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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (9): 827-830.doi: 10.3736/jcim20090906

• Original Clinical Research • Previous Articles     Next Articles

Epidemiological investigation of perimenopausal women in Shanghai

 Jin Zhenga,Ji Lia,Li Zhangb,Guo-hua Huc,Chao-qin Yud,Zhao-fen Zhange,Shuang Nia,Mei-juan Weie   

  1. a Department of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    b Shanghai Literature Institute of Traditional Chinese Medicine, Shanghai 200020, China
    c Department of Gynecology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai 200071, China
    d Department of Tradtional Chinese Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200032, China
    e Department of Tradtional Chinese Medicine, Obstetrics &• Gynecology Hospital, Fudan University, Shanghai 200011, China;
  • Received:2009-06-22 Accepted:2009-07-14 Online:2009-09-20 Published:2009-09-15
  • Contact: Jin Zheng E-mail:Zhengj718@sohu.com

Objective

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.
Methods

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.
Results

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.
Conclusion

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.

Key words: Perimenopause, Self-rating depressive scale, Hyperactivity of heart and liver fire, Epidemiologic study

Table 1

Summary of the general questions"

Question Cases (%)
Desire to get apprehension from others希望得到别人理解
Desire to希望 490 (77.29)
Don’t care无所谓 139 (21.92)
Don’t desire to不希望 5 (0.79)
Desire to have a good talk with others希望有人倾诉
Desire to希望 448 (70.66)
Don’t care无所谓 162 (25.55)
Don’t desire to不希望 24 (3.79)
Communicate with friends生活和工作中与朋友交流
Never没有 64 (10.09)
Occasionally偶尔 200 (31.55)
Usually经常有 370 (58.36)
Know about the knowledge of perimenopausal syndrome对围绝经期知识了解的情况
Know little不了解 131 (20.66)
Know a little了解一点 343 (54.10)
Know much基本了解 160 (25.24)
Feel nervous and panic with symptoms of perimenopausal syndrome对围绝经期前后出现的症状感到紧张、恐慌
Never没有 357 (56.31)
Feel a little nervous有一点 233 (36.75)
Feel nervous比较紧张 44 (6.94)
Desire to get enough knowledge of perimenopausal syndrome from the professional doctors希望有专业医师对自己进行围绝经期知识的介绍
Desire to希望 500 (78.86)
Don’t care不希望 5 (0.79)
Don’t desire to无所谓 129 (20.35)
Participate in unit activities参加社区和单位各类活动
Never没有 217 (34.23)
Occasionally偶尔 236 (37.22)
Usually经常有 181 (28.55)

Table 2

Symptom distribution of perimenopausal women"

Symptom Cases (%) Symptom Cases (%)
Sweating with reddish complexion 481 (75.86) Constipation 250 (39.43)
Feverish sensation over five centers 389 (61.36) Loose stool 78 (12.30)
Susceptibility to anger and restlessness 501 (79.02) Clear and profuse urine 196 (30.91)
Dizziness and tinnitis 454 (71.61) Puffy face and swollen limbs 189 (29.81)
Aching pain in waist and knees 506 (79.81) Poor appetite 132 (20.82)
Nervousness and palpitation 414 (65.30) Fatigue and lack of strength 454 (71.61)
Thirst with dry throat 423 (66.72) Forgetfulness 503 (79.34)
Distention pain of hypochondria 207 (32.65) Reddish tongue 389 (61.36)
Restless sleep at night 411 (64.83) Thin pulse 425 (67.03)
Depression 297 (46.85) Pale tongue 140 (22.08)
Aversion to cold 140 (22.08) Deep pulse 86 (13.57)
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