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目的了解昆明市围绝经期妇女健康状况及影响因素,为规范化管理诊疗更年期综合征提供理论依据。方法采取随机整群抽样的方法选取40~60岁妇女300例,平均年龄50.5岁。采用我院妇科更年期1日门诊统一制定的绝经健康问卷调查,问卷内容包括个人及家庭一般情况,改良后的Kupperman症状评分表。结果自然绝经181例,占60.33%,平均绝经年龄49.7岁。根据Kupperman评分表调查更年期症状,90%(270/300)的调查对象有1项以上的症状,13种症状中,更年期综合征的发生率波动于11.13%~61.33%,发生率较高的前5项症状为失眠61.33%(184/300),骨关节痛59.67%(179/300),易激动56.67%(170/300),疲乏55.33%(166/300),潮热汗出49.67%(149/300)。结论昆明市围绝经期妇女更年期相关保健知识欠缺,更年期综合征的发生可能与慢性疾病、婚姻情况等有相关性。
Objective To understand the health status and influencing factors of perimenopausal women in Kunming and to provide a theoretical basis for standardized management of climacteric syndrome. Methods A randomized cluster sampling method was used to select 300 women aged 40-60 years, with an average age of 50.5 years. Menopausal gynecology using outpatient clinic on the 1st uniform development of the menopausal health questionnaire, the questionnaire includes the general situation of individuals and families, improved Kupperman symptom score scale. The results of 181 cases of natural menopause, accounting for 60.33%, the average age of 49.7 years of menopause. Menopausal symptoms were investigated according to the Kupperman scale, and 90% (270/300) of the respondents had more than one symptom. Of the 13 symptoms, the incidence of menopausal syndrome fluctuated between 11.13% and 61.33%. Before the high incidence Five of the five symptoms were insomnia (61.33%, 184/300), bone and joint pain (59.67%, 179/300, 56.67% (170/300), 55.33% (166/300), 49.67% 149/300). Conclusion Kunming perimenopausal women menopause related to lack of health knowledge, the occurrence of menopausal syndrome may be related to chronic diseases, marital status and so on.