更年期妇女骨关节痛症状发生及其相关因素分析

摘要

Objective:To explore the occurrence situation of bone pain symptom and its related affecting factors in menopausal women. Methods:The data of patients with menopausal disease in our hospital from January 1 to June 30,2011 were analyzed by using following scales: (1)self-designed questionnaire to investigate the general condition of patients; (2) internationally accepted score scales such as modified Kupperman scale and MRS scale to evaluate severity of menopausal symptoms and the quality of life; (3) applying dual-energy X-ray absorptiometry(DXEA) to measure bone mineral density (BMD) in order to know patients' osteoporosis degree. Results:(1) In our study, the occurrence rate of menopausal joint pain was 77.0%. (2) This study results showed that the occurrence of joint pain in menopause had no significant correlation with osteoporosis,but it was significantly associated with body mass index(BMI). (3)Kupperman scores were related to the severity degree of bone pain. The bone pain symptom was more serious in the patients with high level of MRS. Conclusions:Joint pain is a common symptom to be treated for menopausal women, which is significantly correlated with the level of BMI, but not with osteoporosis. It affects women's life quality.%目的 探讨更年期妇女骨关节痛症状发生状况及其相关影响因素. 方法 研究对象选取对2011年1月1日至2011年6月30日在上海交通大学附属第六人民医院更年期专病门诊就诊的患者.研究方法:(1)采用自行设计的问卷对患者一般情况进行调查；(2)采用改良Kupperman评分、MRS评分等量表进行更年期症状及患者生活质量进行评估；(3)采用双能X线进行骨密度测定. 结果 (1)更年期骨关节痛的发生率为77.0％；(2)更年期骨关节痛的发生与骨质疏松无明显相关性,与体重指数(BMI)显著相关,BMI越高,骨关节痛发病率越高；(3) Kupperman评分和MRS评分的高低与骨关节痛发病严重程度有相关性,高MRS评分组的骨关节痛症状严重. 结论 骨关节疼痛为更年期女性较为常见的就诊症状,与BMI水平高低水平呈显著相关性,与骨质疏松无显著相关性,但其影响妇女的生活质量.