新兵训练后功能性闭经女兵的心身症状与激素水平

发布时间：2019-05-06 10:23

【摘要】：目的:探讨新人伍女兵功能性下丘脑性闭经(FHA)者与月经正常者激素水平及心理健康状况的差异。方法:在某部队新人伍女兵98人接受了为期近4个月的体能训练之后,有54人出现闭经.其中闭经3个月以上者有35人(研究组)。训练后月经正常、在采血时月经周期处于第5～11天者有26人(对照组)。分别测定她们血清中的促卵泡生成素(FSH)、黄体生成素(LH)、雌二醇(E_2)、孕酮(P)、泌乳素(PRL)、睾酮(T)、ACTH、T_3、T_4的水平,并用SCL-90分别评定她们的心理健康状况。结果:FHA 者血清FSH 值为4.96±1.73 mIU/ml,LH 值为2.63±1.78 mIU/ml,E_2的值为7.23±5.37 pg/ml,对照组血清相应值为10.73±2.30mIU/ml、12.31±2.15mIU/ml、41.67±6.13pg/ml,差异有统计学意义(P0.01),闭经组低于对照组。FHA 组SCL-90的躯体化、人际敏感、抑郁、焦虑及其他因子分大于2的比率分别为:51.4%、42.9%、48.6%、51.4%及37.1%;而对照组这5项分值大于2的比率分别为15.4%、15.4%、19.2%、21.3%及11.5%,两组间这5个因子大于2的人数差异有统计学显著意义(P0.05),闭经组高于对照组。结论:诊断为FHA 的女兵与月经正常女兵的激素水平有差异,闭经组心身症状的发生率也高于对照组。
[Abstract]:Aim: to investigate the difference of hormone level and mental health between the patients with functional hypothalamic amenorrhea (FHA) and those with normal menstruation. Methods: after 98 new female soldiers received physical training for nearly 4 months, 54 had amenorrhea. Thirty-five of them had amenorrhea for more than 3 months (study group). After training, the menstrual cycle was normal, and 26 patients were in the 5 ~ 11 days of menstrual cycle (control group). The serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH),) and progesterone (P), prolactin (PRL),) testosterone (T), ACTH,T_3,T_4 were measured respectively. SCL-90 was used to evaluate their mental health. Results: the serum FSH values of FHA patients were 4.96 卤1.73 mIU/ml,LH, 2.63 卤1.78 mIU/ml,E_2, 7.23 卤5.37 pg/ml, 10.73 卤2.30, 12.31 卤2.15, respectively, and the corresponding values were 10.73 卤2.30mIU / ml and 12.31 卤2.15mIU / ml in the control group, and the corresponding values in the control group were 7.23 卤5.37 pg/ml,. The scores of somatization, interpersonal sensitivity, depression, anxiety and other factors were 51.4%, 42.9% in the amenorrhea group and 42.9% in the control group, respectively, and the difference was statistically significant (P0.01). The scores of somatization, interpersonal sensitivity, depression, anxiety and other factors in the SCL-90 group were 51.4% and 42.9%, respectively. 48.6%, 51.4% and 37.1%; In the control group, 15.4%, 15.4%, 19.2%, 21.3% and 11.5% of the five factors were more than 2, respectively. There was a significant difference between the two groups in the number of people whose 5 factors were greater than 2 (P0.05). The amenorrhea group was higher than the control group. Conclusion: the hormone level of female soldiers diagnosed as FHA is different from that of normal female soldiers, and the incidence of psychosomatic symptoms in amenorrhea group is also higher than that in control group.
【作者单位】：北京军区总医院心理科北京军区总医院心理科北京军区总医院心理科武警北京总队医院妇产科北京军区总医院心理科北京军区总医院心理科
【分类号】：R82;

【相似文献】