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目的调查徐州市云龙区妇女围绝经期综合征患病情况,分析其影响因素。方法 2014年6月—2015年12月采用便利抽样的方法随机抽取徐州市云龙区45~55岁妇女600名,采用自编调查表和改良Kupperman量表进行问卷调查。计量资料比较采用t检验,计数资料比较采用χ2检验,更年期综合征的影响因素分析采用Logistic回归分析,P<0.05为差异有统计学意义。结果徐州市云龙区妇女围绝经期综合征患病率为38.83%,其中轻、中、重度围绝经期综合征患病率依次为21.33%、14.33%、3.17%。围绝经期综合征症状发生率前五位依次为:疲乏(76.33%)、易激动(70.50%)、失眠(68.17%)、头痛(63.83%)、骨关节痛(59.67%)。多因素分析结明,年龄大、无定期锻炼、很少吃豆制品、月经紊乱、停经是围绝经期综合征发生的危险因素(OR=1.565,95%CI为1.108~2.186;OR=2.029,95%CI为1.334~3.138;OR=2.732,95%CI为1.595~4.695;OR=1.953,95%CI为1.268~3.062;OR=2.614,95%CI为1.561~4.389);而文化程度为高中或中专、大专及以上,月收入为1 500~3 000元、>3 000元是围绝经期综合征发生的保护因素(OR=0.845,95%CI为0.735~0.933;OR=0.723,95%CI为0.589~0.871;OR=0.871,95%CI为0.783~0.963;OR=0.639,95%CI为0.472~0.856)。结论徐州市云龙区妇女围绝经期综合征患病率较高,有关部门应当重视对围绝经期妇女的健康教育工作,促进女性身心健康发展。
Objective To investigate the prevalence of perimenopausal syndrome among women in Yunlong District of Xuzhou City and analyze the influencing factors. Methods June 2014-December 2015 A total of 600 women aged 45-55 in Yunlong District of Xuzhou City were randomly selected by means of convenience sampling. Questionnaires were conducted using self-made questionnaires and improved Kupperman scale. Measurement data were compared using t test, count data were compared using the χ2 test, analysis of the influencing factors of climacteric syndrome using Logistic regression analysis, P <0.05 for the difference was statistically significant. Results The prevalence of perimenopausal syndrome among women in Yunlong District was 38.83%. The prevalence rates of mild, moderate and severe perimenopausal syndrome were 21.33%, 14.33% and 3.17% respectively. The top five symptoms of perimenopausal syndrome were as follows: fatigue (76.33%), irritability (70.50%), insomnia (68.17%), headache (63.83%) and bone and joint pain (59.67%). Multivariate analysis showed that age, irregular exercise, seldom eating soy products, menstrual disorders and menopause were the risk factors of perimenopausal syndrome (OR = 1.565, 95% CI 1.108-2.186; OR = 2.029, 95% CI was 1.334 ~ 3.138; OR = 2.732, 95% CI 1.595 ~ 4.695; OR = 1.953, 95% CI 1.268 ~ 3.062; OR = 2.614, 95% CI 1.561 ~ 4.389) Or secondary, college and above, monthly income of 1500 ~ 3000 yuan,> 3000 yuan is a protective factor in the occurrence of menopausal syndrome (OR = 0.845, 95% CI 0.735 ~ 0.933; OR = 0.723,95 % CI was 0.589-0.871; OR = 0.871, 95% CI 0.783-0.963; OR = 0.639, 95% CI 0.472-0.856). Conclusion The prevalence of perimenopausal syndrome among women in Yunlong District of Xuzhou City is high. Relevant departments should attach importance to the health education of perimenopausal women and promote the healthy development of women.