摘要
目的:探讨月经出血评分(MBS)对月经过多女性缺铁的预测作用。方法:选择95例月经过多女性为对象,以自行设计的MBS量表评估经量,记录卫生巾用量及经期天数,完成血清铁(SI)及血红蛋白(Hb)等检查。结果:95例月经过多女性中检出缺铁65例,其中铁耗减34例,缺铁性红细胞生成12例,缺铁性贫血19例。Spearman分析及误差限图分析均表明MBS评分与女性缺铁程度显著正相关(P<0.01),Logistic回归示MBS评分是影响月经过多女性缺铁的重要因素(P<0.01)。ROC分析示,当女性MBS评分≥41.25时,提示有较高缺铁风险,有必要作进一步实验室缺铁筛查,此时预测灵敏度、特异度分别达50.77%、86.67%,ROC曲线下面积为0.705(P<0.01)。结论:MBS测评法操作简易,能有效预测月经过多女性的缺铁风险,或在门诊、社区基层、女性缺铁普查及日常自我保健中有一定应用前景。
Objective： To explore the predictive effect of menstrual bleeding score （MBS） for iron deficiency in women with men- orrhagia. Methods： Ninety -five women with menorrhagia were selected as study objects, a self-designed MBS was used to evaluate men- strual blood volume, the usage of sanitary towels and duration days of menstruation were recorded, serum iron test and hemoglobin test were performed. Results ： Among 95 women with menorrhagia, 65 women were diagnosed as iron deficiency, including 34 women with iron deple- tion, 12 women with iron deficient erythropoiesis, and 19 women with iron- deficiency anemia. Both Spearman analysis and bound on error map analysis showed that there was a positive correlation between MBS score and the degree of female iron deficiency （ P 〈 0. 01 ）, logistic regression analysis showed that MBS score was an important influencing factor of iron deficiency in women with menorrhagia （P 〈 0. 01 ） . ROC analysis showed that MBS score i〉41.25 indicated relatively high risk of iron deficiency, it was necessary to conduct laboratory iron de- ficiency screening, the sensitivity and specificity of MBS prediction were 50. 77% and 86. 67% , respectively, the area under ROC curve was 0. 705 （P 〈0. 01 ） . Conclusion： MBS questionnaire is simple and easy to operate, which can effectively predict the risk of iron deficiency in women with menorrhagia and have a certain application prospect in general investigation of female iron deficiency in outpatient departments and communities and routine self- health care.
出处
《中国妇幼保健》
CAS
北大核心
2013年第31期5125-5128,共4页
Maternal and Child Health Care of China
基金
国家科技部"十二五"科研支撑计划课题资助项目〔2012BAI32B05〕
关键词
月经出血评分
月经过多
缺铁
Menstrual bleeding score
Menorrhagia
Iron deficiency
