【专家共识】 更年期妇女健康管理专家共识（基层版）
<section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><section style="margin: -40px 10px; padding: 15px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; box-shadow: rgb(216, 175, 127) 0px 0px 3px; background-color: rgb(254, 254, 254); transform: rotateZ(0deg); visibility: visible;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 2px; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 14px; visibility: visible;"> </span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif; visibility: visible;">为规范基层医疗机构更年期妇女健康管理工作，对更年期相关问题早期识别并积极干预，减少更年期相关健康问题，为老年期健康奠定基础。北京妇产学会社区与基层分会组织专家根据循证医学证据、基层医疗机构现状、绝经管理相关指南等，制定了《更年期妇女健康管理专家共识（基层版）》</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 14px; visibility: visible;">。</span></p></section><section style="margin: 0px 0px 0px auto; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 50px; height: 50px; background-color: rgb(255, 213, 34); border-radius: 50%; visibility: visible;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"/></section></section></section><p></p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"></p><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-align: left; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 3px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; border-bottom: 5px solid rgb(193, 35, 50); visibility: visible;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; visibility: visible;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 20px; line-height: 30px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; visibility: visible;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;">1 </span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;">定义</span></strong></span></strong></p></section></section><section style="margin: 0px; padding: 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; font-size: 15px; line-height: 1.8; visibility: visible; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0.1px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em; visibility: visible;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 24px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; visibility: visible;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"> 更年期（climacteric）是指女性绝经及其前后的一段时间，是从生殖期过渡到老年期的一个特殊生理阶段，包括绝经过渡期和绝经后期的一段时期。更年期综合征指妇女在更年期出现的一系列躯体及精神心理症状，包括月经紊乱、潮热、出汗、心悸、失眠、情绪低落、激动易怒等</span>。</span></section></section><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></p><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 3px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; border-bottom: 5px solid rgb(193, 35, 50);"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 20px; line-height: 30px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; box-sizing: border-box !important; overflow-wrap: break-word !important;">2 </span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; box-sizing: border-box !important; overflow-wrap: break-word !important;">更年期妇女常见健康问题</span></strong></span></strong></p></section></section><section style="margin: 0px; padding: 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; font-size: 15px; line-height: 1.8; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0.1px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 17px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 25.5px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span></strong></span></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">2.1<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">月经异常</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">月经异常是更年期妇女的常见症状，表现为月经周期不规律（以月经周期缩短为多见）、月经期持续时间长、停经一段时间后月经量过多等。由于更年期卵巢功能减退，可出现不排卵，无孕激素分泌，导致子宫内膜缺乏孕激素保护，长期单一雌激素刺激易导致子宫内膜病变，甚至发生子宫内膜癌</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 0px; height: 0px; clear: both;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">2.2<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">血管舒缩症状</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">主要表现为潮热、多汗，是雌激素降低或波动的特征性症状</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">2.3<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">自主神经失调症状</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">主要表现为睡眠障碍，心悸、头痛、头晕、易疲劳等，也有的更年期妇女出现记忆力减退或注意力不集中等</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; background: rgb(14, 184, 58);">2.4<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">精神神经症状</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">表现为焦虑不安或情绪低落、失眠、不能自我控制情绪等症状</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 0px; height: 0px; clear: both;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; background: rgb(14, 184, 58);">2.5<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">心血管疾病风险增加</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">在影响绝经后女性健康的问题中心血管疾病居首位。