某高校女生异常子宫出血的病因及特征分析  

Analysis of etiology and characteristics of abnormal uterine bleeding in a college girl

作　　者：闫丽宇 陈寒 YAN Li-yu;CHEN Han(West District Community Health Service Center of China Agricultural University,Beijing 100193,China)

机构地区：[1]中国农业大学西区社区卫生服务中心,北京100193 [2]海淀区妇幼保健院

出　　处：《中国校医》2022年第11期817-820,共4页Chinese Journal of School Doctor

摘　　要：目的 探讨并分析本校异常子宫出血女生的临床特征及病因诊断,为高校女生制定适宜的预防保健措施提供理论依据。方法 选取2020年11月—2021年11月在中国农业大学社区卫生服务中心妇科门诊就诊的137例异常子宫出血的高校女生为研究对象,调查其一般特征、生活习惯及心理特征,并依据异常子宫出血的诊疗流程,结合病史、症状体征及辅助检查,研究及探讨本校女生异常子宫出血的出血模式、病因及特征。结果 本校137例异常子宫出血女生的月经出血模式主要为:不规律月经(28.5%)和月经稀发(27.7%)。病因学诊断中,排卵障碍性异常子宫出血最为常见,占所有异常子宫出血的72.26%,而多囊卵巢综合征又占排卵障碍性异常子宫出血的41.4%。异常子宫出血女生普遍存在生活不规律,97.1%的患者存在入睡时间晚,睡眠不良;83.9%的患者合并压力大;59.9%的患者处于心理不健康状态,表现为压抑及焦虑;45.5%的患者饮食不均衡。结论 本校异常子宫出血女生主要表现为不规律月经和月经稀发,其中排卵障碍性异常子宫出血为最主要原因。社区卫生保健机构及学校,对女学生应加强妇科病知识和心理健康教育,促进她们的身心健康。Objective To investigate and analyze the clinical features and etiological diagnosis of abnormal uterine bleeding(AUB) in girls at China Agricultural University, so as to provide theoretical evidence for the development of appropriate preventive health care measures for female students in colleges and universities.Methods A total of 137 college girls with AUB from November 2020 to November 2021 were selected as the participants in the gynecology clinic of the Community Health Service Center of China Agricultural University. Their general characteristics, lifestyle habits, and psychological characteristics were investigated. Based on the diagnosis and treatment process of AUB, combined with medical history, symptoms, signs, and auxiliary examinations, the bleeding patterns, etiologies, and characteristics of AUB in girls in the school were studied and discussed.Results The menstrual bleeding patterns of 137 girls with AUB in this school mainly were: irregular menstruation(28.5%) and menstrual thinning(27.7%). In the etiological diagnosis, ovulation disorder AUB was the most common, accounting for 72.26% of all AUB, while polycystic ovary syndrome accounted for 41.4% of AUB due to ovulation disorder. AUB in girls generally had irregular life, including 97.1% of patients had late sleep time, poor sleep,83.9% of patients were combined with stress, 59.9% of patients were in a state of psychological unhealthy, manifested as depression and anxiety, and 45.5% of patients had an unbalanced diet.Conclusions AUB girls in this school mainly show irregular menstruation and menstrual sparseness, of which ovulation disorder AUB is the most important cause. Community health care institutions and schools should strengthen gynecological disease knowledge and mental health education for female students to promote their physical and mental health.

关 键 词：异常子宫出血 AUB 月经失调 多囊卵巢综合征 社区预防保健 

分 类 号：R711.52[医药卫生—妇产科学]