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目的了解上海市普陀区女中学生原发性痛经发生现状及其影响因素,为青春期女生的健康教育工作提供依据。方法选取普陀区8所学校(初、高中部各4所)1 155名女生,采用自行设计的问卷进行调查,并随机抽取241名处于月经期女生进行血清前列腺素(PGF2α)测定。结果女中学生原发性痛经的发生率为50.04%,高中组(56.89%)显著高于初中组(43.25%),有家族史组(90.86%)显著高于无家族史组(41.62%)。痛经48 h内PGF2α质量浓度明显高于月经48 h后,也高于无痛经组。结论原发性痛经的发病与家族史、PGF2α质量浓度及焦虑等有着密切关系。
Objective To understand the status quo of primary dysmenorrhea among female secondary school students in Putuo District, Shanghai and its influencing factors, so as to provide basis for adolescent girls’ health education. Methods A total of 1 155 girls from 8 schools in Putuo District (4 in primary and secondary schools) were enrolled in this study. Self-designed questionnaires were used to investigate the serum levels of prostaglandin (PGF2α) in 241 girls at menstruation. Results The incidence rate of primary dysmenorrhea in high school students was 50.04%. The high school students (56.89%) were significantly higher than those in junior middle school students (43.25%), and those with family history group (90.86%) were significantly higher than those without family history group (41.62%). Dysmenorrhea in 48 h PGF2α mass concentration was significantly higher than the menstrual 48 h, also higher than the no dysmenorrhea group. Conclusion The incidence of primary dysmenorrhea and family history, PGF2α concentration and anxiety are closely related.