心血管疾病危险因素分为不可改变和可改变两大类。不可改变的因素是年龄、性别和家族史。可改变的因素包括高血压、血脂异常、肥胖、糖耐量减低、糖尿病和久坐。其中高血压、血脂异常、肥胖、糖耐量减低、糖尿病等危险因素在更年期发生率明显增高</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;">。</span></section></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">2.6<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">骨质疏松症和骨关节病</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">妇女从围绝经期开始至绝经后10年内，骨代谢处于高转换状态，骨吸收大于骨形成，促使骨质丢失而导致骨质疏松和骨质疏松性骨折</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">。</span></section></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">2.7<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">盆底功能障碍性疾病（pelvic floor function，PFD）</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">PFD</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">是女性常见病、多发病，主要包括盆腔器官脱垂及压力性尿失禁等。随年龄增大，雌激素水平下降，导致了盆腔支撑结构缺陷或退化，盆底支持组织松弛</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">2.8<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">绝经泌尿生殖综合征（genitourinary syndrome of menopause，GSM）</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">绝经后由于雌激素水平下降，导致阴道和泌尿生殖道上皮细胞的组织学和功能改变，超过一半的绝经后女性会有泌尿生殖道萎缩相关症状，称为GSM，生殖道症状包括阴道萎缩，外阴阴道疼痛、瘙痒、干涩、烧灼、刺激、性生活障碍，反复发作的萎缩性阴道炎等。泌尿道症状包括尿急、尿频、尿痛和反复泌尿系统感染</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section></section></section></section><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br/></p><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 3px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; border-bottom: 5px solid rgb(193, 35, 50);"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 20px; line-height: 30px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; box-sizing: border-box !important; overflow-wrap: break-word !important;">3 </span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; box-sizing: border-box !important; overflow-wrap: break-word !important;">更年期妇女社区健康管理</span></strong></span></strong></p></section></section><section style="margin: 0px; padding: 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; font-size: 15px; line-height: 1.8; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0.1px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 17px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 25.5px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span></strong></span></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">3.1<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">更年期健康管理团队</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">更年期健康管理团队应该以基层妇科医生或妇女保健医生为核心，成员可以包括全科医生、中医科医生、康复科医生、上级妇科医生、内分泌科医生及骨科医生，条件允许可以加入营养科医生、心理科医生等，各学科及上下级医院之间要“上下联动、双向转诊”，全面解决更年期妇女健康问题</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"></span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></section></section></section></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 0px; height: 0px; clear: both;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">3.2<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">管理对象 </span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">自愿参加健康管理的40~65岁女性</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></span>。</span></p></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; font-size: 16px; background: rgb(14, 184, 58);">3.3<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">管理目标</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.3.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">提高更年期妇女自我保健意识和知识水平，正确认识更年期健康问题；</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.3.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">采纳健康生活方式，提高相关疾病筛查率；</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.3.3</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">对更年期相关问题能早期识别并积极干预，延缓和减少衰老性疾病的发生发展，为老年期健康奠定基础</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px; font-size: 16px; font-family: 微软雅黑, sans-serif;">。</span></section></section></section></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; background: rgb(14, 184, 58);">3.4<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">管理内容</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.4.