Menstruation in girls and adolescents: Using the menstrual cycle as a vital sign

Menstruation in girls and adolescents: Using the menstrual cycle as a vital sign
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DOI:
10.1542/peds.2006-2481
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发表时间:
2006-11-01
期刊:
影响因子:
8
通讯作者:
Goldstein, Lisa
Goldstein, Lisa
中科院分区:
医学2区
文献类型:
--
作者:
Klein, Jonathan D.;Barratt, Michelle S.;Goldstein, Lisa

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年轻患者及其父母常常不确定什么代表正常月经模式,临床医生也可能不确定月经周期长度、月经量和青春期月经持续时间的正常范围。重要的是能够教育年轻患者及其父母了解第一次月经的预期以及后续月经的正常周期长度范围。对于临床医生来说,了解女孩和青少年的出血模式、区分正常月经和异常月经的能力以及了解如何正确评估年轻患者病情的技能也同样重要。使用月经周期作为额外的生命体征为评估正常发育和排除病理状况增加了一个强大的工具。
Young patients and their parents often are unsure about what represents normal menstrual patterns, and clinicians also may be unsure about normal ranges for menstrual cycle length and amount and duration of flow through adolescence. It is important to be able to educate young patients and their parents regarding what to expect of a first period and about the range for normal cycle length of subsequent menses. It is equally important for clinicians to have an understanding of bleeding patterns in girls and adolescents, the ability to differentiate between normal and abnormal menstruation, and the skill to know how to evaluate young patients' conditions appropriately. Using the menstrual cycle as an additional vital sign adds a powerful tool to the assessment of normal development and the exclusion of pathological conditions.