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沉重的还是健康的? 评估荷兰青少年的月经出血和出血倾向

Anne de Vaan¹, Habibe Özcan², Nicole B Burger²

¹Center for Benign Hematology, Thrombosis and Hemostasis, van Creveldkliniek, University Medical Center, University Utrecht, Utrecht, the Netherlands.

Research and practice in thrombosis and haemostasis

|December 3, 2025

概括

严重的月经出血 (HMB) 影响了20%的青少年. 一个高的图形血液损失评估图 (PBAC) 评分表明HMB,并且与出血障碍的风险增加有关,这表明需要重新评估查工具.

科学领域:

生殖健康生殖健康
青少年医学青少年医学
血液学血液学血液学

背景情况:

严重的月经出血 (HMB) 是青少年的一个常见问题,可能是潜在的出血障碍的信号.
图形血液损失评估图 (PBAC) 将HMB定义为分数≥150,而自我出血评估工具 (self-BAT) 识别了患出血障碍风险的青少年.
目前关于一般青少年群体PBAC和自BAT得分的数据有限.

研究的目的:

确定青少年中HMB和高自我BAT分数的流行率.
为了研究HMB (PBAC得分≥150) 与此人口群体中自BAT得分升高之间的关联.

主要方法:

包括使用月经教育日历移动健康应用程序的12-21岁的青少年.
参与者完成了自我BAT和至少一个PBAC评估.
使用后勤回归分析来检查PBAC得分与自我BAT得分升高之间的关系.

主要成果:

总共分析了330名青少年,其中22.1%的PBAC得分≥150 (表明HMB),16.4%的自我BAT得分升高.
一个PBAC得分≥150显著与增加自我BAT得分的风险相关 (OR,2.48).
18-21岁的青少年与12-17岁的青少年相比,自我BAT分数升高的风险较低 (OR,0.11).

结论:

大约20%的青少年经历了HMB.
目前12-17岁青少年的自我BAT截止分数≥3似乎过于敏感,约有50%的人有出血障碍的风险.
对月经的青少年来说,重新评估自BAT截止分数是必要的,以提高诊断准确度.

关键词:

青少年青少年青少年青少年遗传性血液凝固障碍遗传性血液凝固障碍阴道病是什么? 阴道病是阴道病.经期经期经期经期软件软件软件软件软件

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