妇科恶性肿瘤手术后绝经与自然绝经人群的绝经综合征发生及生存质量调查

发布时间：2018-06-21 01:43

本文选题：绝经综合征 + Kupperman量表　；参考：《广西医科大学》2014年硕士论文

【摘要】：目的：了解妇科恶性肿瘤手术后绝经与自然绝经人群的绝经综合征发生及生存质量状况。方法：选择2012年04月01日至2014年03月01日在广西医科大学第四附属医院治疗的手术绝经妇女25例作为研究组；选择自然绝经1年的妇女25例作为对照组。对两组妇女进行横断面调查,调查内容包括绝经1年绝经综合征的发病率、Kupperman评分、WHOQOL-BREF评分、FSH、E2,并对以上调查内容进行比较。结果：1.手术绝经组绝经综合征发病率为92.0%,其中手术绝经组血管舒缩症状的发病率为84.0%,精神神经症状的发病率为80.0%,泌尿生殖系统症状的发病率为36.0%,自然绝经组绝经综合征的发病率为68.0%,其中血管舒缩症状的发病率为56.0%,精神神经症状的发病率为44.0%,泌尿生殖系统症状的发病率为12.0%,两组发病率的差异均有统计学意义(P0.05)。2.手术绝经组的改良Kupperman评分平均值(20.6±8.7)大于自然绝经组(14.4±9.6),差异有统计学意义(P0.05)。3.手术绝经组WHOQOL-BREF生理领域、心理领域及社会关系领域的平均分(10.5±2.0、10.6±1.6、11.7±1.7)均低于自然绝经组评分(11.7±1.9、11.8±1.6、12.8±1.7),差异有统计学意义(P0.05),环境领域评分无明显差异(P0.05)。4.改良Kupperman评分与WHOQOL-BREF生理领域、心理领域、社会关系领域呈负相关(P0.05)。结论：手术绝经妇女绝经综合征的发病率高于自然绝经妇女,绝经症状比自然绝经妇女更严重,生存质量比自然绝经妇女差。绝经症状的严重程度影响绝经期女性的生存质量。为了改善生存质量,在有适应证的前提下,手术绝经妇女应尽快行激素替代治疗。
[Abstract]:Objective : To investigate the occurrence and quality of menopausal syndrome in postmenopausal women with gynecological malignant tumors .

Methods : 25 cases were selected from April 01 , 2012 to March 01 , 2014 in the 4th Affiliated Hospital of Guangxi Medical University .
A cross - sectional survey was conducted between two groups of women , including the incidence of menopausal syndrome , Kupperman score , WHO QOL - BREF score , FSH and E2 , and compared the above survey .

Results : 1 . The morbidity of menopausal syndrome was 92.0 % , among which the incidence of vasomotor symptoms was 84.0 % , the incidence of psychomotor symptoms was 80.0 % , and the incidence rate of the symptoms of urinary reproductive system was 36.0 % .

Conclusion : The incidence of menopausal women menopause syndrome is higher than that of natural menopause women . The menopausal symptoms are worse than those of natural menopause women . The quality of life is worse than that of natural menopause . In order to improve the quality of life , women should undergo hormone replacement therapy as soon as possible in order to improve the quality of life .
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.3

【参考文献】