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">建立健康档案</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; text-indent: 32px; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">建立更年期妇女的个人健康档案，在目前《国家基本公共卫生服务规范》要求建立的居民健康档案基础上加入女性更年期相关内容，如月经史、孕产史、避孕措施选择、更年期症状评分、妇科检查、乳腺检查、女性激素检查、骨密度检测等。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.4.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">系统健康教育</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; text-indent: 32px; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">社区开展健康教育可以有多种形式，包括门诊一对一健康教育、健康教育大课堂、发放更年期保健科普知识手册、播放音像资料、设置健康教育宣传栏、自媒体宣传等，内容涵盖更年期相关问题，如什么是更年期、更年期常见健康问题、更年期保健指导、宫颈癌预防与筛查、乳腺癌预防与筛查及乳腺自检指导、骨质疏松防治、绝经后泌尿生殖道感染防治等。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.4.3</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">定期健康检查</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.3.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">定期健康体检，记录体检结果。参加健康管理的女性每年要接受1次健康体检，健康管理团队要对体检报告进行分析，及时发现健康问题并进行保健指导，同时指导更年期妇女定期自身监测健康状况并记录。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.3.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">乳腺自查。更年期妇女应每月进行一次乳腺自查，发现异常及时就诊。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.3.3</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">要告知更年期妇女妇科常见问题征象，包括阴道出血、白带异常、下腹痛、外阴瘙痒、下腹肿块、更年期相关症状、乳腺胀痛或肿物等，更年期妇女出现以上问题要及时就诊。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.4.4</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">一般保健指导</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.4.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">健康生活方式指导：告知更年期妇女要采取健康生活方式。健康生活方式包括生活规律，按时休息；积极参与社会活动，充实生活内容；管理情绪，保持开朗、乐观、积极态度，保持心情舒畅；改变不良生活习惯，避免熬夜、憋尿、久坐等；避免外界伤害，避免摄入有害物质，不吸烟、避免二手烟等。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.4.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">营养指导：给予更年期妇女营养指导，如饮食要定时定量、均衡，避免无节制，限制饱和脂肪酸摄入（<总热量的7%）、避免反式脂肪酸摄入，避免摄入油炸、油煎食物，少食动物脂肪、胆固醇（<300mg/d）；限盐（<6g/d），控糖（包括含糖饮料）（≤50g/d），少油（25~30g/d），限酒（酒精量≤15g/d），足量饮水（1500~1700 ml/d）；饮食结构要多样化，粗细搭配，增加多种水果、蔬菜摄入，选择全谷物或高纤维食物等碳水化合物；每周至少吃两次鱼。更年期妇女还需补充钙 400~600 mg/d和摄入维生素D量400U（10μg）/d，</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.4.3</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">适当控制体质量：要指导更年期妇女维持适宜体质量，体质指数（BMI）18.5~23.9 kg/m<sup style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">2</sup>为正常，腰围应<80 cm。体质量过高可增加心脑血管疾病风险，低体质量可增加骨质疏松症风险。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.4.4</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">运动指导：指导更年期妇女坚持户外运动和晒太阳。适当进行锻炼调节神经功能，促进机体代谢；更年期妇女应每周至少坚持150min中等强度的有氧运动，如走路、慢跑、骑车、游泳、跳舞等；每周至少进行2~3次肌肉张力锻炼，以增加肌肉量和肌力。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.4.5</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">避孕及性健康指导：围绝经期虽然卵巢功能开始衰退及生育力下降，仍可出现排卵发生意外妊娠，所以需要针对妇女进行避孕及性健康指导。建议更年期妇女首选屏障避孕方法和孕激素宫内缓释系统避孕，如选择复方口服避孕药，应在妇产科医生指导下使用，临床明确诊断绝经者，可以停止避孕。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.4.6</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">心理卫生指导：发现更年期妇女出现心理变化时，要建议其及时向医生、朋友或亲人倾诉烦恼，尤其是经济收入少、健康状况差、不良心境、严重躯体疾病的妇女，医护人员更要多加注意其心理状态。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.4.5</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">药物治疗</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.4.5.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">中医药治疗：中医治疗对更年期症状可达到一定效果，尤其适合不愿意接受绝经雌激素治疗和有雌激素治疗禁忌证的妇女。有中医治疗需求者建议由中医医师辨证治疗。目前常用的中成药有坤泰胶囊、坤宝丸、更年安等。文献报道坤泰胶囊用药1年后，对子宫内膜厚度无显著影响，较激素组阴道出血、乳房胀痛发生率更低，阴道出血时间更短。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">3.4.5.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">绝经激素治疗（menopause hormone therapy，MHT）：MHT能有效减少或消除潮热，改善睡眠质量、情绪和记忆力；减轻 GSM的症状/体征，改善阴道干燥，减少性交困难，减轻急症和性交后膀胱炎的症状；减轻关节疼痛，延缓更年期骨关节炎的发展；减少与年龄相关的肌肉质量损失等</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">。</span></section></section></section></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 0px; height: 0px; clear: both;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section></section></section><section data-source="bj.weixin005.com" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0px 27px; padding: 5px 10px 0px 35px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; border-left: 2px dotted rgb(228, 228, 228);"><section style="margin: 23px 0px 0px -53px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 32px; height: 32px; color: rgb(202, 251, 215); text-align: center; line-height: 32px; border-radius: 16px; background: rgb(14, 184, 58);">3.5<br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: -30px 0px 0px; padding: 0px 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 1.5em; font-size: 14px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; min-height: 1em; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">管理流程：</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">制定更年期妇女健康管理流程</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.5.