目的 探讨青春期人群的健康教育方法,对他们提供适当、适量、适度的健康教育.方法 在福建省福州市6所学校,进行青春期保健健康知识的分层次传播28场.对青春期早、中、晚期人群分别进行内容为青春期生理、心理特点,青春期常见身心健康问题,青春期如何预防生殖器官疾病或性传播疾病,青春期健康问题如何求助及青春期健康的三级预防五个方面的教育.课后向听众发放无记名对教育内容的评价调查问卷,收回问卷2036份.结果 青春期男性464人、女性1572人,其中青春期早期男女各250人,青春期中期男女分别为15、540人,青春期晚期男女分别为199、782人.青春期不同性别、不同阶段对同一讲座内容的评价不同.女性青春期早期者对“青春期生理、心理特点”、“青春期常见身心健康问题”、“青春期如何预防生殖器官疾病或性传播疾病”和“青春期健康的三级预防”中的一级预防的讲座内容评价为好的较青春女性中、晚期高；男性青春早期者对“青春期常见身心健康问题”和“青春期健康的三级预防”中的一、二级预防的讲座内容评价为好的较男性青春期中、晚期高,而“青春期生理、心理特点”、“青春期如何预防生殖器官疾病或性传播疾病”和“青春期健康的三级预防”中的三级预防的讲座内容评价较男性青春期中期高、比男性青春期晚期低.结论 确定青春期健康教育内容要关注性别差异、年龄特点以及二者间的联系.青春期健康教育的方式应以群体健康教育为主,青春期保健门诊咨询为辅.

Objective To provide proper content and style of group healthcare education by exploring the adolescents group health education.Methods There were 28 scenes of demixing dissemination on the group healthcare education of adolescent according to early,middle and late periods of adolescent from Jan.2008 to Sep.2009 in six schools of Fuzhou.The contents included 5 aspects,such as physiocal and mental characteristics of adolescent,common adolescent physical and mental health problems,the precaution of adolescent generative diseases or sexually transmitted disease,how to ask for help with the adolescent health problems and tertiary prevention of adolescent health.And questionaires were distributed after lecture and retrieved 2 036 papers.Results Male adolescent 464 and female 1572 cases were surveyed,early adolescent male-female each 250,middle adolescent both male-female 15 and 540,and late adolescent both male-female 199 and 782.Different adolescent gender cases were given different evalua

观察中西医结合治疗青春期子宫功能性出血的疗效。方法:84例青春期功血患者采用中西医结合的方法进行治疗,疗程3个月。结果:青春期功血患者经中西医结合方法治疗后,总有效率100%。结论:中西医结合治疗青春期功血能起到标本兼治的作用,降低复发率,效果显著。

Objective:To observe the curative effect of traditional Chinese and western medicine combination in the treatment of adolescent functional uterine bleeding.Methods:84 patients with adolescent functional uterine bleeding were treated with traditional Chinese and western medicine combination.The treatment course was 3 months.Results:After the traditional Chinese and western medicine combination treatment in the patients with adolescent functional uterine bleeding.The total effective rate was 100%.Conclusion:The traditional Chinese and western medicine combination in the treatment of adolescent functional uterine bleeding has the effect of specimen and cure.It can reduce the recurrence rate.Its effect is significant.

由于青春期多囊卵巢综合征（PCOS）的病理变化与正常青春期生理变化相似，2012年提出青春期PCOS的诊断应同时符合Rotterdam标准的3个指标，即初潮后2年仍存在月经稀发或闭经、超声下多囊样卵巢（PCO）改变（包括卵巢体积＞10 cm3）和高雄激素血症。尽管代谢因素不是PCOS的诊断指标，但仍应注意青春期PCOS患者代谢紊乱的发生情况。而青春期PCOS的治疗包括：生活方式调整，筛查并早期干预代谢紊乱，纠正月经周期紊乱。

Polycystic ovary syndrome(PCOS) is the most common endocrinopathy in women. PCOS often occurs in perimenarcheal girls,and similarities between the physiological changes of puberty and the pathological features of PCOS have been noted. The diagnosis of adolescent PCOS should simultaneously meet the three indexes of Rotterdam Consensus,hyperandrogenism as hyperandrogenemia(elevated blood androgens found using sensitive assays),oligo-amenorrhea for at least 2 years after menarche, and polycystic ovaries also including increased ovarian volume (>10 cm3). Although metabolic syndrome is not included in the diagnosis of PCOS,metabolic condition in adolescent PCOS patients should be considered. Treatments of adolescent PCOS should include the modification of lifestyle and dietary,improvement of metabolic disorders,and restoration of cyclical menses.

