Menopausal Women, The Symptoms Of The Sub-health State Distribution And Quality Of Life In Clinical Studies

Objective:The research prefers a concept of the sub-health state of perimenopausal period.The concept describes the uncomfortable feeling of body, the unwell state of psychology or the failed adaptive capacity of social communication of the climacteric group.Through many-faceted and multistrata analysis of the sub-health state of climacteric group,we comprehensively approach the symptom feature and distribution rule and evaluate the survival condition and quality,intending to provide the evidence-based basis for the clinical intervention treatment.Methods:The object of the survey is chosen from the menopausal female of 40-60 years who partook the health examination and visited the affiliated hospital of Chengdu TCM University,132 factory and Hongyun areola in Chengdu according to the diagnosis and deleting criterion of the sub-health state of climacteric period.They were requested to answer the questionnaires such as Kupperman Index, the sub-health state screening schedule,the sub-health state of perimenopausal period investigation questionnaire and WHOQOL-BREE We adopted epidemiological cross-sectional study methods.Through adopting frequency distribution and factor analysis methods respectively,we judged clinical symptom distribution and subtype feature of the sub-health state of climacteric group.Result:1.The core symptoms of the sub-health climacteric group are:tinnitus, dreaminess,restlessness,fatigue,waist and back aching pain.The common symptoms are:festless sleep,difficult to fall asleep,intolerance of cold,dry throat, dizziness,dry eyes,easy weeping,yellow urine,easy cold,headache,hectic fever. According to symptoms distribution,the major syndromes of the sub-health state of perimenopausal period are possibly deficiency of the kidney,deficiency of the heart-Qi,stagnation of the liver-Qi,deficiency of the spleen-Qi.Furthermore,the disease location is related to kidney,heart and liver,spleen.2.Adopting factor analysis methods,we sum the multitude symptoms of the sub-health climacteric group up 7 subtypes:psychological sub-health,sleepy sub-health,gastrointestinal sub-health,fatigued sub-health,pained sub-health, physical sub-health and pharynx ear sub-health.3.The average integrated score for the quality of life of the sub-health climacteric people is 84.17,and 42.57%of them have gotten the score lower than the average and 57.43%higher than that.The satisfactory degree in four areas for the quality of life of the sub-health climacteric people takes turns from high to low: physiological,social,psychological and environmental area.The above results could provide the evidence-based basis for further investigating syndrome distribution of the sub-health state of perimenopausal period, identifying etiological factor and pathogenesis,standardizing treatment based on differentiation and Chinese medicine intervention.