126例子宫腺肌病痛经患者生存质量及影响因素分析

Analysis of quality of life of 126 women with dysmenorrhea because of adenomyosis and its influencing factors

目的:探讨子宫腺肌病痛经患者生存质量与影响因素。方法:选取2016年3月—2018年2月本院就诊的子宫腺肌症痛经患者126例(观察组),同期健康体检妇女120例为对照组,调查子宫腺肌病痛经患者生存质量与影响因素。结果:观察组SF 36量表生活质量整体评分均低于对照组(P<0.05),痛经积分(63.1±5.8分)与对照组(62.8±5.6分)无差异(P>0.05),VAS评分观察组(58.6±4.7分)高于对照组(50.2±4.8分)(P<0.01);logistic分析显示,下腹部痛、性交痛、肛门痛、夜尿频是影响子宫腺肌病痛经的独立危险因素。结论:子宫腺肌病痛经患者生存质量下降,临床应重视对患者的干预治疗,提升患者生活质量。

Objective:To investigate the quality of life of women with dysmenorrhea because of adenomyosis,and to study its influencing factors.Methods:126 women with dysmenorrhea because of adenomyosis were selected in observation group,and 120 healthy women were selected into control group during the same period from March 2016 to February 2018.The quality of life of women with dysmenorrhea because of adenomyosis and its influencing factors were studied.Results:The total score of quality of life of women by SF 36 scale in observation group was significant lower than that of women in the control group(P<0.05).The dysmenorrhea scores of women in the observation group was 63.1±5.8points,which had no significant difference from that(62.8±5.6)of women in the control group(P>0.05).While the VAS score of women in the observation group was 58.6±4.7points,which was significant higher than that(50.2±4.8 points)of women in the control group(P<0.01).Logistic analysis showed that the lower abdominal pain,pain during intercourse,anal pain,urinate frequency in the night were independent risk factors affecting dysmenorrheal because of adenomyosis.Conclusion:The quality of life of women with dysmenorrhea because of adenomyosis decreases,so the clinical intervention should be paid attention to for improving their quality of life.