青春期黄体功能不全月经病的危险因素分析*
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(南通市中医院, 江苏 南通 226000)

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R711.51

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收稿日期: 2021 - 12- 12
* 基金项目: 江苏省中医药管理局科学技术研究项目(LZ13161)
第一作者简介: 陈冬梅(1973-),女,博士,副主任中医师,研究方向:中医妇科疾病的方证及流行病学研究。
△通信作者: 郭胜,E-mal:15312602095@163.com


Risk Factors Analysis for Menstruation Disease of Luteal Phase Defect in Puberty
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(Nantong Hospital of Traditional Chinese Medicine, Nantong 226000, China)

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    摘要:

    目的 探讨青春期黄体功能不全(luteal phase defect,LPD)月经病的相关危险因素,为预防与治疗提供理论参考。方法 选取2013年10月至2017年10月南通市中医院妇科门诊年龄在14~20岁之间的LPD月经不调的青春期女性和本院同期体检中心年龄段一致的青春期健康体检者各100例作为研究对照,将情绪因素、日常生活因素、社会环境因素、药物因素、个人(体质)或家族因素等5个维度,共包含23个要素作为观察指标;通过临床流行病学问卷调查的方法,采用单因素以及多因素logistic回归,分析LPD月经病的危险因素。结果 单因素分析显示,初潮两年内月经不调史、情绪波动大、压力大、经常焦虑或者紧张、嗜食辛辣、嗜食生冷、睡眠不足、工作或学习劳累、剧烈运动9个要素与青春期LPD月经病的发生有一定的相关性(P均<0.05);多因素logistic回归分析显示,初潮2年内月经不调史、经常焦虑或者紧张、嗜食辛辣、睡眠不足、工作或学习劳累5个要素是青春期LPD月经病的危险因素(OR均>1.00,P均<0.05)。结论 对高危人群应采取预防措施,尽早改善个人及生活习惯,积极健康干预。

    Abstract:

    Objective To analyze the menstruation disease's risk factors of luteal phase defect (LPD) in puberty and providing theoretical reference for prevention and treatment. Methods Picking out 100 pubescent women with LPD age between 14 and 20 from October 2013 to October 2017 in Nantong Hospital of Traditional Chinese Medicine's Gynaecological Clinic as the research contrast and so do 100 the same age adolescent health examination patients in the hospital on the same term, regarding these five dimensions including emotional factors, living factors, social environmental factors, drug factors, personal(physical quality) or familial factors,amount to 23 elements were included as the observation indicators, using the method of investigating clinical epidemiological questionnaire,employing single factor and multi-factor logistic regression to analyze the risk factors of LPD menstruation disease. Results Single factor analysis showed that the 9 factors were related to the occurrence of LPD menstrual disease in puberty, such as history of irregular menstruation within two years of menarche, mood fluctuation, stress, frequent anxiety or tension, the spicy intake or eating raw and cold food, sleep debt,being tired of work or study, and strenuous exercise(P<0.05); multi-factor logistic regression analysis showed that the 5 elements, including irregular menstrual history within two years of menarche, frequent anxiety or tension, spicy intake,sleep debt, work or study fatigue who is the risk factors of LPD menstrual disease in puberty(OR>1.00, P<0.05). Conclusion Preventive measures should be taken for the high-risk groups and making active health intervention improve human's personal lifestyle habits as soon as possible.

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