绝经过渡期患者无排卵性功血发生的相关危险因素分析

Analysis on Relative Risk Factors of Anovulatory Dysfunctional Uterine Bleeding in Patients during Menopausal Transition

目的探讨绝经过渡期患者无排卵性功血发生的相关危险因素。方法选取我院2015年2月至2017年4月收治的60例绝经过渡期无排卵性功血患者作为研究组,选取同期我院60例诊治绝经过渡期健康的志愿者作为对照组。收集两组的一般资料,行统计学分析,探讨影响绝经过渡期患者无排卵性功血发生的危险因素。结果单因素分析结果显示,两组的肥胖、家族史、高脂血症比较差异均有统计学意义(P<0.05);多因素分析结果显示,肥胖、家族史及高血脂症为影响绝经过渡期无排卵性功血发生危险因素(P<0.05)。结论影响绝经过渡期发生无排卵性功血的危险因素包括肥胖、家族史及高脂血症。控制患者的饮食、体重,调节其血脂水平对预防无排卵性功血发生具有显著的临床意义。

Objective To explore the relative risk factors of anovulatory dysfunctional uterine bleeding in patients during menopausal transition. Methods 60 cases of patients with anovulatory dysfunctional uterine bleeding during menopausal transition admitted to our hospital from February 2015 to April 2017 were selected as the study group, and 60 cases of healthy volunteers during menopausal transition at the same period in our hospital were selected as the control group. The general data of the two groups were collected and analyzed statistically. The risk factors of anovulatory dysfunctional uterine bleeding during menopausal transition were explored. Results Univariate analysis showed that obesity, family history and hyperlipidemia were statistically significant in both groups （P〈0.05）. Multivariate analysis showed that obesity, family history and hyperlipidemia were the risk factors for anovulatory dysfunctional uterine bleeding during menopausal transition （P〈0.05）. Conclusions The risk factors affecting the anovulatory dysfunctional uterine bleeding during menopausal transition include obesity, family history and hyperlipidemia. Controlling patients＇ diet and weight, and adjusting the blood lipid level have significant clinical significance for the prevention of anovulatory dysfunctional uterine bleeding.