目的：分别比较青春期多囊卵巢综合征（PCOS）与青春期健康人群、青春期PCOS胰岛素抵抗（IR）与非IR患者的生殖内分泌指标，认识青春期PCOS的IR及其与生殖内分泌代谢异常的相关性，为该疾病的早期诊断和治疗提供循证医学依据。方法青春期PCOS患者（青春期PCOS组）88例，青春期健康对照人群（对照组）87例，并根据胰岛素抵抗稳态模型指数（HOMA- IR）将青春期PCOS患者分为IR组（40例）和非IR组（48例）。测定LH、FSH、硫酸脱氢表雄酮（DHEAS）、性激素结合蛋白（SHBG）、总睾酮（TT）、FBG、空腹胰岛素（FINS）、瘦素（LEP）和脂联素（ADPN）水平，并加以对照研究。结果（1）青春期PCOS组与对照组的比较：青春期PCOS组LH、LH/FSH、DHEAS、TT、FAI、FINS、HOMA- IR、LEP均明显高于对照组，SHBG明显低于对照组，两组间FBG、ADPN未见有统计学差异。（2）青春期PCOS IR组与非IR组的比较：IR组LH明显低于非IR组，而DHEAS、FAI均明显高于非IR组，两组间LH/FSH、TT无统计学差异。IR组SHBG明显低于非IR组，且SHBG与BMI （r=-0.31，P＜0.05）、血DHEAS （r=-0.225，P＜0.05）均呈明显负相关。IR组FINS、FBG、HOMA- IR均明显高于非IR组，且FBG与BMI呈明显正相关（r=0.348，P＜0.05）。IR组LEP水平明显高于非IR组，而ADPN明显低于非IR组，且LEP水平与BMI呈明显正相关（r=0.605，P＜0.05），ADPN水平与BMI呈明显负相关（r=-0.418，P＜0.05）。结论 PCOS在青春期即出现不同程度的胰岛素敏感性下降，IR发病率增高，并与高雄激素血症、肥胖相互作用，形成内分泌代谢的恶性循环，促进PCOS疾病进展，使得代谢综合征等远期并发症风险增高。脂肪因子ADPN和LEP或可成为机体胰岛素敏感性的预测指标，但还需进一步大样本研究。

Objective To investigate the endocrinal abnormalities of adolescent polycystic ovary syndrome(PCOS) with or without insulin resistance (IR). Methods Eighty eight adolescent patients with polycystic ovary syndrome(PCOS group), includ-ing 40 cases with IR and 48 cases without IR, and 87 healthy women (control group) were enrol ed in the study. The serum en-docrine levels were measured and their relationships with homeostasis model of assessment for insulin resistance (HOMA- IR ) were analyzed. Results Compared to control group, PCOS group had a higher levels of 1uteinizing hormone (LH), luteinizing hormone/follicle stimulating hormone ratio(LH/FSH ratio), dehydroepiandrosterone sulfate(DHEAS), total testosterone(TT) and free androgen index (FAI), but a lower level of the sex hormone binding globulin (SHBG). There was a significant difference in serum fasting insulin (FINS) and HOMA- IR levels, but no difference in serum fasting blood- glucose (FBG) between adolescent PCOS and control gro

青春期功血好发于青春期少女，主要临床表现为阴道出血量多，周期延长或淋漓不断，或不规则出血并继发严重贫血，要做好心理、临床、饮食、家庭四个方面的护理。

adolescent functional bleeding occurs in youth the girl,the main clinical manifestations were the amount of vaginal bleeding ,prolonged the period or dripping continuously,or irregular bleeding and severe anemia secondary,to do a good job in four aspects of psychological nursing,clinical,food,family.