| BackgroundPerimenopausal women from the adult to enter old age as a necessary stage,is the period between birth and old age for a period of time between,women of reproductive capacity from reproductive capacity of the non-transitional phase.Perimenopausal health is to prevent degenerative diseases of old age the critical period.In order to understand the stages of women's health status,the maintenance and promotion of women's physical and mental health,improve the quality of life in older women,using the questionnaire method of 431 cases of perimenopausal women, perimenopausal analysis carried out to investigate.The survey has been designed to rescue the symptoms of menopause the incidence of post-menopausal period,peri-menopausal symptoms and living environment,occupation,educational level,such as the relevance of the season, peri-menopausal women on hormone replacement therapy and informed awareness of the way.MethodsOne-on-one face-to-face survey with an internationally recognized way of peri-menopausal symptoms to quantify the extent of table-Kupperman score in March 2008 to -2009 clinic in January in Shanxi Medical University First Hospital Obstetrics and Gynecology patient age≥40 years old,have a unilateral or bilateral uterine and ovarian,there are changes in menstrual or menopausal symptoms or postmenopausal women has been investigated.Survey data will be grouped according to different factors,and then the application of statistical software SPSS13.0 paragraph for each group the results of statistical analysis,statistical methods using x~2 test, Spearman rank correlation.Results1 The average age of women was 49.25±2.81 years;2 Peri-menopausal symptoms are the major bones,joints,muscle pain(63.6%),fatigue(63.3%), easily excited(62.6%),insomnia(60.1%),depression,feelings of poor(57.1%),dizziness(55.0%), palpitation(53.1%),hot flashes,sweating(48.7%),headache(46.9%),hyperaesthesia(41.3%), urgency,urinary incontinence(39.0%),dry vagina,painful sexual intercourse(37.1%),skin feeling ant line(24.1%) and so on.51～55-year-old age group while the incidence of symptoms than the 46～50-year-old age group,but there is no difference between the two groups was significant (P=0.018);51～55-year-old age group with more than 55-year-old group,the difference between the two groups also no significant(P＞0.05);and 40～45-year-old age group with 46～50-year-old age group(P＜0.001),51～55-year-old age group(P＜0.001),55-year-old age group and above (P=0.005) There were significant differences between them.3 Peri-menopausal symptoms and educational level,menstrual changes,the relevance of the season:Post-secondary and higher secondary school group and no statistical significance between groups(P＞0.05),with the high school group(P=0.006),junior high school the following group (P=0.001).There was a significant difference;secondary group and high school group(P＞0.05), junior high school and below group(P＞0.05) no significant difference between high school and junior high school and below group no significant differences(P＞0.05);The first time in perimenopausal symptoms and the first time changes in the menstrual cycle are relevant(P＜0.001); Winter and the summer between the two groups there was a significant difference(P＜0.001); Perimenopausal symptoms and occupation,living environment factors that had nothing to do;4 HRT is effective to protect and treat the climacteric syndrome,46.9%of the women interviewed knew it.The degree of awareness and education:college and above group awareness and secondary group(P=0.003),high school group(P＜0.001),junior high school and below group (P＜0.001) were significantly different;Vocational group and junior high school and below group the difference was significant(P＜0.001);high school group and the secondary group(P=0.018), junior high school and below group(P＞0.05) no significant difference.Conclusion1 A survey of perimenopausal women in the menopausal age of 49.3±2.8 years old, perimenopausal symptoms occur than changes in menstrual cycle about 1 year later,so perimenopausal menstrual health should be at the beginning of change.2 Peri-menopausal symptoms in order to bones,joints,muscle pain,fatigue can not easily excited mainly the incidence of hot flashes sweating less than 50%,so when the women after the age of 40 should pay attention to the above-mentioned symptoms of the emergence of peri-menopausal period,patient to do a good job at work,a rational allocation of medical resources.3 Peri-menopausal symptoms and the incidence of age,educational level,season and other factors related to the application in the diagnosis of disease,and hormone replacement therapy should be targeted depending on the specific circumstances of the object of specific treatment,individualized treatment plan.4 Peri-menopausal women's health care behavior by level of education and other factors, peri-menopause the incidence of symptoms with level of education,therefore,should raise the level of education for all,and through various media means to increase knowledge of perimenopausal promotional efforts,professional doctors in the peri-menopausal period should provide a variety of health care services,such as providing telephone advice,psychological clinics, home services,multi-directional menopausal women to meet the medical and health needs. |
PDF Full Text Request