奉贤地区围绝经期综合征妇女流行病学调查

Epidemiological survey of women with peri-menopausal syndrome in Fengxian area

目的:针对奉贤地区围绝经期综合征妇女流行病学展开调查。方法:选取奉贤地区187例围绝经期综合征城乡妇女(45～55岁),均来源于上海市奉贤区中医医院,采用调查问卷的形式对围绝经期妇女对该病的认知进行了解,利用围绝经期综合征中医症候调查表对围绝经期综合征的中医证候分布情况进行分析,同时采用抑郁自评量表对其心理状态进行评价。结果:绝大多数患者对围绝经期综合征的认识不到位,其中对围绝经期综合征非常了解的有33例,基本了解的有53例,不了解的有101例。围绝经期综合征的中医证型主要以肾虚肝郁型最多,其次为脾肾两虚型、肝郁脾虚型、心肾不交型、肾阴虚型、心脾两虚型、肾阴阳俱虚型。不同情况妇女在心理状态上也出现了不同程度的抑郁,将抑郁分为4个等级:无抑郁以及Ⅰ级抑郁、Ⅱ级抑郁以及Ⅲ级抑郁,其中总的抑郁人数为156例,占比83.42%。结论:绝大多数围绝经期综合征患者对该病的认识不到位,同时调查得出围绝经期综合征的中医证型主要以肾虚肝郁型最多,其次为脾肾两虚型、肝郁脾虚型、心肾不交型、肾阴虚型、心脾两虚型、肾阴阳俱虚型,并且根据患者的不同情况会出现不同程度的抑郁。

Objective:To carry out epidemiological survey of women with peri-menopausal syndrome in Fengxian area.Methods:187 cases of urban and rural women with perimenopausal syndrome(aged 45 to 55)in Fengxian District were selected.All of them were from the Fengxian District Hospital of Traditional Chinese Medicine in Shanghai.A questionnaire was used to understand the perimenopausal women's knowledge of the disease.The distribution of TCM syndromes of perimenopausal syndrome was analyzed using TCM symptom survey questionnaire of Perimenopausal Syndrome.At the same time,psychological status was evaluated by self-rating depression scale.Results:The vast majority of patients did not understand the perimenopausal syndrome.Among them,33 cases well-understood perimenopausal syndrome,53 cases basically understood,and 101 cases had no knowledge of it.Perimenopausal syndrome mainly manifested in kidney deficiency and liver stagnation in traditional Chinese medicine,which was followed by spleen and kidney deficiency type,liver stagnation and spleen deficiency type,heart-kidney imbalance,kidney yin deficiency type,heart and spleen deficiency type,kidney yin and yang deficiency type.In different situations,women also experienced different degrees of depression in their psychological state.The depression was divided into 4 levels:no depression and grade I depression,grade II depression,and grade III depression.The total number of depression was 156,accounting for 83.42%.Conclusion:The vast majority of patients with perimenopausal syndrome had poor understanding of the disease.At the same time,the survey found that the TCM syndromes of perimenopausal syndrome were mainly kidney deficiency and liver stagnation type,which was followed by spleen and kidney deficiency type,liver stagnation and spleen deficiency type,heart-kidney imbalance,kidney yin deficiency type,heart and spleen deficiency type,kidney yin and yang deficiency type.And there's different levels of depression depending on the patient's condition.