Zheng Jin, Li Ji, Zhang Li, Hu Guo-hua, Yu Chao-qin, Zhang Zhao-fen, Ni Shuang, Wei Mei-juan
Department of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.
Zhong Xi Yi Jie He Xue Bao. 2009 Sep;7(9):827-30. doi: 10.3736/jcim20090906.
To explore the cognitive level and the mental status of the patients suffering from perimenopausal syndrome in Shanghai, and to identify the traditional Chinese medicine syndrome distribution feature of perimenopausal syndrome.
The cognitive level of the perimenopausal women was evaluated by using general living problem questionnaire. The mental status of the perimenopausal women was evaluated by using self-rating depressive scale. The traditional Chinese medicine syndrome distribution feature of perimenopausal syndrome was identified by using traditional Chinese medical symptoms questionnaire.
A total of 634 perimenopausal women finished the investigation. There were 74.76% (474/634) patients who knew little about the perimenopausal syndrome; 77.29% (490/634) patients had a depressive tendency; 8.36% (53/634) patients had depressive disorder. There were 72.40% (459/634) patients who had the symptoms such as susceptibility to anger and restlessness, restless sleep at night, thirst with dry throat and bitter taste, and all these symptoms could be classified into hyperactivity of heart and liver fire syndrome.
Patients suffering from perimenopausal syndrome know little about this disease and mostly have depressive tendency, and the major traditional Chinese medicine syndrome pattern is hyperactivity of heart and liver fire based on the chief clinical manifestations of the patients.
探讨上海地区围绝经期综合征患者的认知水平和心理状态，明确围绝经期综合征的中医证候分布特征。
采用一般生活问题问卷评估围绝经期女性的认知水平，采用自评抑郁量表评估围绝经期女性的心理状态，采用中医症状问卷确定围绝经期综合征的中医证候分布特征。
共有634例围绝经期女性完成调查。74.76%（474/634）的患者对围绝经期综合征了解甚少；77.29%（490/634）的患者有抑郁倾向；8.36%（53/634）的患者患有抑郁症。72.40%（459/634）的患者有易怒、烦躁、夜间睡眠不安、口渴咽干口苦等症状，这些症状均可归为心肝火旺证。
围绝经期综合征患者对该病了解甚少，大多有抑郁倾向，根据患者主要临床表现，中医证候以心肝火旺为主。
