育龄妇女经前期综合征的影响因素研究

发布时间：2018-03-12 08:01

本文选题：育龄妇女　切入点：经前期综合征　出处：《浙江大学》2014年硕士论文　论文类型：学位论文

【摘要】：[目的] 通过对健康体检育龄妇女的一般问卷、抑郁症状调查和相关实验室检查,分析育龄妇女经前期综合征(PMS)的发生率与影响因素,为探索经前期综合征的诊断和预防提供思路。 [方法] 对462名育龄妇女进行一般情况调查表、经前综合征量表和贝克抑郁量表等现况调查,同时检测雌二醇(E2)和孕酮(P)水平、妇科B超、血脂等,根据JohnBancroft诊断标准,以各症状总评分≥6分为PMS统计其发生率,并对上述因素进行卡方检验、t检验、相关分析和logistic回归分析。 [结果] 本次调查共发放问卷500份,收回486份,有效问卷462份,有效率95.1%。(1)育龄妇女PMS发生率为10.4%,其中79.1%为轻度,14.6%为中度,6.3%为重度；各症状中易激动、失眠、偏头痛及腹胀腹痛发生率较高；(2)育龄妇女血脂水平、既往宫外孕史与PMS显著相关,而雌激素、孕激素水平及有无子宫肌瘤与PMS无显著相关；(3)育龄妇女工作性质、工作压力、吸烟频率与PMS显著相关,年龄、文化程度、职业、锻炼身体频率、体型、喝酒频率、婚姻状况、孕产和人流次数、月经规律与否以及有无痛经对育龄妇女PMS的发生无显著相关；(4)抑郁症状阳性率为6.9%,育龄妇女PMS与抑郁症状存在正相关；(5)影响育龄妇女PMS的logistic回归分析显示：血脂水平、抑郁症状、工作压力是PMS发生的影响因素,抑郁症状与PMS的严重程度相关。 [结论] 育龄妇女中PMS的发生率为10.4%,其中轻度的比例为79.1%,突出的症状表现为易激动、失眠。PMS严重程度与抑郁症状存在正相关。高血脂、抑郁症状、工作压力大等为育龄妇女PMS发生的主要危险因素。
[Abstract]:[Objective]
Based on the general questionnaires, depressive symptoms and related laboratory tests, the incidence and influencing factors of premenstrual syndrome (PMS) in women of childbearing age were analyzed, so as to provide ideas for diagnosis and prevention of premenstrual syndrome.
[method]
The general situation of the survey on 462 women, before the current syndrome scale and Beck depression inventory survey, simultaneous determination of estradiol (E2) and progesterone (P) level, b-gynecology, Bloodlipid, according to the JohnBancroft criteria, the total symptom score greater than 6 is divided into PMS statistics the incidence the above factors, and the chi square test, t test, correlation analysis and logistic regression analysis.
[results]
A total of 500 questionnaires, 486 copies, 462 copies of effective questionnaires, efficiency of 95.1%. (1) of women of childbearing age the incidence rate of PMS was 10.4%, of which 79.1% were mild, 14.6% moderate and 6.3% severe; the symptoms of irritability, insomnia, migraine and abdominal distension and pain occurrence rate is high; (2) lipid levels in women of childbearing age, previous history of ectopic pregnancy was significantly correlated with PMS and estrogen, progesterone levels and the presence of uterine fibroids and PMS have no significant correlation; (3) the nature of women of childbearing age, work pressure, smoking was significantly associated with frequency of PMS, age, culture degree, occupation, exercise frequency, size, drink frequency, marital status, pregnancy and abortion, regular menstruation or not and there is no dysmenorrhea of women of childbearing age had no significant correlation with PMS; (4) the positive rate of depressive symptoms was 6.9%, PMS was positively correlated with depressive symptoms in women of childbearing age; (5) of women of childbearing age PMS logistic Regression analysis showed that blood lipid level, depressive symptoms, and working pressure were the factors affecting the incidence of PMS, and the severity of depressive symptoms was associated with the severity of PMS.
[Conclusion]
The incidence of PMS in women of childbearing age was 10.4%, with a slight proportion of 79.1%. The prominent symptoms were characterized by excitability. There was a positive correlation between.PMS severity and depressive symptoms. Hyperlipidemia, depressive symptoms and work stress were the main risk factors for PMS in women of childbearing age.

【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.75

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