新兵训练后功能性闭经女兵的心身症状与激素水平  

Psychosomatic Symptoms and Hormone Levels of Female Recruits with Functional Hypothalamic Amenorrhea after Physical Training

作　　者：黄秀琴[1] 杨小柳[1] 张倩[1] 孙燕玲[2] 何晓冰[1] 骆利[1] 

机构地区：[1]北京军区总医院心理科,北京100700 [2]武警北京总队医院妇产科

出　　处：《中国心理卫生杂志》2005年第6期390-392,共3页Chinese Mental Health Journal

摘　　要：目的:探讨新人伍女兵功能性下丘脑性闭经(FHA)者与月经正常者激素水平及心理健康状况的差异。方法:在某部队新人伍女兵98人接受了为期近4个月的体能训练之后,有54人出现闭经.其中闭经3个月以上者有35人(研究组)。训练后月经正常、在采血时月经周期处于第5～11天者有26人(对照组)。分别测定她们血清中的促卵泡生成素(FSH)、黄体生成素(LH)、雌二醇(E_2)、孕酮(P)、泌乳素(PRL)、睾酮(T)、ACTH、T_3、T_4的水平,并用SCL-90分别评定她们的心理健康状况。结果:FHA 者血清FSH 值为4.96±1.73 mIU/ml,LH 值为2.63±1.78 mIU/ml,E_2的值为7.23±5.37 pg/ml,对照组血清相应值为10.73±2.30mIU/ml、12.31±2.15mIU/ml、41.67±6.13pg/ml,差异有统计学意义(P<0.01),闭经组低于对照组。FHA 组SCL-90的躯体化、人际敏感、抑郁、焦虑及其他因子分大于2的比率分别为:51.4%、42.9%、48.6%、51.4%及37.1%;而对照组这5项分值大于2的比率分别为15.4%、15.4%、19.2%、21.3%及11.5%,两组间这5个因子大于2的人数差异有统计学显著意义(P<0.05),闭经组高于对照组。结论:诊断为FHA 的女兵与月经正常女兵的激素水平有差异,闭经组心身症状的发生率也高于对照组。Objective:To compare hormone levels and mental health status between female recruits with functional hypothalamic amenorrhea and eumenorrhics after their recruit training for about 4 months.Methods: After 98 female recruits' receiving about 4 months' physical training,54 of them suffered from amenorrhea.35 of them whose amenorrhea were over 3 months were diagnosed as FHA(functional hypothalamic amenorrhea),and they were regarded as study group.Other 26 females with eumenorrhea in their late follicular phase(days 5～11 of menstrual circle)were sampled as control group,and they were regarded as control group.All the subjects were implemented laboratory check about FSH,LH,E2,P,PRL,T,ACTH,T_3,T_4 in serum and their mental health status were evaluated by SCL-90.Results:FSH,LH and E_2 concentrations in serum of the study group were 4.96± 1.73mIU/ml,2.63±1.78mIU/ml,and 7.23±5.37pg/ml,respectively.Those ineontrol group were10.73± 2.30mIU/ml,12.314±2.15mIU/ml,41.67±6.13pg/ml,respectively.The differences of FSH,LH and E_2 concentrations in serum between the two groups reached statistical significance(P<0.01),the other hormone concentrations between them had no statistical significance(P>0.05).In the study group,the rate of those with subseores over 2 in somatization,interpersonal sensitivity,depression,anxiety and“other symptoms”of SCL-90 were 51.4%,42.9%, 48.6%,51.4% and 37.1%,respectively;those in control group were 15.4%,15.4%,19.2%,21.3% and 11.5%, respectively.The differences of those between the two groups were statistically significant(P<0.05).Conclusion:The sex hormone levels of FSH,LH,and E_2 of female recruits with FHA after 4 months physical training are different from those with cumenorrhea,and the occurrence of psychosomatic symptoms in FHA group are more than the control group.

关 键 词：激素水平 心身症状 训练后 功能性闭经 女兵 功能性下丘脑性闭经 黄体生成素(LH) 心理健康状况 SCL-90 雌二醇(E2) 新兵 促卵泡生成素 月经正常 对照组 孕酮(P) 睾酮(T) FHA 体能训练 月经周期 ACTH 人际敏感 统计学 ml 

分 类 号：R135.14[医药卫生—劳动卫生] R395.6[医药卫生—公共卫生与预防医学]