3 000 yuan of monthly income and 〉3 000 yuan of monthly income（OR=0.845, 95% CI 0.735-0.933; OR=0.723, 95%CI 0.589-0.871; OR=0.871, 95%CI 0.783-0.963; OR=0.639, 95%（CI 0.472-0.856）. Conclusion The prevalence of female perimenopause syndrome was high in Yunlong district of Xuzhou, relevant departments should pay more attention to carry out health education measures to promote females physical and mental health.