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绝经后妇女在三级保健中心的泌尿生殖系统综合征:描述性横断面研究。

Genitourinary Syndrome of Menopause among Postmenopausal Women in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Feb 15;60(246):126-131. doi: 10.31729/jnma.7237.

Abstract

INTRODUCTION

Genitourinary syndrome of menopause incorporates vulvovaginal and lower urinary tract symptoms related to estrogen deficiency which affects more than half of postmenopausal women. This study aimed to find out the prevalence of genitourinary syndrome of menopause among postmenopausal women attending a tertiary care center.

METHODS

A descriptive cross-sectional study was conducted at the Department of Obstetrics and Gynaecology of tertiary care hospital from October 2019 to April 2021 after obtaining ethical approval from the Institutional Review Committee (Reference number: 452 6-11). A convenience sampling method was used among postmenopausal women aged 40-75 years attending gynaecology outpatient departments. The information was obtained by interview and examination. Analysis was done using the Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Among the 385 postmenopausal women, 285 (74.02%) (69.63-78.40 at 95% Confidence Interval) had a diagnosis of genitourinary syndrome of menopause. The mean age of menopause was 48.2±3.6years. The most common symptom and sign were vaginal dryness in 223 (78.2%) and decreased moisture 200 (70.2%). Regarding the impact of genitourinary syndrome of menopause on quality of life, it least affected the activities of daily living and mostly on sexual functioning.

CONCLUSIONS

The study showed three-fourth of postmenopausal women suffered from genitourinary syndrome of menopause which is similar to the previous studies done in other countries, in postmenopausal women. Therefore, understanding genitourinary syndrome of menopause is vital, and assuring women those treatments are available to relieve symptoms may improve their quality of life.

摘要

介绍

绝经后泌尿生殖系统综合征包括与雌激素缺乏相关的外阴阴道和下尿路症状,影响超过一半的绝经后妇女。本研究旨在调查绝经后妇女在一家三级保健中心就诊时绝经后泌尿生殖系统综合征的患病率。

方法

这是一项在获得机构审查委员会(参考号:4526-11)的伦理批准后,于 2019 年 10 月至 2021 年 4 月在三级保健医院妇产科进行的描述性横断面研究。采用便利抽样法对年龄在 40-75 岁之间、在妇科门诊就诊的绝经后妇女进行研究。通过访谈和检查获取信息。使用社会科学统计软件包 20 版进行分析。计算了 95%置信区间的点估计值以及二项数据的频率和比例。

结果

在 385 名绝经后妇女中,285 名(74.02%)(95%置信区间为 69.63-78.40)诊断为绝经后泌尿生殖系统综合征。绝经的平均年龄为 48.2±3.6 岁。最常见的症状和体征是 223 名(78.2%)妇女出现阴道干燥和 200 名(70.2%)妇女出现阴道湿度降低。关于绝经后泌尿生殖系统综合征对生活质量的影响,它对日常生活活动的影响最小,对性行为的影响最大。

结论

研究表明,四分之三的绝经后妇女患有绝经后泌尿生殖系统综合征,这与其他国家在绝经后妇女中进行的先前研究相似。因此,了解绝经后泌尿生殖系统综合征至关重要,向妇女保证有治疗方法可缓解症状,可能会提高她们的生活质量。

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