育龄女性月经前紧张综合征症状的初步调查

目的初步了解北京市医学院/医院系统内育龄女性经前期综合征(PMS)有关症状的发生率。方法采用自行设计的问卷调查育龄女性661人,回收有效问卷651份,其中医生74人,护士138人,高年级本科生212人,研究生227人。结果报告率最高的症状是容易疲乏(86.6%)和情绪不稳(78.7%);有犯罪意图或自杀意图发生率最低(3.4%);在17个症状中容易疲乏、情绪不稳、腰痛、乳房胀痛、腹胀、工作效率降低、焦虑或抑郁、食欲升高或下降、精神不易集中和面部痤疮等10个症状的报告率都在50%以上;人均报告PMS症状为8.6;单因素和多因素分析显示:职业(医护人员高于学生)、睡眠情况不良、工作和学习压力大、被动吸烟以及月经期各种不适可显著影响个人PMS症状的报告数。结论本研究所调查的育龄妇女PMS症状的报告率较高,PMS是影响女性健康和生活质量的重要因素之一。

Primary survey on reported symptom of premenstrual syndrome

Objective To survey the prevalent rate of premenstrual syndrome(PMS) in child-bearing age women in China.Methods Total 661 women had been completed questionnaires,of them 74 were doctor,138 were nurse,212 and 227 are undergraduate and postgraduate students,respectively.Results Fatigue and irritability was the most frequent reported symptoms in this survey,the prevalent rate of them were 86.6% and 78.7%,respectively,while 3.4% women reported their intending to commit a crime or suicide.Of 17 reported PMS symptoms,the prevalent rates of 10 symptoms were higher than 50%.They are fatigue,irritability,waist pain, breast tenderness,abdominal distention,low efficiency,anxiety and/or depression,increased or decreased appetite,difficulty concentrating and acne in face.The average reported symptoms of PMS were 8.6 per woman.Analysis indicated that the number of reported of PMS symptoms was significantly effected by profession,sleep disorders,stress of work/study,passive smoking,discomfort or conditions during menstruation.Conclusion Those results suggested that the PMS may one of the important health issues in women China.