滨州职业学院女生月经失调的相关因素分析

目的:探讨高职女学生月经失调的相关因素,为高职学院采取必要的保健措施提供依据。方法:随机抽取2004级女生567人;用自拟问卷进行调查及相关因素分析。结果:气质特征:不稳定组发病率高于稳定组,两者差异具有高度显著性(P<0.01)。学期:第一学期发病率高于第二学期,第三学期发病率亦高于第二学期。心理因素:精神焦虑与月经失调有关(P<0.05),此外还与运动有关。结论:月经失调与个人气质类型、学期、心理因素、运动相关。     

重度产后出血患者行血管性介入治疗后对其产后月经影响的研究

目的　探讨血管性介入治疗 (介入治疗 )用于重度产后出血患者后对其月经的影响。方法　选择 1995年 3月至 2 0 0 2年 2月我科收治的经积极保守治疗无效 ,行介入治疗获得成功止血的重度产后出血患者 18例为介入组 ;随机选择同期分娩的正常产妇 2 0例为对照组。比较两组产妇产后恶露持续时间及月经恢复情况 ,测定两组无哺乳产妇产后第 1次月经周期 3～ 5d时卵泡刺激素(FSH)、黄体生成素 (LH)及雌二醇水平。结果　两组产妇产后恶露持续时间为 :介入组 (33 9± 2 0 )d ,对照组 (36 2± 3 1)d ,两组比较 ,差异无显著性 (P >0 0 5 ) ;第 1次月经恢复时间为 :介入组(75± 17)d ,对照组 (95± 16 )d(P >0 0 5 ) ;第 1次月经量为 :介入组为产前经量的 (1 3± 0 1)倍 ,对照组为产前经量的 (1 3± 0 2 )倍 (P >0 0 5 ) ;产后恢复正常月经量所需次数为 :介入组 (2 0± 0 4 )次 ,对照组 (1 9± 0 4 )次 (P >0 0 5 ) ;产后月经周期为 :介入组 (33 9± 2 2 )d ,对照组 (33 2± 1 6 )d(P >0 0 5 ) ;两组无哺乳产妇产后第 1次月经周期 3～ 5d时FSH、LH及雌二醇水平 :介入组分别为(5 2± 1 1)U/L、(7 5± 1 6 )U/L及 (2 6 2± 14 ) pmol/L ,对照组分别为 (4 3± 2 1)U/L、(6 3± 1 3)U/L及 (2 80± 12 ) p     

Circulating angiogenic factors during periovulation and the luteal phase of normal menstrual cycles

OBJECTIVE: To measure serial serum concentrations of the angiogenic factors vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and angiogenin (ANG) in the periovulatory and secretory phase of normal menstrual cycles in healthy women and to determine their peaks, which might reflect the stage of their critical angiogenic action. DESIGN: Prospective study. SETTING: University departments of obstetrics and gynecology. PARTICIPANT(S): Thirty-three healthy Swedish women with regular menstrual cycles. INTERVENTION(S): Serial blood samples were collected from each woman. Luteinizing hormone surge was identified by testing morning urine. MAIN OUTCOME MEASURE(S): Circulating levels of VEGF, bFGF, and ANG. RESULT(S): Circulating peak concentrations were determined for VEGF on day 0 and 9 after ovulation, for bFGF on day 1 before ovulation and day 9 after ovulation, and for ANG on day 3 after ovulation. CONCLUSION(S): Circulating VEGF increased in a stage-dependent cyclic fashion. Basic FGF peaked during the late proliferative and mid secretory phase. Circulating ANG showed increased expression around the early secretory phase of the cycle.     

穴位埋线治疗月经过少

目的:观察穴位埋线对月经过少的疗效。方法:44例患者随机分为穴位埋线组和电针组,各22例。两组取穴均为气海、关元、子宫、次髎等,比较穴位埋线和电针2种疗法对月经过少患者各个治疗阶段月经量的影响,从而分析2种疗法对月经过少的不同疗效。结果:穴位埋线组和电针组的有效率分别是100.0%和95.0%,经统计学处理总体疗效差异无统计学意义(P>0.05);治疗1个月后和治疗2个月后对经量的改善程度均是穴位埋线组优于电针组。结论:穴位埋线和电针2种疗法均可有效治疗月经过少,但穴位埋线疗法起效较快,近期疗效明显。     

What is the desired menstrual frequency of women without menstruation-related symptoms?

