Andersch B, Milsom I
Am J Obstet Gynecol. 1982 Nov 15;144(6):655-60. doi: 10.1016/0002-9378(82)90433-1.
The prevalence of dysmenorrhea was studied in a random sample of 19-year-old women from an urban Swedish population. Dysmenorrhea was reported by 72% of the women. Fifteen percent suffered from dysmenorrhea which limited daily activity and was unimproved by analgesics. Dysmenorrhea occurred significantly (p less than 0.01) more often in women not using oral contraceptives. A significant correlation (p less than 0.01) was found between early menarche and an increased severity of dysmenorrhea. There was a significant correlation (p less than 0.01) between the severity of dysmenorrhea and the amount of menstrual flow. Parous women had significantly (p less than 0.01) less dysmenorrhea than women who had never been pregnant or women who had experienced a legal or spontaneous abortion. Smokers as compared to nonsmokers had significantly (p less than 0.01) less dysmenorrhea. The severity of dysmenorrhea was not affected by height, weight, or regularity of the menstrual cycle. Absenteeism as a result of dysmenorrhea was evaluated.
在瑞典城市随机抽取的19岁女性样本中研究痛经的患病率。72%的女性报告有痛经。15%的女性痛经严重，限制日常活动且服用镇痛药后无改善。未使用口服避孕药的女性痛经发生率显著更高（p<0.01）。初潮早与痛经严重程度增加之间存在显著相关性（p<0.01）。痛经严重程度与月经量之间存在显著相关性（p<0.01）。经产妇的痛经明显（p<0.01）少于从未怀孕的女性或经历过合法或自然流产的女性。吸烟者的痛经明显（p<0.01）少于非吸烟者。痛经严重程度不受身高、体重或月经周期规律的影响。评估了因痛经导致的缺勤情况。
