更年期患者的就诊特点研究

发布时间：2018-03-26 09:47

本文选题：更年期　切入点：月经　出处：《中国全科医学》2017年07期

【摘要】：目的探讨更年期患者的就诊特点,为开展更年期女性保健工作提供数据参考。方法选取2012年9月—2014年12月就诊于北京大学第一医院更年期综合管理门诊的女性更年期患者1 031例。采用自行设计的问卷对纳入患者进行调查,主要内容包括基本情况、月经及绝经相关症状、既往已明确诊断的病史。同时测量患者的身高、体质量及腰围,并计算BMI。结果共回收有效问卷1 007份,问卷有效回收率为97.7%。患者的中位年龄为51(6)岁,专科及以上学历609例(60.5%),个人月收入≥3 000元598例(59.4%)。处于绝经期446例(44.3%),其中自然绝经338例(75.8%),中位绝经年龄为49(5)岁。绝经相关症状中感到疲乏807例(80.1%),对失眠感到苦恼734例(72.9%),对更年期持积极态度595例(59.1%)。合并中心性肥胖551例(54.7%),合并超重326例(32.4%),合并高脂血症132例(13.1%),合并高血压132例(13.1%)。结论就诊的更年期患者以绝经期、高学历、中高收入女性为主,合并中心性肥胖、高脂血症、高血压等慢性病的比例较高,应重视全民更年期保健工作,对更年期女性进行慢性病筛查,以提高社会整体健康水平。
[Abstract]:Objective to investigate the clinical features of climacteric patients, Methods from September 2012 to December 2014, 1 031 women climacteric patients were selected from menopausal general management clinic of Peking University first Hospital from September 2012 to December 2014. The questionnaire was used to investigate the patients involved. The main contents include the basic situation, menstrual and menopausal symptoms, the history of the past diagnosis. At the same time, the height, body mass and waist circumference of the patients were measured and BMI.Results 1 007 valid questionnaires were collected. The effective recovery rate of the questionnaire was 97.7.The median age of the patients was 51 to 6 years old. 609 cases with specialized degree or above, 598 cases with monthly income of more than 3,000 yuan or more, 59.4m. 446 cases in menopause, including 338 cases of natural menopause with a median age of 490.5 years. 807 cases of menopausal symptoms are tired, and 80.1% of them are suffering from insomnia. There were 734 cases with 72.9%, 595 cases with positive attitude towards menopause, 551 cases with central obesity, 326 cases with overweight, 132 cases with hyperlipidemia, 132 cases with hyperlipidemia and 132 cases with hypertension. The proportion of chronic diseases such as central obesity, hyperlipidemia, hypertension and other chronic diseases, such as high education and high income women, is relatively high. Therefore, people should pay attention to the health care work of menopause and screen for chronic diseases among menopausal women. In order to improve the overall health of society.
【作者单位】：北京大学第一医院妇产科;首都医科大学附属北京世纪坛医院妇产科;
【基金】：北京大学第一医院青年课题(2015年度)
【分类号】：R711.75

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