CAJ | 학술논문

目的：了解更年期妇女代谢综合征（ MS）的合并率，并探讨其影响因素。方法选取2012年7月—2013年6月，参加北京大学第一医院更年期综合管理一日门诊的394例更年期妇女为研究对象。根据各项代谢指标情况，将其分为代谢正常组（n=94）和MS组（n=71）。比较并分析两组妇女的一般情况和更年期症状，探讨其合并MS的影响因素。结果（1）394例更年期妇女的MS合并率为18.0%（71/394）。（2）两组妇女年龄、文化程度、初潮年龄、BMI及绝经情况比较，差异有统计学意义（ P<0.05）；Logistic回归分析显示，年龄、文化程度、初潮年龄、BMI及绝经情况对更年期妇女合并MS的影响有统计学意义（ P<0.05）。（3）两组妇女的围绝经期症状（ KMI）评分（≥15分）比较，差异无统计学意义（ P>0.05）；而眩晕，头痛，骨关节痛、肌肉痛症状比较，差异有统计学意义（P<0.05）；Logistic回归分析显示，眩晕和骨关节痛、肌肉痛症状对更年期妇女合并MS的影响有统计学意义（P<0.05）。结论更年期妇女的MS合并率较高，年龄、文化程度、初潮年龄、BMI及绝经情况，眩晕和骨关节痛、肌肉痛症状为其影响因素。
목적：료해경년기부녀대사종합정（ MS）적합병솔，병탐토기영향인소。방법선취2012년7월—2013년6월，삼가북경대학제일의원경년기종합관리일일문진적394례경년기부녀위연구대상。근거각항대사지표정황，장기분위대사정상조（n=94）화MS조（n=71）。비교병분석량조부녀적일반정황화경년기증상，탐토기합병MS적영향인소。결과（1）394례경년기부녀적MS합병솔위18.0%（71/394）。（2）량조부녀년령、문화정도、초조년령、BMI급절경정황비교，차이유통계학의의（ P<0.05）；Logistic회귀분석현시，년령、문화정도、초조년령、BMI급절경정황대경년기부녀합병MS적영향유통계학의의（ P<0.05）。（3）량조부녀적위절경기증상（ KMI）평분（≥15분）비교，차이무통계학의의（ P>0.05）；이현훈，두통，골관절통、기육통증상비교，차이유통계학의의（P<0.05）；Logistic회귀분석현시，현훈화골관절통、기육통증상대경년기부녀합병MS적영향유통계학의의（P<0.05）。결론경년기부녀적MS합병솔교고，년령、문화정도、초조년령、BMI급절경정황，현훈화골관절통、기육통증상위기영향인소。
Objective To investigate the status of menopause complicated with metabolic syndrome( MS)and its influencing factors. Methods A total of 394 menopausal women who received outpatient service of integrated menopausal management provided by Peking University First Hospital from July 2012 to June 2013 were enrolled and divided into normal metabolism group(n=94)and MS group(n=71). The general data and menopausal symptoms were analyzed and compared between the two groups. And the influencing factors for menopause complicated with MS were also investigated. Results ( 1 ) Among the 394 subjects,the prevalence of menopause complicated with MS was 18. 0%(71/394). (2)The two groups were significantly different ( P < 0. 05 ) in age, education level, age of menarche, BMI and menopausal status;the logistic regression analysis showed age,education level,BMI,age of menarche and menopausal status had significant influence( P<0. 05)on menopause complicated with MS. (3)The two groups were not significantly different(P>0. 05)in KMI(≥15), while they were significantly different(P<0. 05)in dizziness,joint pains and muscle pains,headaches;the logistic regression analysis showed dizziness,joint pains and muscle pains had significant influence(P<0. 05)on menopause complicated with MS. Conclusion The prevalence of metabolic syndrome in menopausal women is high. Age,education level,age of menarche, BMI,menopausal status,dizziness,joint pains and muscle pains are influencing factors for menopause complicated with MS.