上海项目社区妇女更年期综合征调查分析

摘要：目的　了解上海市项目社区妇女更年期综合征的主要症状及发生比例，并探讨其影响因素，为进一
步制定和实施干预方案提供科学依据。方法　采取非概率抽样对符合条件的４５７名妇女进行结构式问卷调
查。结果　Ｋｕｐｐｅｒｍａｎ 量表显示更年期综合征的发生比例为３７．８６％， 前３ 位症状依次为： 潮热出汗
（４１．３６％），头痛（２９．３２％），关节痛（２８．４５％）。不同家庭收入状况、月经状况、既往体质，更年期综合
征的分布，差异有统计学意义（犘＜０．０５）。多因素ｌｏｇｉｓｔｉｃ回归分析显示， 月经期间是否不适（犗犚＝
０．４８７，９５％犆犐：０．３２５～０．７３０）， 是否绝经（犗犚＝０．６３１，９５％犆犐：０．４１８～０．９５２）， 既往体质（犗犚＝
２．６２６，９５％犆犐：１．１２４～６．１３５）是更年期综合征的影响因素。结论　上海市项目社区妇女更年期综合征的
发生率较高，需开展有针对性地宣教活动，以提高更年期生存质量。
关键词：更年期妇女；更年期综合征；Ｋｕｐｐｅｒｍａｎ 量表
中图分类号：Ｒ１７３　　文献标识码：Ａ　　文章编号：１００９ ６６３９ （２０１４）０４ ０３２４ ０４

Survey on menopausal syndrome among women in Shanghai communities

Objective To conduct a survey among women on menopausal syndrome in Shanghai community and to discuss the influencing factors. Methods A non-probability sampling method was used to select 457qualified women for a questionnaire survey. Results The Kupperman index showed that 37.86%of women surveyed experienced menopausal syndrome and the first three leading syndromes were hot flush（41.36%）,headache（29.32%）,joint and muscular discomfort（28.45%）.The percentage of women with menopausal syndrome varied dramatically based on their family income,menstrual status and physical history（P＆lt;0.05）.Multiple logistic regression analysis revealed that factors as discomfort during menstruation（OR=0.487,95%CI：0.325-0.730）,postmenopause（OR=0.631,95%CI：0.418-0.952）and physical history（OR=2.626,95%CI：1.124-6.135）were closely related to the menopausal syndrome. Conclusions The prevalence of menopausal syndrome is higher among women in Shanghai communities,and pointed information,education and communication（IEC）on menopause should be conducted to improve the quality of life.