青岛地区女性围绝经期症状流行病学调查分析  

Epidemiological survey and analysis of perimenopausal symptoms in Qingdao

作　　者：初怡静[1] 王福玲[1] 娄艳辉[1] 王箴言[1] 崔竹梅[1] 

机构地区：[1]青岛大学医学院附属医院妇科,青岛266003

出　　处：《现代妇产科进展》2012年第7期553-556,共4页Progress in Obstetrics and Gynecology

基　　金：山东省医药卫生发展计划(No:2007wh047)

摘　　要：目的:调查青岛地区围绝经期女性围绝经期症状发生情况,并分析其相关危险因素。方法:2009年3月至2011年4月间分层调查青岛市区及近郊各社区1240名围绝经期女性,围绕围绝经期症状进行一般情况问卷调查。结果:(1)1240名围绝经期女性,平均初潮年龄(15.41±1.93)岁;平均绝经年龄(49.44±3.27)岁。(2)围绝经期的主要症状有健忘(76.6%),性欲减退(72.9%),性高潮障碍(63.3%),疲乏(59%);其次为易怒,入睡困难,情绪波动,睡眠障碍,心悸,阴道干燥,潮热,骨、关节、肌肉疼痛,尿急尿失禁,性交痛,皮肤感觉异常,眩晕,抑郁。(3)围绝经期症状的主要危险因素:健忘、焦虑、是否绝经、有无性生活、是否关注性生活、子女数、年龄、对绝经的态度(P<0.05)。结论:绝大多数围绝经期女性存在更年期症状,以轻度为主,应加强围绝经期保健工作,重视雌激素补充治疗及心理咨询。Objective：To investigate the prevalence of perimenopausal symptoms and their risk factors in perimenopausal and postmenopausal women in Qingdao urban and suburban district.Methods：1240 perimenopausal symptom questionnaires were performed in several communites from March 2009 to April 2011 in Qingdao.Results：（1）The average menarche age was 15.41±1.93;average menopause age was 49.44±3.27 in 1240 perimenopausal women.（2）The main menopausal symptoms were forgetfulness（76.6%）,loss of libido（72.9%）,anorgasmia（63.3%）,fatigue（59%）.Followed by irritability,sleep disturbances,mood swings,palpitations,vaginal dryness,hot flashes,bone,joint and muscle pain,urgency incontinence,dyspareunia,paresthesia,dizziness,depression.（3）Major risk factors of perimenopausal symptoms：forgetfulness,anxiety,menopause,sexual life condition,concern about the sexual life,number of children,age,attitude to the menopause（P0.05）.Conclusions：Most menopausal symptoms suffered by perimenopausal women mostly are mild.Perimenopausal health care should be strengthened,and more attention should be taken to estrogen replace therapy and psychological counseling.

关 键 词：围绝经期 情感症状 行为症状 流行病学 

分 类 号：R711.51[医药卫生—妇产科学]