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目的了解女性更年期综合征的影响因素。方法采用自编一般情况调查表、改良更年期Kupperman评分量表和流行病学调查用抑郁自评量表、应用分层抽样的方法在19个省市对45～55岁的女性进行问卷调查。结果婚姻质量、伴侣状况、工作压力、慢性疾病、月经状况、睡眠、抑郁与更年期综合征呈相关性(P<0.05)。经济收入与更年期症状的发生程度之间差异无统计学意义。有更年期症状的1 014人,占92.7%;有抑郁症状者400人,占36.3%。经Logistic回归分析,月经状况、睡眠、抑郁进入回归方程,并且抑郁的OR值最高。结论女性更年期综合征与多种因素有关,尤其与月经状况、睡眠、抑郁关系密切。
Objective To understand the influencing factors of female climacteric syndrome. Methods Self-compiled questionnaires were used to improve the Kupperman scale of menopause and the self-rating depression scale of epidemiological survey. Questionnaire survey was conducted in 19 provinces and cities on 45-55-year-old women by stratified sampling method. Results Marital quality, partner status, work stress, chronic diseases, menstrual status, sleep, depression and menopausal syndrome were correlated (P <0.05). There was no significant difference between the economic income and the incidence of menopausal symptoms. There were 1 014 menopausal symptoms, accounting for 92.7%; 400 were depressive symptoms, accounting for 36.3%. Logistic regression analysis showed that the menstrual status, sleep and depression entered the regression equation, and the depression had the highest OR value. Conclusion Female climacteric syndrome is related to many factors, especially with the status of menstruation, sleep and depression.