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目的通过社区人群的横断面研究,探讨上海市奉贤区社区妇女更年期综合征的发生情况及影响因素。方法采用整群抽样方法于2016年4-6月随机抽取上海市奉贤区2个社区40~60岁的本市户籍妇女为研究对象,通过问卷调查获得研究对象的个人情况及更年期相关症状等信息,并采用Kupperman绝经指数量表评估。结果此次研究共纳入406名调查对象,发生更年期综合征169例(41.63%),其中轻度104例(61.54%)、中度62例(36.69%)、重度3例(1.78%)。前3位症状依次为疲劳179例(44.09%)、骨关节痛164例(40.39%)和失眠154例(37.93%)。多因素Logistic回归分析显示,影响更年期综合征的主要因素包括妇科良性疾病史、婚姻状况和工作状态。结论上海市奉贤区40~60岁妇女更年期综合征发病率较高,医疗卫生机构应针对妇女围绝经期的特点开展有针对性的更年期妇女保健服务。
Objective To investigate the incidence and influencing factors of climacteric syndrome among community women in Fengxian District of Shanghai through the cross-sectional study of community population. Methods A cluster sampling method was used to randomly select women aged 40-60 in two communities in Fengxian District of Shanghai from April to June 2016 as study subjects and to obtain personal information on the subjects and symptoms related to menopause through questionnaire , And evaluated using the Kupperman Menopause Index Scale. Results A total of 406 subjects were enrolled in this study. 169 patients (41.63%) had menopause syndrome, of which 104 were mild (61.54%), 62 (36.69%) were moderate and 3 (1.78%) were severe. The first three symptoms were fatigue (44.09%), joint pain in 164 cases (40.39%) and insomnia in 154 cases (37.93%). Multivariate logistic regression analysis showed that the main factors affecting menopausal syndrome include the history of benign gynecological diseases, marital status and working status. Conclusion The incidence of climacteric syndrome in 40 ~ 60 years old women in Fengxian district of Shanghai is high. Health care institutions should carry out targeted menopause women ’s health care services according to the characteristics of perimenopausal women.