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">通过询问主观资料和进行客观检查对更年期妇女进行健康状况初步评估。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.5.1.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">主观资料包括妇女月经情况、目前健康状况、婚育史、既往病史、手术史及生活方式等。月经情况包括月经史、目前绝经状态、生殖衰老分期等。目前健康状况重点询问有无更年期妇女常见疾病的典型症状，如潮热、出汗、关节痛、阴道干燥等，有无情绪激动、焦虑、抑郁等问题，有无乳房异常感觉、异常阴道出血、白带异常、下腹部疼痛或包块等其他症状，更年期症状可通过更年期症状评分（Kupperman评分）进行量化，有焦虑、抑郁症状可通过相关量表进行检查。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.5.1.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">客观检查包括一般状况、乳腺检查、盆腔检查、妇科超声、乳腺超声、宫颈癌筛查、血生化检查、骨密度检查等。有条件的要进行性激素、甲状腺功能、</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">肿瘤标志物、凝血相关指标、营养状态、体成分分析等检查。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif; color: rgb(2, 30, 170);">3.5.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">根据评价结果进行分类和处理。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.5.2.1</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">发现紧急情况者：大量阴道流血、剧烈下腹痛、内外科相关急诊等，紧急处理后立即转诊上级医院，并在 2 周内随访转诊结果。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.5.2.2</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">未发现异常者：主观资料和客观检查均未发现异常的人群，给予一般保健指导，包括心理保健、饮食、钙和维生素 D 补充、运动、乳房自检、疾病筛查等指导，每年随诊。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.5.2.3</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">更年期综合征患者：除一般保健指导外，根据患者情况与患者充分沟通，选择适宜的药物治疗。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">3.5.2.4</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">患有其他慢性病者：患有高血压、糖尿病、血脂异常等慢性病，除一般保健指导外，采取慢性病规范管理，必要时转全科医生处理。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">3.5.2.5</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; font-family: 微软雅黑, sans-serif;">患有其他妇科问题者，如宫颈疾病、异常子宫出血、盆底功能障碍等，除一般保健指导外，按照相关疾病规范诊疗，必要时转上级妇科专科医生处理</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: 微软雅黑, sans-serif; font-size: 16px; letter-spacing: 0.544px;">。</span></section></section></section></section></section></section></section><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></p><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; text-align: left; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 3px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; border-bottom: 5px solid rgb(193, 35, 50);"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; letter-spacing: 0.544px;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 20px; line-height: 30px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; box-sizing: border-box !important; overflow-wrap: break-word !important;">4 </span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 19px; box-sizing: border-box !important; overflow-wrap: break-word !important;">小结</span></strong></span></strong></p></section></section><section style="margin: 0px; padding: 0px 10px; outline: 0px; max-width: 100%; box-sizing: border-box; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; font-size: 15px; line-height: 1.8; overflow-wrap: break-word !important;"><section style="margin: 0px 0px 0.1px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 24px; font-family: 微软雅黑, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"> 更年期妇女健康管理要以基层妇科医务人员为核心，与全科医生及上级医院专科医生一起努力，通过“基层首诊、双向转诊、急慢分治、上下联动”的诊疗模式，共同做好更年期妇女的健康管理工作，进而减少更年期不良事件的发生，促进更年期妇女身心健康，为老年期健康打下良好基础</span>。</span></section></section><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: right; line-height: 25.5px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">（<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">美托洛尔</strong> 整理）</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-indent: 32px; line-height: 25.5px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; line-height: 25.5px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: left; line-height: 25.5px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 16px; line-height: 24px; font-family: 微软雅黑, sans-serif;">参考文献：</span></p></section><p></p><p><br/></p><link rel="stylesheet" href="//dyrmt.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_Y23" id="wcn_editor_css"/>
页:
[1]