【摘要】 目的调查邢台地区部分40～60岁女性围绝经期综合征的发生情况并分析影响因素。方法选取2019年1月-2019年12月在邢台市人民医院健康体检中心进行体检的1 444例40～60岁围绝经期女性为研究对象,采用自编基本情况调查表与围绝经期改良Kupperman评分量表进行问卷调查,并且对研究对象进行体格检查和实验室检查。结果 1 444例调查对象中患围绝经期综合征832例,占57.6%,其中轻度543例(37.6%),中度266例(18.4%),重度23例(1.6%)。常见的症状包括疲乏746(51.7%)、情绪波动722(50.0%)、失眠697(48.3%)。脂肪肝的患病率是26.6%,高血压为7.4%,高血脂为2.8%,高血糖为2.3%。在围绝经期综合征严重程度分级特征上,总胆固醇、甘油三酯、低密度脂蛋白胆固醇、尿酸有统计学差异(P<0.05)。多因素Logistic回归分析结果显示:工作性质、睡眠情况、月经情况是影响围绝经期综合征的影响因素。结论该地区40～60岁女性围绝经期综合征患病率偏高,但大多数为轻中度症状。需加强围绝经期健康教育,提高女性保健知识,进而提高生活质量。更多还原

【Abstract】 Objective To understand the prevalence and epidemic characteristics of perimenopausal syndrome among aged women 40-60 in Xintai area,and to analyze the related influencing factors. Methods A total of 1 444 perimenopausal women aged 40 to 60 of Xingtai people’s hospital from January to December 2019 in Xintai City were surveyed, modified Kupperman scale and a self-designed general information questionnaire, physical examinations and laboratory examinations were investigated. Results There were 832 patients with perimenopausal syndrome in 1 444 perimenopausal women(57.6%). Among the perimenopausal syndrome patients,the mild,moderate and severe perimenopausal syndrome patients was 37.6%(543), 18.4%(266) and 1.6%(23). Common symptoms included fatigue 746(51.7%), mood swings722(50.0%), insomnia 697(48.3%). The prevalence of fatty liver disease was 26.6%, hypertension 7.4%, hyperlipidemia 2.8%and high blood sugar 2.3%. In terms of severity grading characteristics of perimenopausal syndrome, there were statistically significant differences in cholesterol, triglycerides, LDL cholesterol, uric acid(P<0.05).Multivariate analysis showed that the risk factors were nature of work, sleep patterns, menstrual status. Conclusion The prevalence of perimenopausal syndrome in women aged 40-60 years is high in this area, most of them are mild to moderate symptoms, strengthen the health education of perimenopausal period, improve women’s health knowledge, and then improve the quality of life.更多还原