CAJ | 학술논문

目的了解辽宁省汉族育龄妇女的月经现况.方法 2008年4至12月,采取流行病学整群抽样的方法,抽取辽宁省沈阳市、营口市、本溪县及彰武县共1611例年龄19～45岁的健康育龄妇女为研究对象,通过现场问卷形式进行调查,调查内容包括:月经初潮年龄、月经规律性、月经周期及痛经情况.结果在接受调查的1611例育龄妇女中,平均月经初潮年龄为14.4岁,其中城市女性的初潮年龄为(14.2±1.5)岁,县乡女性的初潮年龄为(14.6±1.5)岁,城乡女性初潮年龄比较,差异有统计学意义(t=6.58,P<0.01).对被调查者年龄和初潮时间进行回归分析,可以得出其直线回归方程为:Y=0.074X+11.855,即初潮年龄平均每年提前0.074岁.月经周期正常(21～35 d)且规律者占86.34%(1391/1611),月经稀发(周期>35 d)者占11.05%(178/1611),月经频发(周期<21 d)者占2.61%(42/1611),其中初潮后周期即规律者占65.67%(1058/1611),初潮后两年内规律者占94.97%(1530/1611).痛经者占42.09%(678/1611),其中重度痛经92例(13.6%,92/678),中度痛经147例(21.7%,147/678),轻度痛经439例(64.7%,439/678).结论辽宁省汉族育龄妇女月经初潮年龄呈逐年降低趋势,城市较县乡女性初潮年龄更低;初潮后95%的育龄妇女在两年内月经逐渐规律.
목적 료해요녕성한족육령부녀적월경현황.방법 2008년4지12월,채취류행병학정군추양적방법,추취요녕성침양시、영구시、본계현급창무현공1611례년령19～45세적건강육령부녀위연구대상,통과현장문권형식진행조사,조사내용포괄:월경초조년령、월경규률성、월경주기급통경정황.결과 재접수조사적1611례육령부녀중,평균월경초조년령위14.4세,기중성시녀성적초조년령위(14.2±1.5)세,현향녀성적초조년령위(14.6±1.5)세,성향녀성초조년령비교,차이유통계학의의(t=6.58,P<0.01).대피조사자년령화초조시간진행회귀분석,가이득출기직선회귀방정위:Y=0.074X+11.855,즉초조년령평균매년제전0.074세.월경주기정상(21～35 d)차규률자점86.34%(1391/1611),월경희발(주기>35 d)자점11.05%(178/1611),월경빈발(주기<21 d)자점2.61%(42/1611),기중초조후주기즉규률자점65.67%(1058/1611),초조후량년내규률자점94.97%(1530/1611).통경자점42.09%(678/1611),기중중도통경92례(13.6%,92/678),중도통경147례(21.7%,147/678),경도통경439례(64.7%,439/678).결론 요녕성한족육령부녀월경초조년령정축년강저추세,성시교현향녀성초조년령경저;초조후95%적육령부녀재량년내월경축점규률.
Objective To investigate the menstruation status of reproductive age women of Han Nationality in Liaoning province. Methods From Apr. 2008 to Dec. 2008, 1611 women at age of 19-45 years from Shenyang, Yingkou, Benxi, Zhangwu were enrolled in this study according to epidemiologic cluster sampling method. The study was performed by questionnaire consisting of age of menarche, regularity of menstruatinn, menstrual cycle and dysmenorrhea, et al. Results In the survey of 1611 women, the average menarche age is 14.4 years old, there were significant difference on menarche between (14.2±1.5) years in women from city and (14.6±1.5) years in women from country (t=6. 58, P<0.01). The linear regression statistic method was used to analyze the relationship between age and menarehe age, the linear regression equation was gotten as Y=0. 074X+11. 855, which means 1 year increase was associated with decrease by 0.074 years in mennrche age approximately. About 86.34% (1391/1611) of women have normal and regular menstrual cycle at range of 21 to 35 days, while 11.05% (178/1611) of women have longer menstrual cycle(>35 days) and 2.61% (42/1611) of women have shorter menstrual cycle (<21 days). Of which 65.67% (1058/1611) women have regular menstrual cycle just after menarche, 94. 97% (1530/1611) of women would have regular menstruation in 2 years after menarche. The rate of dysmenorrhea was 42.09% (678/1611), of which 13.6% (92/678) women have high severe pelvic pain.Conclusion Our results suggested that the trend went toward younger ages of menarche,which was younger menarche age in women from city than country. About 95% women would have regular menstrual cycle within 2 years after menarcbe.