经前期症状严重程度及影响因素的分析  

The risk factors and severity of premenstrual symptoms among Chinese women

作　　者：王艳红[1] 林守清[1] 陈蓉[1] 

机构地区：[1]北京协和医学院北京协和医院妇产科,北京100730

出　　处：《四川医学》2010年第7期902-904,共3页Sichuan Medical Journal

摘　　要：目的描述经前期症状和严重程度,探索影响经前期症状的危险因素。方法在某妇女健康中心张贴广告共招募142例研究对象,填写根据美国精神协会精神疾病诊断和统计指南第四版修订的经前期症状筛查问卷。符合初筛标准后,再按照经前期综合征日记(PMSD)记录一个完整月经周期每天的症状、严重程度及基础体温。结果符合经前期症状初筛标准的126名研究对象中,86例研究对象完成了1个月经周期的PMSD,结果显示:妇女最容易感受到的前三位症状为情绪不稳(90.53%)、疲乏(90.37%)、紧张易怒(89.03%)。与轻度经前期症状者相比,中、重度者更容易感到焦虑/不安、恼火/有攻击性/脾气暴躁、一段时间想哭泣、下腹部绞痛、全身酸痛、腰背痛、头痛、失眠(P<0.05)。随着BMI、高温相持续时间延长,经前1周经前期症状总分平均分也随之增加(P<0.05)。结论对经前期症状回顾性和前瞻性记录的结果显示困扰妇女的经前期最常见症状疲乏、无力和紧张易怒、情绪不稳等症状。孕激素不足并不能影响经前期症状的严重程度。Objective Premenstrual symptoms are a commonly encountered complaint among women.The study aimed to describe the symptoms and its severity during premenstrual phase among Chinese women and to examine the risk factors for the severity of these symptoms.Methods A total of 142 women were recruited from an outpatient department of gynecological endocrinology in peking union medical college hospital by the advertisement.Premenstrual symptoms were retrospectively assessed by the screening questionnaires modified by 4th edition of the diagnostic and statistical manual of mental disorders.126 subjects,who met the criteria for the potential subjects,were required to daily record the symptoms during one menstrual cycle by using premenstrual syndrome diary （PMSD）.Results The common prospectively recorded premenstrual symptoms were mood swings （90.53%）,fatigue （90.37%）,and tension/irritability （89.03%）.Compared to the mild group,women in the moderate/severe group tended to experience more severe symptoms of anxiety/nervousness;anger/aggression/short tempered;crying spells,lower abdominal cramping;generalized aches and pains;low backache;headache;and insomnia （P0.05）.The total score of premenstrual symptoms in the week prior to menstrual bleedins were positively associated with BMI and the duration of temperature elevation （P0.05）.Conclusion The most common menstrual symptoms experienced by this population are lethargy,easy fatigability and marked anxiety,tension,feelings of being ＂keyed up＂.Lack of progesterone is not related with the severity of premenstrual syndrome.The future study needed to disclose the etiology of premenstrual symptoms.

关 键 词：经前期症状 经前期综合征 经前期综合征日记 

分 类 号：R271.115[医药卫生—中医妇科学]