江汉大学学报（自然科学版）

目的:探讨女大学生痛经发生情况及其影响因素,提供科学的干预方法。方法:采取整群随机抽样的方法,对江汉大学卫生职业技术学院大一、大二、大三的三个年级的576名大学生进行调查。结果:(1)女大学生痛经的发生率为69.3%(399/576),其中轻度为60.2%(240/399),中度为28.0%(112/399),重度为11.8%(47/399)。(2)女大学生的痛经与饮食因素、保暖因素、睡眠因素、压力因素、情绪因素、营养因素、初潮年龄、母亲痛经、月经异常9个因素有显著的关联(P<0.05),其中饮食因素、保暖因素、睡眠因素、压力因素、情绪因素5个因素是女大学生痛经发生的危险因素(P<0.05)。结论:原发性痛经在女大学生中具有较高的发生率,不良的生理、社会、心理因素可诱发女大学生痛经的发生,应在女大学生中积极开展健康教育及其心理咨询。

Objective:To determine the situation and influencing factors of the primary dysmen orrheal in coedna in order to provide scientific intervention methods.Methods:The sample was con stituted from 576 students of grade 1,2,3 in the college that were subjected to questionaire.Results:The frequency of the primary dysmenorrheal was 69.3%(399/576).Mild was 60.2%(240/ 399),moderate was 28.0%(112/399)and severe was 11.8%(47/399).Influencing factors of dysmen orrhea include dietary factors,thermal factors,sleep factors,pressure factors,emotional factors,nutritional factors,menarche factors,mother of dymenorrhea,abnormal menstruation(P<0.05).Multi-factors analysis show that dietary factors,thermal factors,sleep factors,pressure factors,emotional factors are the risk factors to coedna dysmenorrhea.Conclusions:Primary dysmenorrhea is very common in coedna.Bad biological,social and psychological factors may cause dysmenorrhea.It should carry out psychological consultation and healthy education in coedna.