现代月经产品的红细胞容量:评估大量月经出血的注意事项。

IF 3.4 3区 医学 Q1 FAMILY STUDIES
Emma DeLoughery, Alyssa C Colwill, Alison Edelman, Bethany Samuelson Bannow
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引用次数: 0

摘要

背景:多达三分之一的月经期妇女会出现大量月经出血,这对她们的生活质量造成了负面影响。大量月经出血的诊断主要基于病史采集,而病史采集高度依赖于传统的一次性月经产品,如护垫和卫生棉条。只有卫生棉条的吸收能力经过了行业规范测试。随着替代性月经产品的使用日益增多,有必要了解这些产品的吸收能力与标准产品的吸收能力相比如何:方法:在实验室对各种市售月经产品(卫生棉条、护垫、月经杯和月经盘以及经期内衣)进行了测试,以确定它们使用过期人体包装红细胞的最大吸收或填充能力。对产品饱和或填充所需的血量进行了记录:结果:在测试的 21 种月经卫生用品中,月经盘(Ziggy,中国江苏)的吸血量最高(80 毫升)。会阴部冰镇冷敷包和经期内裤的留血量最少(结论:本研究发现,月经用品的红细胞容量差异很大。这强调了询问个人使用的月经用品类型和使用方法的重要性。进一步了解新型月经用品的容量,有助于临床医生更好地量化经血损失,识别可能受益于额外评估的个体,并监测治疗情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Red blood cell capacity of modern menstrual products: considerations for assessing heavy menstrual bleeding.

Background: Heavy menstrual bleeding affects up to one third of menstruating individuals and has a negative impact on quality of life. The diagnosis of heavy menstrual bleeding is based primarily on history taking, which is highly dependent on traditional disposable menstrual products such as pads and tampons. Only tampons undergo industry-regulated testing for absorption capacity. As use of alternative menstrual products is increasing, there is a need to understand how the capacity of these products compare to that of standard products.

Methods: A variety of commercially available menstrual products (tampons, pads, menstrual cups and discs, and period underwear) were tested in the laboratory to determine their maximal capacity to absorb or fill using expired human packed red blood cells. The volume of blood necessary for saturation or filling of the product was recorded.

Results: Of the 21 individual menstrual hygiene products tested, a menstrual disc (Ziggy, Jiangsu, China) held the most blood of any product (80 mL). The perineal ice-activated cold pack and period underwear held the least (<3 mL each). Of the product categories tested, on average, menstrual discs had the greatest capacity (61 mL) and period underwear held the least (2 mL). Tampons, pads (heavy/ultra), and menstrual cups held similar amounts of blood (approximately 20-50 mL).

Conclusion: This study found considerable variability in red blood cell volume capacity of menstrual products. This emphasises the importance of asking individuals about the type of menstrual products they use and how they use them. Further understanding of capacity of newer menstrual products can help clinicians better quantify menstrual blood loss, identify individuals who may benefit from additional evaluation, and monitor treatment.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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