地震应激对女性身心影响的调查分析

发布时间：2017-12-31 00:09

本文关键词：地震应激对女性身心影响的调查分析　出处：《成都中医药大学》2010年硕士论文　论文类型：学位论文

【摘要】：目的：探讨地震应激对女性生殖内分泌的影响。方法：在2008年8月一次性地采用自拟妇科问卷调查表、自拟中医证候调查量表、焦虑自评量表(self-rating anxiety scale, SAS)和抑郁自评量表(self-rating depression scale, SDS)进行问卷调查。依据相关纳入标准和排除标准,灾区应激组选择在“5·12汶川大地震”重灾区(平武县,都江堰市,彭州县)进行问卷调查,非灾区对照组选择在非重灾区(简阳市,资中市)女性作对照进行问卷调查。结果：两个组共发出问卷表129份,剔除无效问卷39份,灾区应激组有效问卷表45份,非灾区对照组有效问卷表45份。(1)两组的基线状况良好,可比性强(P0.05)。(2)灾区应激组月经不调严重程度显著高于非灾区对照组(P0.05),其中灾区应激组6种月经不调共35例,发病率为77.78%,依次为月经延长9例,月经先期8例,月经后期6例,月经过少6例,月经过多4例,月经先后不定期2例。白带色质异常两组比较无统计学意义(P0.05)。(3)抑郁及焦虑评分灾区应激组均显著高于非灾区对照组(P0.01)。(4)灾区应激组的中医证候调查量表中20项有19项地震前后比较有显著差异(P0.01,P0.05),根据诊断标准,地震后辨证分型属于肝郁气滞23例,气阴两虚12例,脾虚痰湿8例,气虚血瘀2例。(5)灾区应激组亲属有死亡的女性的月经不调严重程度与亲属有伤残的及亲属无伤亡的比较有显著差异(p0.05),亲属有伤残的女性的月经不调严重程度与亲属无伤亡的比较无显著差异(p0.05)。地震后抑郁和焦虑程度均依次为：亲属有死亡亲属有伤残亲属无伤亡(p0.05)。(6)灾区应激组月经不调严重程度依次为：小学文化初中文化中专或高中以上文化。受教育程度越低,抑郁和焦虑程度越重(p0.05)。(7)灾区组月经不调严重程度与抑郁及焦虑呈正向相关(P0.01),月经不调严重程度与肝郁气滞,气阴两虚均呈正向相关(P0.05)。(8)肝郁气滞证与气阴两虚证月经不调严重程度比较有显著差异(p0.05),肝郁气滞证与气阴两虚证白带色质异常比较无显著差异(p0.05),肝郁气滞证与气阴两虚证SDS和SAS比较均有显著差异(p0.01)。结论：(1)地震灾区女性月经不调发病率高,亲属伤亡情况越严重,受教育水平越低,月经不调严重程度越严重。(2)常见证型为肝郁气滞,其次为气阴两虚。(3)地震应激后,女性易发生抑郁及焦虑改变。亲属伤亡情况越严重,受教育水平越低,抑郁及焦虑情况越严重。
[Abstract]:Objective: to study the effect of earthquake stress on female reproductive endocrine. Methods: in August 2008, we used the questionnaire of gynecology questionnaire and the questionnaire of TCM syndromes. Self-rating anxiety scale. Sas) and self-rating depression scale (SDSs) were used in the questionnaire survey according to the relevant inclusion criteria and exclusion criteria. The stress group in the disaster area selected the questionnaire survey in the "5.12 Wenchuan earthquake" disaster area (Pingwu County, Dujiangyan City, Pengzhou County), and the non-disaster control group in the non-disaster area (Jianyang City). Zizhong City) female as a control questionnaire survey. Results: two groups issued 129 questionnaires, excluding 39 invalid questionnaires, 45 effective questionnaires in the disaster-stricken stress group and 45 effective questionnaires in the non-disaster control group. The baseline status of the two groups was good. The severity of menstrual irregularity in the stress group was significantly higher than that in the non-disaster area control group (35 cases). The incidence rate was 77.78, followed by 9 cases of menstrual prolongation, 8 cases of premenstrual period, 6 cases of late menstruation, 6 cases of menorrhagia and 4 cases of menorrhagia. The scores of depression and anxiety in the stress group were significantly higher than those in the control group (P 0.01). (. 4) in the stress group of the disaster area, there were significant differences before and after the earthquake in the 20 items of TCM syndrome survey scale (P0.01). According to the diagnostic criteria, 23 cases of liver depression and qi stagnation, 12 cases of deficiency of qi and yin and 8 cases of phlegm dampness due to spleen deficiency were classified according to the diagnostic criteria. 2 cases of Qi deficiency and blood stasis. (5) there was significant difference in the severity of menstrual irregularity among the women whose relatives had died in the stress group in the disaster area compared with the disabled relatives and the relatives with no casualties (p 0.05). There was no significant difference between the severity of menstrual irregularity and the number of relatives with no casualties. The degree of depression and anxiety after the earthquake was in the order of: relatives with dead relatives, disabled relatives with no casualties (P < 0.05). The severity of menstrual irregularity in the stress group in the disaster area was: primary school culture, junior middle school culture, secondary school culture or high school culture, and the lower the level of education. The more severe the degree of depression and anxiety, the more serious the menstrual disorder degree and the depression and anxiety were positively correlated with the severity of menstrual disorder, and the severity of menstrual disorder and the stagnation of liver-qi were positively correlated with the severity of depression and anxiety. There was a significant difference in the severity of menstrual failure between Qi Yin deficiency syndrome and Qi Yin deficiency syndrome (P 0.05). There was no significant difference in the color and quality of leukorrhea between the stagnation of qi and qi and deficiency of qi and yin, but there was a significant difference in SDS and SAS between the two types of deficiency of qi and yin. Conclusion (1) the incidence of menstrual disorder is high, the death and injury of relatives is more serious, the education level is lower, and the severity of menstrual disorder is more serious. 2) the common syndrome type is liver depression and qi stagnation. The second is deficiency of Qi and Yin. 3) after earthquake stress, women are prone to depression and anxiety. The more serious the death and injury of relatives, the lower the level of education, the more serious the depression and anxiety.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R395.1

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