摘要
目的通过对柳州市妇幼保健院（以下简称＂我院＂）围绝经期妇女健康人群及抑郁症状人群的临床研究,探讨其抑郁症状发生相关因素及躯体症状群特征。方法收集2012年1月~2013年7月就诊于我院40~60岁围绝经期妇女460例,调查内容包括患者一般情况及汉密尔顿抑郁量表（HAMD）、Greene围绝经期症状评定量表,分析围绝经期妇女抑郁症状发生相关因素及躯体症状群特征。结果 1根据纳入标准,排除病例16例,共有444例围绝经期妇女纳入本研究。根据HAMD分为无抑郁症状组298例,可能抑郁症状组103例,肯定抑郁症状组43例,抑郁症状检出率为32.88%,肯定抑郁患者检出率为9.68%。2兴趣爱好的有无、家庭收入的高低及是否绝经均为影响柳州市围绝经期妇女抑郁症状的相关因素（P〈0.05）。3三组间焦虑症状评分（心悸、易紧张、失眠、易激动、焦虑、不能集中精力）、抑郁症状评分（易疲乏、对工作失去乐趣、忧郁不开心、爱哭）、躯体症状评分（躯体压力、麻木或刺感、手脚感觉障碍、胸闷）、性评分（对性缺乏兴趣）等15项症状评分比较,差异有统计学意义（P〈0.05）。结论应重视围绝经期妇女的精神卫生状态、生活习惯、社会支持管理,以提高围绝经期妇女的生活质量,降低其发生抑郁症状的危险性。
Objective To investigate the relative factors of depression and physical symptoms of characteristics, by the clinical study of healthy population and depression population of perimenopausal women in Maternal and Child Health Hospital of Liuzhou City （ ＆quot;our hospital＆quot; for short）. Methods 460 perimenopausal women aged 40-60 years admitted to our hospital from January 2012 to July 2013 were collected. The research content included the general conditions of patients, HAMD, Greene perimenopausal symptoms rating scale. The relative factors of depression and physical symp-toms of characteristics of perimenopausal women were analyzed. Results①According to the inclusive criteria, 16 cases of patients were not matched, total of 444 cases of perimenopausal women were enrolled in this study. According to the Hamilton depression scale （HAMD）, all patients were divided into no depression group （298 cases）, possible depression group （103 cases） and positive depression group （43 cases）. The detection rate of depression was 32.88%, which of the positive depression was 9.68%.②Having interest or not, high or low family income and whether menopause or not were all relevant factors of depression of perimenopausal women in Liuzhou City （P〈 0.05）. ③Comparing with 15 symptom scores, such as anxiety symptoms （palpitations, easy nervous, insomnia, irritability, anxiety, unable to concentrate）, de-pressive symptoms （easy to fatigue, lose pleasure in work, unhappy, like crying）, somatic symptoms （somatic pressure, numbness or tingling, sensory disturbances of hands and feet, chest tightness）, sexual symptom （lack of sexual interest） among three groups, there were statistically significant differences （P〈 0.05）. Conclusion The psychosocial states, liv-ing habits, social support management of perimenopausal women should be considered, so as to enhance the quality of life of perimenopausal women, and reduce the risk of depression.
出处
《中国医药导报》
CAS
2015年第2期57-60,共4页
China Medical Herald
关键词
围绝经期
抑郁症状
症状群特征
Perimenopause
Depression
Symptoms of characteristics
