成都地区妇女乳房疼痛症影响因素的初步探讨:100例病例对照研究  

Primary study on the influencing factors of mastalgia in women in Chengdu district:a case-control study with 100 subjects

作　　者：李一[1] 汪静[2] 

机构地区：[1]四川省人民医院乳腺外科,成都610072 [2]华西医院甲状腺乳腺外科,成都610041

出　　处：《中华乳腺病杂志（电子版）》2011年第5期13-17,共5页Chinese Journal of Breast Disease(Electronic Edition)

摘　　要：目的初步探讨成都地区妇女乳房疼痛症的影响因素。方法对四川省人民医院体检中心就诊妇女进行问卷调查,选择50例乳房疼痛者作为病例组及50例无疼痛者作为对照组。统计分析采用单因素及多因素非条件logistic回归分析和非参秩和检验。结果单因素分析结果显示,服用避孕药(OR=6.00)、有流产史(OR=2.74)、亚急性失眠(OR=7.03)和慢性失眠(OR=30.60)是患乳房疼痛症的危险因素,偶尔饮酒(每月<1次,OR=0.36)和食用植物油是患乳房疼痛症的保护因素。将以上几个变量引入多因素回归分析,结果显示亚急性失眠(OR=6.38)、慢性失眠(OR=65.42)为乳房疼痛症的危险因素,适当食用植物油(每天1次,OR=0.27;每周1次,OR=0.11;每月1次,OR=0.10)为乳房疼痛症的保护因素。非参秩和检验结果显示,病例组在身体症状、强迫感、抑郁症状、焦虑状态、敌对心理、偏执状态、精神症状方面得分均高于对照组(P<0.05)。结论失眠是导致成都地区妇女发生乳房疼痛的危险因素,每天食用1次植物油可能减轻乳房疼痛,乳房疼痛症患者有更多的精神心理问题。Objective To find out the influencing factors of mastalgia in women in Chengdu district. Methods We conducted a questionnaire investigation in 100 females who had visited doctors in Physical Examination Center of People＇ s Hospital of Sichuan Province, including 50 patients with mastalgia as a mastalgia group and 50 without as a control group. The statistical methods included single factor logistic regression, multiple factor logistic regression and Wilcoxon Rank Sum test. Results Single factor analysis showed that taking contraceptives （ OR = 6.00 ）, history of abortion （ OR = 2.74 ）, subacute insomnia （ OR = 7.03）, and chronic insomnia （OR = 30. 60 ） were the risk factors of mastalgia; occasional drinking （〈 1 time/month, OR = 0.36 ） and eating vegetable oil were protective factors of mastalgia. Multiple factor logistic regression showed that subacute insomnia （OR= 6.38 ）, chronic insomnia （OR= 65.42 ） were the risk factors of mastalgia ; Appropriate vegetable oil consumption （ once a day, OR = 0.27 ; once a week, OR = 0. 11 ; once a moth, OR = 0.10） was protective factor for mastalgia. Wileoxon Rank Sum test indicated that the mastalgia group had higher scores in physical symptoms, compulsion, depression, anxiety, mental hostility, paranoid state and psychiatric symptoms than the control group （P〈0.05）. Conclusions Insomnia is a risk factor of mastalgia for women in Chengdu. Taking vegetable oil once a day can alleviate the pain of the breast. Female patients with mastalgia have more mental problems.

关 键 词：乳房疼痛症 病例对照研究 SCL-90症状自评量表 影响因素 

分 类 号：R655.8[医药卫生—外科学]