| 摘要: |
| 目的探讨运动对围绝经期症状和抑郁症状的影响。方法选取更年期门诊就诊的634例围绝经期妇女，采用问卷方式调查妇女基本情况，采用改良Kupperman评分量表评估妇女围绝经期症状，采用HAMD评分量表评估妇女抑郁症状。结果不同运动频率妇女在情绪波动、抑郁疑心、眩晕、心悸、皮肤蚁行感、抑郁情绪、自杀、入睡困难、睡眠不深、早醒、激越、自知力等方面比较，差异均有统计学意义（均P＜0.05）。运动频率越高，改良Kupperman评分和HAMD评分总分越低（均P＜0.05）。运动频率与改良Kupperman评分和HAMD评分均呈负相关（r=-0.135和-0.125，均P＜0.01），改良Kupperman评分与HAMD评分呈正相关（r=0.606，P＜0.01）。结论运动可以有效改善妇女围绝经期症状和抑郁症状，推荐每周超过3次的运动作为改善围绝经期症状、抑郁症状的非药物治疗的方法之一。 |
| 关键词: 运动 围绝经期症状 抑郁症状 |
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| 基金项目:国家卫生计生委科学研究基金-浙江省医药卫生重大科技计划（WKJ-ZJ-024）；杭州市医药卫生科技计划重点项目（2011Z003）；杭州市科技局重点项目（20120533Q04，20142013A58） |
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| Exercise improves perimenopausal disturbance and depressive symptoms in perimenopausal women |
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WEI Shuangshuang, HUANG Zheren, HE Yiran, ZHANG Zhifen, HUANG Jian
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Hangzhou Hospital of Nangjing Medical University
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| Abstract: |
| Objective To investigate the effects of exercise on the perimenopausal disturbance and depressive symptoms in perimenopausal women. Methods Six hundred and thirty four perimenopausal patients were enrolled from the outpatient clinic of menopause. The socio-demographic data, perimenopausal disturbance symptoms and depressive symptoms were documented and analyzed. Results There were significant differences in mood swings, depression, dizziness, headache, palpitations, ants feel, depression, suicidal thoughts, insomnia, shallow sleep, early awakening, agitation and lost of self-control among women with different frequency of exercise (all P＜0.05). There were the higher frequency of exercise, the lower improved Kupperman score and HAMD score (all P＜0.05). Kupperman score and HAMD score were negatively correlated with exercise frequency (r=-0.135, -0.125, all P＜0.01). Kupperman score was positively correlation with HAMD score (r=0.606, P ＜0.01). Conclusion Exercise can improve the depression and perimenopausal symptoms in perimenopausal women, and exercise as a non-drug treatment is recommended. |
| Key words: Exercise Perimenopausal disturbance Depressive symptoms |
