北京市海淀山后地区部分围绝经期女性围绝经期综合征及绝经激素治疗认知度的调查分析

Analysis of perimenopausal syndrome and recognition of menopausal hormone therapy in some perimenopausal women in the post-mountain areas in Haidian, Beijing

目的调查分析北京市海淀山后地区部分围绝经期女性围绝经期症状及对激素治疗的认知度,指导建立适合该地区老年女性的健康管理模式。方法选择在体检中心进行体检的围绝经期女性400名,进行问卷调查,对调查结果进行整理分析。结果回收有效问卷356份,未绝经者出现月经改变的比例80.73%(176/218),出现围绝经期症状的比例60.55%(132/218),已绝经者出现围绝经期症状比例78.26%(108/138),但是仅有 31.46%(112/356)的被调查者因为月经改变或围绝经期症状就诊于妇科门诊或更年期门诊。该部分女性群体对绝经激素治疗(MHT)相关知识认知程度低。结论提高围绝经期女性对相关症状的识别和对MHT相关知识的了解,探索围绝经女性分级诊疗健康管理模式,适时开始以MHT为主的综合治疗,有利于减少老年女性慢性疾病的发生。

Objective To investigate the perimenopause symptoms and recognition of hormone therapy of some perimenopause women in Haidian, Beijing, and to establish a model of health management which is suitable for the elderly women in this area. Methods Four hundred menopausal women who underwent physical examination in the physical examination center were surveyed, and the results were analyzed. Results Three hundred and fifty six valid questionnaires were available. 80.73%(176/218) of the premenopausal patients presented menstrual changes and the perimenopause symptoms occurred in 60.55%(132/218) of them. The perimenopause symptoms occurred in 78.26%(108/138)of the menopausal patients. However, only 31.46%(112/356) of the respondents visited the gynecological clinic or menopause clinic for menstrual change or perimenopause symptoms, which indicated that the recognition level of MHT-related knowledge of this female group was low. Conclusion Improving the recognition of related symptoms and knowledge of MHT, exploring the health management mode of graded diagnosis and starting comprehensive treatment with MHT in proper time will be helpful for reducing the incidence of chronic diseases in elderly women.