INTRODUCTION: This study aimed to investigate the desired menstrual frequency of subjects without menstruation-related symptoms. MATERIALS AND METHODS: The study included 270 women of reproductive age. Women with menstrual headache, dysmenorrhea, hypermenorrhea and/or premenstrual syndrome were excluded. The study subjects completed a standardized questionnaire. RESULTS: Of the women, 75.6% declared that menstrual periods interfere with their sexual life, 28.8% preferred not having their menstrual period when at work and 48.4% reported that menstrual periods interfere with practicing sports. Given the choice, 28.5% of the women would desire amenorrhea and 27.8% would prefer a reduction in the frequency of menstrual periods. Of the 152 women desiring to reduce menstrual frequency, 73.0% declared that they would accept to use a drug to reduce menstrual frequency. CONCLUSIONS: Over 50% of women without menstruation-related symptoms would like to lessen the frequency of menstrual periods and about 50% of them would desire amenorrhea.     

Acute disseminated intravascular coagulation developed during menstruation in an adenomyosis patient

We report a case of acute disseminated intravascular coagulation (DIC) developed during menstruation in an adenomyosis patient. No known predisposing factor for DIC such as infection or pregnancy was involved in this case. As anticoagulation therapy and supplementation of coagulation factors quickly improve the state, surgical removal of the uterus was not required. We speculate that hemorrhage in the adenomyosis legion and subsequent local thrombosis played crucial role in pathophysiology of this case of acute DIC. Received: 16 August 2001 / Accepted: 17 August 2001 Correspondence to Y. Nakamura     

Puerperal and menstrual psychoses: The proposal of a unitary etiological hypothesis

Puerperal and menstrual psychoses are both uncommon disorders and the occurrence of both in individual patients suggest the possibility of a common underlying pathogenesis. In this paper two cases are reported, the literature is reviewed and a unifying etiological hypothesis is postulated in which precipitous reductions in the brain estrogen environment precipitate episodes of psychosis in predisposed individuals. In the case of puerperal psychosis, estrogen cascade follows a lengthy period of sustained high brain estrogen environment; in menstrual psychosis, it is postulated that the occurrence in at least some cases of anovulatory menstrual cycles, wherein high levels of relatively unopposed estrogens are maintained until the next ovulatory cycle, play a role in priming the central nervous system prior to premenstrual estrogen cascade. Further research in this area using more sensitive techniques to follow hormonal fluctuation and mental state is called for     

抗精神病药与高催乳素血症及月经紊乱

抗精神病药(APS)可被分为典型APS和非典型APS。高催乳素血症(HPRL)表现为外周血循环中催乳素水平异常增高。所有典型APS与非典型APS中的利培酮，均可导致女性精神疾病患者血清催乳素水平较正常值显著升高。多数非典型APS仅导致血清催乳素水平短暂、轻微增高，甚至对血清催乳素水平无影响。APS所致HPRL是导致女性精神疾病患者月经紊乱，甚至闭经的主要原因之一。目前针对APS所致HPRL及月经紊乱、闭经治疗的主要措施为降低催乳素水平。不同APS所致HPRL及月经紊乱发生率不同，临床准确评估和管理HPRL，可提高女性精神疾病患者的生活质量及治疗依从性。笔者拟就APS治疗女性精神疾病患者时导致的HPRL与月经紊乱不良反应的处理进行阐述，以期为临床降低该类患者的不良反应提供参考。     

Tampon Appearance on Bone Scan Imaging: Case Report

The role of a nuclear medicine diagnostic bone scan is well established and the influence of potential artifacts well documented. This case provides an insight into an unusual artifact associated with a tampon in situ and highlights the clinical relevance of single-photon emission computed tomography/computed tomography imaging in differentiating uncommon artifacts from potential pelvic pathology.     

笼养恒河猴的月经生理研究

用大小为１．１ｍ×０．８ｍ×０．８ｍ的笼体对１２只成年雌性恒河猴采用单笼饲养，建立了恒河猴个体月经史档案，观察记录它们不同月份的４４个月经周期，探讨在笼养条件下，恒河猴的月经生理及其与季节的关系，为大幅度提高恒河猴的人工繁殖率提供重要的生殖生理参数。