体质与围绝经期症状及生活质量的相关性分析  

Analysis of correlation between physical constitutionand symptoms and quality of life in perimenopause

作　　者：杨丹华[1] 陈超[1] 李秀燕[1] 李中洲 章松娟 YANG Danhua;CHEN Chao;LI Xiuyan;LI Zhongzhou;ZHANG Songjuan(The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou 310006,China;Department of Nursing,Shaoxing Yuecheng District Doumen Street Community Health Service Center,Shaoxing 312000,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院)内分泌科,浙江杭州310006 [2]绍兴市越城区斗门街道卫生服务中心护理部,浙江绍兴312000

出　　处：《健康研究》2024年第3期276-281,共6页Health Research

基　　金：浙江省医药卫生科技计划项目(2020KY658)。

摘　　要：目的分析围绝经期妇女体质与围绝经期症状及生活质量的相关性,为提高围绝经期妇女的生活质量提供依据。方法采用多级分层随机抽样方法,选择绍兴市越城区斗门街道244名围绝经期妇女为研究对象,收集一般资料,应用中医体质检测仪并参照《体质判断标准表》进行体质信息采集和体质判断,采用改良Kupperman评分量表及世界卫生组织生活质量测定量表简表对围绝经妇女进行围绝经期症状评分和生活质量评分,分析相关影响因素,以及体质与围绝经期症状及生活质量的相关性。结果偏颇体质(OR=7.192)、慢性疾病(OR=2.829)是围绝经期症状严重程度的影响因素(均P<0.05),围绝经期症状严重程度与生活质量呈负相关(r=-0.178,P<0.01);平和质、偏颇质的围绝经期妇女生活质量得分为(99.44±10.00)分、(94.40±13.58)分,2者差异有统计学意义(t=-2.897,P=0.005)。结论偏颇体质、患有慢性病加重围绝经期症状,围绝经期症状严重程度与妇女生活质量负相关。加强围绝经期妇女慢性病的监测及治疗,积极调理其偏颇体质,可能对改善围绝经期症状,提高生活质量有一定的临床价值。Objective To analyze the correlation between the constitution of perimenopausal women and perimenopausal symptoms as well as their quality of life,so as to provide a basis for improving the quality of life of perimenopausal women.Methods A multi-stage stratified random sampling method was employed to select 244 perimenopausal women from the Doumen Street,Yuecheng District of Shaoxing City as the research subjects.General information was collected,and body constitution information was gathered and assessed using a traditional Chinese medicine constitution detector and referring to the constitution judgment standard table.The modified Kupperman scoring scale and the World Health Organization's quality of life assessment short form were utilized to score perimenopausal symptoms and quality of life in perimenopausal women,respectively.The analysis focused on relevant influencing factors and the correlation between constitution and perimenopausal symptoms as well as quality of life.Results Bias constitution(OR=7.192)and chronic diseases(OR=2.829)were identified as influencing factors for the severity of perimenopausal symptoms(both P<0.05),with the severity of perimenopausal symptoms showing a negative correlation to the quality of life(r=-0.178,P<0.01).The quality of life scores for perimenopausal women with balanced constitution and biased constitution were(99.44±10.00)points and(94.40±13.58)points,respectively,showing a statistically significant difference(t=-2.897,P=0.005).Conclusions Biased constitution and the presence of chronic diseases exacerbate perimenopausal symptoms,with the severity of these symptoms negatively correlating with women's quality of life.Strengthening the monitoring and treatment of chronic diseases in perimenopausal women,as well as actively adjusting their biased constitution,may have clinical value in improving perimenopausal symptoms and enhancing quality of life.

关 键 词：围绝经期 症状 中医体质 生活质量 

分 类 号：R4[医药卫生—临床医学]