| Objective: Whether women’s menstrual rule mainly by the hypothalamus-pituitary-ovarian axis adjustment,as well as the function of the ovary to produce female progesterone on the positive and negative feedback of the hypothalamus and the pituitary[1].At this time,adolescent women’s central nervous system to the positive feedback mechanism of estrogen is not mature and the hypothalamus-pituitary-ovarian axis adjustment function is not perfect,so adolescent women are vulnerable to outside influence and appear menstrual disorders[2].At present,a large number of literature reports prove that the mental psychological factors such as tension,anxiety,depression,mood changes,excessive dieting,environmental change,strenuous exercise,bad habits,lack of physical health knowledge and so on all can influence the rule of adolescent female menstruation[3].And currently there is no literature reports prove the effects of sleep time of adolescent female menstruation.According to the author of this research,the vast majority of adolescent female students are in learning pressure heavily and sleep less,however lack time of sleep often lead to system disorder of endocrine metabolism[4],which affects menstrual regulation.In this paper,using the form of questionnaire survey to stady about a key middle school and non-key middle school in DaLian City’s adolescent female students’ s the half-year periods and sleep detail,and analysising the adolescent female students’ menstrual disorder situation in middle school,exploring the sleep time how to affect adolescent female menstruation deeply,for more effective to prevent adolescent female menstrual disorder.Methods:1.Determine the research objectRandom survey of 63 secondary schools within the DaLian city comprehensive a key middle school in the top five and 10 after comprehensive ranking of no-key middle school reading of adolescent female student,and investigators by issuing questionnaires.A key middle school issued 315 questionnaires,a no-key middle school issued 320 questionnaires.Eliminating no menstruation,no secondary development,no past or present have disease of department of gynaecology or systemic,metabolic disease,hereditary disease or a family history,always has no a history of surgical trauma or a history of blood transfusion,and questionnaire answer is incomplete or inconsistent,recycling effective questionnaire 300 copies of a total of 600 copies,effective recovery rate were 95.24% and 93.75% respectively.2.Menstrual disorder diagnosis: the menstrual cycle,menstrual period,the amount of period,dysmenorrhea and premenstrual syndrome [5] for diagnostic criteria.3.Determination of sleep time: according to The normal person need at least six hours sleep a night [6],The average sleep time every night(TAST)for 6 hours(h)as a control,The rest according to The average of 4 hours sleep every night,5 hours,7 hours,8 hours for TAST 4h,TAST 5h,TAST 7h,TAST 8h,key schools and non-key middle school grouping study respectively.4.The data processing: using spss22.0 software to get data for statistical processing,measurement data using mean,standard deviation,counting data using frequency f,continuous correction by chi-square test and chi-square analysis of the differences between groups,inspection standard x = 0.05,p < 0.05 for the difference was statistically significant.Results:1.The age and the menarche ageIn the survey study,600 female students cases of Key and no-key middle school’s Age(A)is maximum 18 years old,minimum 15 years old.the median Age is 15 years old.The Menarche age(MA)is maximum 15,minimum 10 years of age,the median Menarche age is 12 years old.the Age of menarche Age difference is longset up to 7 years old,the shortest dissatisfaction were 1 year old,the average(3.42 + /-1.343)years.2.The branch of menstrual disorderMunicipal key middle school and the no-key middle school,a total of 600 cases of female students to the total number of menstrual disorder for 236 cases,menstrual disorder the total incidence was 39.3%.Key schools and no-key middle school female students menstrual disorders and there was no statistically significant difference between the normal menstruation,namely key schools and no-key middle school female students similar proportions between menstrual disorders and normal menstruation.Abnormal menstrual cycles,a total of 81 cases,accounting for 34.3%;Abnormal menstrual period,a total of 22 cases(9.3%),By the amount of abnormal of 23 cases,accounting for 9.7%;Number of dysmenorrhea is a total of 105 cases,accounting for 44.5%;Premenstrual syndrome,a total of 5 cases,accounting for 2.1%.3.The difference between the age and menarche age(A-MA)relationship with menstrual disordersThe key schools and no-key middle school students of adolescent female menstruation within 3 years from the incidence of menstrual disorder were 59.6% and 50.6% respectively,the total incidence was 54.1%;Menstruation after 5 years menstrual disorder rate fell to 17.3% and 17.3% respectively,the total incidence was 15.8%..4.The average sleep time every night(TAST)and type of menstrual disorderThe key schools and no-key middle school the same average sleep time every night and menstrual disorder types than similar,no obvious difference between the two.Key middle school,no-key middle school,and two classes of middle school the general adolescent female students of different average sleep time every night and cycle,abnormal menstrual period,the amount of anomaly,dysmenorrhea and premenstrual syndrome between P values were greater than 0.05,there was no statistically significant difference,that is,how much each night on average sleep time of has nothing to do with the type of men5.Each night on average sleep time(TAST)relationship with menstrual disorders5.1 The key schools and no-key middle school adolescence female students in the same sleeping time between menstrual disorder and all P > 0.05,there was no statistically significant difference,the two classes of middle school adolescence female students the same average nightly sleep time menstrual disorders than similar,there is no obvious difference.5.2 The key middle school female students,the key middle school female students and two classes of middle school the general female students different average sleep time every night all P < 0.05,that is,key middle school,the key middle school and the general women surveyed students different average sleep time every night there were differences in prevalence of menstrual disorders,and the differences were statistically significant.5.3 The key middle school female students,the key middle school female students and the general female students are two types of middle school that TAST and TAST 5 h OR 4 h > 1,and both P < 0.05,4 h TAST the OR value is greater than the TAST 5 h;And TAST 7 h and TAST 8 h all the OR < 1,and P < 0.05,the OR value of the TAST 8 h is less than 7 h TAST.That sleep less than six hours a night,was the relative risk factors,menstrual disorder and the less the average sleep time every night,the greater the relative risk factors.Conclusion:1.The adolescent female students is higher percentage menstrual disorder,often characterized by abnormal dysmenorrhea and menstrual cycle,Followed by the amount and menstrual abnormalities,and incidence of premenstrual syndrome.2.The incidence of adolescent female students menstrual disorder menarche three years above menarche five years later.3.The incidence of adolescent female students’ sleep time is less than 6 hours a night are more likely to lead to menstrual disorders.while the type of adolescent femalee students menstrual disorder occurred has no obvious relation with an average sleep time every night. |
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