泸州地区女性月经紊乱危险因素的病例对照研究  

A case- control study on the risk factors of female menstrual disorder in Luzhou area

作　　者：刘娅[1] 黄桂英[2] 聂丹[2] 贾红[1] 张成全[1] 袁洋[1] 冷竹红 叶运莉[1] 

机构地区：[1]泸州医学院公共卫生学院,四川泸州610041 [2]泸州医学院附属医院妇产科

出　　处：《中国妇幼保健》2014年第21期3474-3477,共4页Maternal and Child Health Care of China

基　　金：四川省泸州市科技局项目(2011-159)

摘　　要：目的:探讨泸州地区女性月经紊乱的危险因素。方法:采用病例对照研究方法,对经临床确诊的91例月经紊乱患者及119例对照组妇女进行女性月经紊乱危险因素的非条件Logistic回归分析。结果:单因素分析显示居住地、工作强度、接触辐射源、精神压力、服用紧急避孕药、怀孕次数、流产次数、分娩方式、吸烟、母亲月经紊乱、累计哺乳时间等20个因素与月经紊乱的发生有关,多因素非条件Logistic回归分析显示居住于城市、精神压力大、服用紧急避孕药、吸烟及母亲月经紊乱为月经紊乱的危险因素,累计哺乳时间长、运动和补钙为保护因素。结论:月经紊乱是多因素综合作用的结果。因此,要降低月经紊乱的发病率必须采取有针对性的控制措施。Objective： To explore the risk factors of female menstrual disorder in Luzhou area. Methods ： A case - control study was conducted on 91 patients clinically diagnosed as menstrual disorder and 119 women without menstrual disorder （control group） through unconditioned logistic regression analysis. Results： The results of univariate analysis showed that 20 factors were correlated with the occur- rence of menstrual disorder, such as place of residence, work intensity, exposure to radiation sources, mental pressure, taking emergency contraception, pregnant times, times of spontaneous abortion, delivery modes, smoking, menstrual disorder of their mothers and accumula- tive total lactation time. The results of unconditional multivariate logistic regression analysis showed that living in the city, big mental pres- sure, taking emergency contraception, smoking and menstrual disorder of their mothers were risk factors of menstrual disorder; long cumula- tive lactation time, exercise and calcium supplement were protective factors of menstrual disorder. Conclusion ： Menstrual disorder is the re- sult of multiple factors. Therefore, to reduce the incidence rate of menstrual disorder, targeted control measures must be taken.

关 键 词：月经紊乱 危险因素 病例对照研究 

分 类 号：R711.5[医药卫生—妇产科学]