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非典型的精神性厌食症的月经特征
Demet Aygün Ari1, Melis Pehlivantürk Kizilkan2, Orhan Derman2
1Department of Pediatrics, University of Health Sciences Ankara Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
概括
患有非典型性神经性厌食症 (AAN) 的青少年在较短的时间内经历异常 (缺乏月经),并且比患有神经性厌食症 (AN) 的青少年更快地恢复周期. 早期诊断和治疗对于饮食障碍的月经恢复至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 青少年医学 青少年医学
- 精神病学是一个精神病学.
背景情况:
- 在限制性饮食障碍中,月经不规则很常见.
- 与神经性厌食症 (AN) 相比,非典型的神经性厌食症 (AAN) 的特定月经特征并未得到很好地定义.
研究的目的:
- 为了比较被诊断患有AN和AAN的青少年的月经特征.
- 为了调查AN和AAN队列之间的异常异常持续时间和月经周期恢复的差异.
主要方法:
- 77名青少年患者 (38 AN, 39 AAN) 的临床和月经数据的回顾性分析.
- 纳入标准: 呈现时的二次 amenorrhea 在随访期间恢复月经.
- 在AN和AAN组之间录取和随访期间数据的比较.
主要成果:
- 两组之间在体重减轻程度或疾病持续时间到异常发作之前没有显著差异.
- 在入院时,AAN组的疾病持续时间和自上次月经以来的时间较短.
- 在AAN中出现的阿美诺雷亚表现为更高的BMI,更快的月经回归和治疗后体重增加较少.
- AAN组经历了更短的阿美诺雷亚的总体持续时间.
结论:
- 在限制性饮食障碍中,无论体重状况如何,阿米诺雷亚都很重要.
- 在AAN中更快的月经周期回归和更短的异常 amenorrhea强调了早期诊断和治疗的必要性.
- 在所有患者中,全面的饮食障碍病史对于管理无精通和月经不规则至关重要.
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