赣州地区妇女围绝经期综合征的发生状况调查及相关因素分析  

Investigation of the occurrence of perimenopausal syndrome in women in Ganzhou area and analysis of related factors

作　　者：温泉 陈敏 董蕾 乔蕾 WEN Quan;CHEN Min;DONG Lei;QIAO Lei(Department of Gynecology,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,China;Department of Ultrasonic Medicine,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市妇幼保健院妇科,江西赣州341000 [2]江西省赣州市妇幼保健院超声医学科,江西赣州341000

出　　处：《中国当代医药》2025年第4期128-131,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212338)。

摘　　要：目的调查赣州地区妇女围绝经期综合征的发生状况并进行相关因素分析。方法选取2022年1月至2023年6月于赣州市妇幼保健院就诊的337名患者作为研究对象,根据围绝经期综合征发生情况将其分为围绝经期综合征组与非围绝经期综合征组,统计两组患者一般资料,采用多因素logistic回归分析探究赣州地区妇女围绝经期综合征发生的相关因素。结果337例患者中,共241例(71.51%)发生围绝经期综合征,其余96例(28.49%)患者未发生围绝经期综合征。病情严重程度中,中度占比最高(61.00%)。单因素分析结果显示,文化程度、月经改变情况、体重指数(BMI)、运动情况与围绝经期综合征发生有关,差异有统计学意义(P<0.05)。多因素logistic回归模型分析结果显示,文化程度(β=1.002,OR=2.724,95%CI:1.229~6.036)、月经改变情况(β=1.078,OR=2.939,95%CI:1.214~7.113)、BMI(β=1.269,OR=3.557,95%CI:1.676~7.551)、运动情况(β=1.115,OR=3.050,95%CI:1.295~7.182)为赣州地区妇女发生围绝经期综合征的独立危险因素(P<0.05)。结论赣州地区围绝经期综合征发生率较高,且以病情严重程度中度占比较高,眩晕、失眠、疲倦乏力为其主要症状;文化程度、月经改变情况、BMI、运动情况为赣州地区女性发生围绝经期综合征的相关因素,临床应引起重视。Objective To investigate the occurrence of perimenopausal syndrome in women in Ganzhou area and analyze the related factors.Methods A total of 337 patients treated in Ganzhou Women and Children's Health Care Hospital from January 2022 to June 2023 were selected as the study objects.According to the occurrence of perimenopausal syndrome,they were divided into perimenopausal syndrome group and non-perimenopenopausal syndrome group.General data of the two groups were analyzed.Multivariate logistic regression analysis was used to explore the related factors of perimenopausal syndrome in women in Ganzhou area.Results Among 337 patients,241(71.51%)had perimenopausal syndrome,and the remaining 96(28.49%)did not.In the severity of the disease,the proportion of moderate was the highest(61.00%).Univariate analysis showed that education level,menstrual change,body mass index(BMI)and exercise were related to the occurrence of perimenopausal syndrome,and the differences were statistically significant(P<0.05).Multivariate logistic regression model analysis results showed that education level(β=1.002,OR=2.724,95%CI:1.229-6.036),menstrual changes(β=1.078,OR=2.939,95%CI:1.214-7.113),BMI(β=1.269,OR=3.557,95%CI:1.676-7.551),exercise(β=1.115,OR=3.050,95%CI:1.295-7.182)were independent risk factors for perimenopausal syndrome in Ganzhou women(P<0.05).Conclusion The incidence of perimenopausal syndrome is high in Ganzhou area,and the severity of the disease is moderate,vertigo,insomnia,fatigue and fatigue are the main symptoms.The related factors of perimenopausal syndrome in women in Ganzhou area are education level,menstrual change,BMI and exercise,which should be paid attention to clinically.

关 键 词：围绝经期综合征 影响因素 发生状况 赣州地区 

分 类 号：R711.75[医药卫生—妇产科学]