摘要
目的了解湖北省更年期女性更年期综合征(menopausal syndrome,MPS)的发病情况、影响因素以及激素替代治疗(hormone replacement therapy,HRT)的使用情况。方法在2019-03~10月,选取于湖北省6个地区不同等级的妇幼保健院就诊的40~60岁妇女进行问卷调查,根据研究对象自我评价是否发生MPS,分为无MPS组(n=395)和MPS组(n=229)。比较两组调查对象的临床资料,研究MPS的影响因素。结果MPS发生率为36.70%(229/624)。两组间比较,年龄、职业、文化程度、体质量指数(body mass index,BMI)、是否绝经、孕次、3个月内有无性生活差异具有统计学意义(P均<0.05)。Logistic回归分析显示,年龄、职业、是否绝经、孕次、3个月内有无性生活是女性发生MPS的危险因素。如发生MPS,仅37.34%(233/624)的女性有干预意愿,HRT使用率为22.27%(139/624)。结论本研究中研究对象的年龄、职业、是否绝经、孕次、3个月内有无性生活是MPS发生的影响因素,且HRT使用率较低,应加强更年期保健知识宣教,提高妇女对MPS的认知,提供行之有效的治疗方案,以期提高整体更年期女性的生活质量。
Objective To understand the incidence,influencing factors and the use of hormone replacement therapy(HRT)of menopausal syndrome(MPS)in women in Hubei province.Methods Women aged between 40 to 60 from different levels of maternal and child health hospitals in 6 regions of Hubei province from March 2019 to October 2019 were selected for questionnaire survey,and they were divided into no MPS group(n=395)and MPS group(n=229)according to whether MPS occured in study subjects self-rated,the clinical data of the two groups were compared to study the influencing factors of MPS.Results The incidence of MPS was 36.70%(229/624).There were significant differences in age,occupation,education level,body mass index(BMI),whether to menopause,pregnancy times and asexual life within 3 months between the two groups(P<0.05).Logistic regression analysis showed that age,occupation,whether to menopause,pregnancy times,and sexual life within 3 months were the risk factors for MPS among women.If MPS occured,only 37.34%(233/624)of women had the willingness to intervene,utilization rate of HRT was 22.27%(139/624).Conclusion In this study,age,occupation,whether to menopause,pregnancy times and sexual life within 3 months of the study subject are the influencing factors to the incidence of MPS,and the utilization rate of HRT is low,the menopausal health education should be strenthened,women′s awareness of MPS should be raised,and effective treatment programs should be provided to improve the overall quality of life of menopausal women.
作者
孔迎春
刘婷婷
易念华
KONG Yingchun;LIU Tingting;YI Nianhua(School of Medicine,Wuhan University of Science and Technology,Wuhan Hubei 430065,China)
出处
《华南国防医学杂志》
CAS
2022年第11期875-878,共4页
Military Medical Journal of South China
基金
湖北省更年期妇女相关健康问题综合防治计划(WJ2019H300)。
关键词
更年期综合征
激素替代治疗
更年期综合征发生率
影响因素
Menopausal syndrome
Hormone replacement therapy
Incidence of menopausal syndrome
Influencing factor
