磐安县绝经女性绝经综合征调查  

Prevalence of menopausal syndrome among postmenopausal women in Pan'an County

作　　者：应慧珍 吉丽 孔文娟 王媛 陈晓霞 胡彩虹 傅海英 卢园园 车秀丽 YING Huizhen;JI Li;KONG Wenjuan;WANG Yuan;CHEN Xiaoxia;HU Caihong;FU Haiying;LU Yuanyuan;CHE Xiuli(Pan'an County Maternal and Child Health Care Hospital,Pan'an,Zhejiang 322300,China)

机构地区：[1]磐安县妇幼保健院,浙江磐安322300

出　　处：《预防医学》2025年第3期312-315,共4页China Preventive Medicine Journal

基　　金：浙江省医药卫生科技计划项目(2024XY191);金华市科技项目(2023-4-307)。

摘　　要：目的了解浙江省磐安县绝经女性绝经综合征发生情况及影响因素,为指导绝经女性健康管理提供依据。方法于2023年5月—2024年4月采用随机整群抽样方法抽取磐安县40~69岁绝经女性为研究对象,通过问卷调查收集社会人口学信息、生活方式和妇科疾病等资料;采用改良Kupperman评分量表评估绝经综合征,分析绝经综合征发生率。采用多因素logistic回归模型分析绝经女性绝经综合征的影响因素。结果调查绝经女性816人,年龄为(57.63±2.92)岁,自然绝经年龄为(49.85±2.13)岁。有绝经综合征574例,发生率为70.34%;其中潮热出汗、失眠和易激动症状较常见,分别占62.87%、47.43%和41.18%。多因素logistic回归分析结果显示,个人月均收入≤5000元(<3000元,OR=3.124,95%CI:1.829~5.335;3000~5000元,OR=2.399,95%CI:1.370~4.201)、有妇科疾病(OR=1.970,95%CI:1.292~3.004)的绝经女性与较高的绝经综合征风险有关;睡眠一般(OR=0.141,95%CI:0.072~0.276)或充足(OR=0.095,95%CI:0.049~0.185)的绝经女性与较低的绝经综合征风险有关。结论磐安县绝经女性绝经综合征发生率较高,主要受个人经济水平、睡眠状况和妇科疾病的影响。Objective To investigate the prevalence and influencing factors of menopausal syndrome among postmenopausal women in Pan'an County,Zhejiang Province,so as to provide the basis for guiding the health management of postmenopausal women.Methods From May 2023 to April 2024,the postmenopausal women aged 40 to 69 years in Pan'an County were selected using the random cluster sampling method.Demographic information,lifestyle and prevalence of gynecological diseases were collected through questionnaire surveys.The prevalence of menopausal syndrome was assessed by modified Kupperman Score Scale.Factors affecting menopausal syndrome were analyzed by a multivariable logistic regression model.Results A total of 816 postmenopausal women were surveyed,with an mean age of(57.63±2.92)years and a mean natural menopause age of(49.85±2.13)years.There were 574 cases with menopausal syndrome,with a prevalence of 70.34%.Flashes and sweating,insomnia and irritability were common symptoms,accounting for 62.87%,47.43% and 41.18%,respectively.Multivariable logistic regression analysis showed that monthly personal income of≤5000 yuan(<3000 yuan,OR=3.124,95%CI:1.829-5.335;3000-5000 yuan,OR=2.399,95%CI:1.370-4.201)and having gynecological diseases(OR=1.970,95%CI:1.292-3.004)were associated with a higher risk of menopausal syndrome,while average(OR=0.141,95%CI:0.072-0.276)or sufficient sleep quality(OR=0.095,95%CI:0.049-0.185)were associated with a lower risk of menopausal syndrome.Conclusion The prevalence of menopausal syndrome among postmenopausal women in Pan'an County is relatively high,and is mainly influenced by personal economic status,sleep quality and the presence of gynecological diseases.

关 键 词：绝经女性 绝经综合征 影响因素 

分 类 号：R711.75[医药卫生—妇产科学]