成都市围绝经期妇女生殖健康状况的现状调查

The Status Quo of Perimenopausal and Postmenopausal Women in Chengdu: Report of a Population-based Cross-sectional Study

目的 了解我市妇女的围绝经期和绝经后的生殖健康情况 ,为开展针对中老年妇女的生殖健康保健提供依据。方法 对成都市城区和郊县的 182 8名 45岁以上妇女的一般情况和生殖健康状况进行横断面调查。结果 成都市妇女的平均绝经年龄是 48.1岁。有 60 %的妇女在绝经前出现月经紊乱 ,一半左右的绝经妇女在围绝经期出现潮热盗汗等围绝经症候群 ,但是 ,不足一半的妇女因此而就诊。所调查妇女中有 460人服用过雌激素 ,主要因为潮热盗汗、睡眠障碍、泌尿道感染等 ,大多数妇女的服药时间少于一年。结论 中老年妇女在围绝经期和绝经后有许多绝经相关症状 。

Objective To investigate the situation of reproductive health of perimenopausal and postmenopausal women in Chengdu and provide a basis for planning reproductive health care for these women. Methods We conducted a population-based cross-sectional study in women who were over 45 years old in the central city and the nearby county of Chengdu. Results The mean age of menopause was 48.1 years. There were sixty percent of women who had dysfunctional uterine bleeding before menopause. About half of the postmenopausal women had experienced perimenopausal symptoms. There were 460 women who ever used or currently use estrogen therapy. But only half of them visited doctors and sought medical therapy. And the main problems were hot flash, night sweats, dyssomnia, and urinary infection. Most of them took medicine for a short period(<1 year). Conclusion We found that middle-aged and older women have many symptoms related to menopause. It is necessary for us to provide reproductive health care for them.