异位妊娠发病相关因素及其体质类型的调查研究

发布时间：2018-01-10 14:06

本文关键词：异位妊娠发病相关因素及其体质类型的调查研究　出处：《浙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的本研究旨在了解异位妊娠发病的相关性因素,同时问卷调查并分析异位妊娠患者的中医体质类型,以期从中西医结合的角度出发,为异位妊娠的防治提供数据参考。方法通过收集105例于2015年12月1日至2016年11月30日期间在杭州市中医院妇一科住院并确诊为异位妊娠患者及105例同期住院的正常妊娠分娩妇女的相关病史资料,同时对两组研究对象进行中医体质类型的问卷调查,将所得数据录入计算机,建立相关数据库,利用SPSS17.0系统进行统计学处理与分析。结果1.研究组中有流产史的女性占64.8%(68/105),有足月分娩史的女性占63.8%(67/105),有盆腔感染性疾病史的女性占30.5%(32/105)、有盆腔手术史的女性占32.4%(34/105),有不孕史的女性占9.5%(10/105)、有异位妊娠史的女性占64.8%(68/105),有婚前性行为的女性占31.4%,均显著多于对照组,且差异具有统计学意义(P0.05)。2.研究组中既往流产方式为人工流产的女性异位妊娠发生率为75.4%(52/69),显著高于药物流产女性(51.6%,16/31),既往分娩方式为剖宫产分娩者异位妊娠的发生率为76.1%(35/47),显著高于自然分娩者(56.1%,32/56),且均具有统计学差异(P0.05)。3.研究组在处暑期间人数分布最多,占12.4%(13/105),显著多于对照组,差异具有统计学意义(P0.05)。4.本研究根据2009年4月由中华中医药学会正式发布的《中医体质分类与判定》标准判定出异位妊娠患者的体质类型,其中血瘀质占第一位,气郁质占第二位,气虚质占第三位,且这三种体质类型在两组间的差异具有统计学意义(P0.05)。破裂型异位妊娠患者中的气虚质占第一位(36.5%,8/22),显著多于未破裂型异位妊娠患者(P0.05);未破裂型异位妊娠患者中血瘀质占第一位(30.1%,25/83),显著多于破裂型异位妊娠患者(P0.05);需输血异位妊娠患者中气虚质占第一位(34.6%,9/26),显著多于未输血患者(P0.05);未输血患者血瘀质占第一位(30.4%,24/83),显著多于需输血患者(P0.05)。结论1.盆腔感染性疾病史、流产史、盆腔手术史、异位妊娠史、不孕史、婚前性行为及足月分娩史均为异位妊娠发病的相关性因素。2.既往流产方式为人工流产的女性发生异位妊娠的风险高于药物流产者,既往分娩方式为剖宫产分娩的女性发生异位妊娠的风险高于自然分娩者。3.九种体质类型中血瘀质、气郁质和气虚质为异位妊娠的主要体质类型。未破裂型和未输血的异位妊娠患者的体质类型以血瘀质为主,破裂型和需输血异位妊娠患者的体质类型以气虚质为主。
[Abstract]:The purpose of this study is to understand the related factors of ectopic pregnancy at the same time, the survey and analysis of patients with TCM constitution types of ectopic pregnancy, in order to view from a combination of traditional Chinese and Western medicine, to provide reference data for the prevention and treatment of ectopic pregnancy. Methods the related history data of 105 cases were collected from December 1, 2015 to November 30, 2016 in a hospital and Hangzhou Traditional Chinese Medical Hospital the diagnosis of ectopic pregnancy and 105 cases of patients hospitalized in the same period of normal pregnant women, and conducted a questionnaire survey of TCM constitutions of two groups of subjects, the data entered into the computer database for statistical processing and analysis by using SPSS17.0 system. The history of abortion 1. in the study group (women accounted for 64.8% 68/105), a full-term delivery history of women accounted for 63.8% (67/105), a disease history of female pelvic infection accounted for 30.5% (32/105), a The history of pelvic surgery women accounted for 32.4% (34/105), a history of infertility women accounted for 9.5% (10/105), a history of ectopic pregnancy women accounted for 64.8% (68/105), have premarital sexual behavior of women accounted for 31.4%, significantly more than the control group, and the difference was statistically significant (P0.05).2. previous abortion in the study group women for abortion ectopic pregnancy rate was 75.4% (52/69), was significantly higher than that of drug abortion women (51.6%, 16/31), the previous mode of delivery for cesarean delivery of ectopic pregnancy rate was 76.1% (35/47), significantly higher than natural childbirth (56.1%, 32/56), and there was significant difference (P0.05.3.) in the study group during the distribution of the number of the most Chushu, accounting for 12.4% (13/105), significantly more than the control group, the difference was statistically significant (P0.05.4.) according to the constitution classification of traditional Chinese medicine in April 2009 by the Chinese Medical Association officially released the < > and judgment criteria of misplaced The patient's physical type of pregnancy, including blood stasis accounted for the first, qi stagnation, Qi deficiency accounted for second, accounted for third, with statistical significance and the three kinds of physical types of the difference between the two groups (P0.05). Ruptured ectopic pregnancy in patients with Qi deficiency accounted for the first (36.5%, 8/22), significantly more than unruptured ectopic pregnancy (P0.05); patients with unruptured ectopic pregnancy in patients with blood stasis accounted for the first (30.1%, 25/83), significantly more than the ruptured ectopic pregnancy (P0.05); blood transfusion of patients with ectopic pregnancy in the virtual mass accounted for the first (34.6%, 9/, 26) were significantly more than patients without blood transfusion (P0.05); blood transfusion patients with blood stasis accounted for the first (30.4%, 24/83), significantly more than the required blood transfusion patients (P0.05). Conclusion: 1. pelvic infection disease history, abortion history, history of pelvic surgery, ectopic pregnancy, infertility, sexual behavior and full-term delivery history are correlated due to the onset of ectopic pregnancy Higher than the female drug abortion.2. previous abortion abortion risk for ectopic pregnancy, the birth of a previous cesarean delivery for women the risk of ectopic pregnancy is higher than the natural childbirth.3. nine kinds of physical types of blood stasis, qi stagnation is a different type of pregnancy. The main body rupture of blood stasis in patients with pregnancy mainly physical types and type of ectopic blood transfusion, in most patients with Qi deficiency constitution and blood transfusion of ectopic pregnancy rupture.

【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R714.22

【参考文献】