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[更年期相关症状及危险因素的患病率研究]

[Prevalence study of symptoms and risk factors associated with climacteric].

作者信息

Rollán Landeras M, Bedoya Frutos M J, Illescas Sánchez M L, Martín Masedo R

机构信息

Equipo de Atención Primaria, Leganés, Madrid.

出版信息

Aten Primaria. 1995 Oct 15;16(6):352-5.

PMID:7488687
Abstract

OBJECTIVES

To describe the prevalence of risk factors for Osteoporosis and Cardiovascular disease and the frequency of appearance of menopausal symptoms; and to study how these are linked to menstrual disorders in premenopausal women.

DESIGN

Descriptive study.

SETTING

General Medical clinics of an urban PC team in Leganés, Madrid.

PATIENTS

181 women who attended the clinics without appointment for whatever reason over a month.

MEASUREMENTS AND MAIN RESULTS

A directed questionnaire on risk factors and 19 symptoms of the menopause was completed. Among the risk factors for Osteoporosis, 52.2% of women consumed less than 500 mg of calcium per day, 8.3% had never given birth and 6.7% presented early menopause. As risk factors for Cardiovascular disease, the high prevalence of arterial Hypertension (32.6%) and Dislipaemia (24.9%) were notable. Only flushes, pain in the joints, migraine, fatigue, nervousness and loss of memory were present in more than 50% of the women. The thirteen remaining symptoms did not reach this proportion. We found no association between classic symptoms of menopause and premenopausal menstrual disorders.

CONCLUSIONS

The intake of calcium by women in our health area must be increased. We thought there were reasonable doubts for some classic symptoms of the menopause being accepted as indicators for hormone replacement therapy.

摘要

目的

描述骨质疏松症和心血管疾病风险因素的患病率以及更年期症状的出现频率;并研究这些因素与绝经前女性月经紊乱之间的联系。

设计

描述性研究。

地点

马德里莱加内斯一个城市初级保健团队的综合医疗诊所。

患者

181名女性,她们在一个月内因任何原因未经预约前往诊所就诊。

测量和主要结果

完成了一份关于风险因素和19种更年期症状的定向问卷。在骨质疏松症的风险因素中,52.2%的女性每天钙摄入量低于500毫克,8.3%的女性从未生育,6.7%的女性出现过早绝经。作为心血管疾病的风险因素,动脉高血压(32.6%)和血脂异常(24.9%)的高患病率值得注意。只有潮热、关节疼痛、偏头痛、疲劳、紧张和记忆力减退在超过50%的女性中出现。其余13种症状未达到这一比例。我们发现更年期的典型症状与绝经前月经紊乱之间没有关联。

结论

我们健康区域内女性的钙摄入量必须增加。我们认为对于一些被视为激素替代疗法指标的更年期典型症状存在合理怀疑。

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An absence of evidence linking perceived memory problems to the menopause.没有证据表明感知到的记忆问题与更年期有关。
Br J Gen Pract. 2004 Jun;54(503):434-8.
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