瘀血体质与IUD出血副反应相关性的临床流行病学调查研究

发布时间：2018-08-19 07:43

【摘要】：目的：通过临床流行性调查研究，观察瘀血体质是否容易出现宫内节育器出血副反应，探讨宫内节育器出血副反应与瘀血体质、性格、季节等要素的相关性，从而应用中医未病先防的原则，改善瘀血体质，，选择带环的适宜季节，对易感人群进行早预防、早诊断、早治疗，以降低其发病率。方法：按照病例对照的流行病学调研方法设计统一的调研表，采用现场问卷的方法进行调查，对120例宫内节育器出血副反应患者的一般情况、体质归类、发病的季节、年龄，以及120例带环后无不适反应的健康妇女的一般情况、体质特征资料进行调查。结果：通过对IUD出血副反应患者和健康妇女进行临床流调学研究发现：1.宫内节育器出血副反应患者的体质以瘀血质为主,健康妇女的体质以平和质为主。2.宫内节育器出血副反应患者的性格多好静，内向；健康妇女的性格多好动，外向。3.宫内节育器出血副反应患者中怀孕3次及3次以上者占多数，健康妇女中怀孕2次及以下者占多数。4.宫内节育器出血副反应的发病率有明显的季节性，发病时间主要集中在夏秋季节。5.宫内节育器出血副反应患者中高中及以上文凭者占多数，健康妇女中高中以下学历者占多数。6.IUD出血副反应的患者的高发病年龄阶段是26-35岁。7.宫内节育器出血副反应比较集中的发生在带环后6个月内。结论：1.充分总结了宫内节育器出血副反应发病的六个特点，丰富发展了临床防治宫内节育器出血副反应的理论依据。2.对瘀血体质进行早期干预，做好避孕工作，减少流产次数，是预防宫内节育器出血副反应的有效方法。3.当前开展宫内节育器出血副反应的流行性调工作是很有实际意义的。4.由于本次调查的人群主要是莱芜市钢城区黄庄镇的育龄妇女，所以以下调查结论也主要显示本区域的情况。
[Abstract]:Objective: to observe whether the side effects of intrauterine IUD bleeding are easy to occur through clinical epidemic investigation, and to explore the correlation between the side effects of IUD bleeding and blood stasis constitution, personality, season and so on. In order to reduce the incidence of the disease, the principle of prevention before disease is applied, the blood stasis constitution is improved, the appropriate season with ring is selected, and early prevention, early diagnosis and early treatment are carried out to the susceptible population. Methods: according to the epidemiological investigation method of case control, a unified investigation table was designed, and a questionnaire was used to investigate 120 patients with side effects of intrauterine device hemorrhage, including general condition, constitution classification, onset season and age. And 120 healthy women with no discomfort after the ring were investigated. Results: the clinical flowchart study of patients with adverse effects of IUD hemorrhage and healthy women found that: 1. 1. Ecchymosis was the main physical condition of the patients with bleeding side effects of IUD, and the physique of healthy women was mainly calmness. 2. Intrauterine device bleeding side effects of the patient's personality is more quiet, introverted; healthy women's personality more active, extroverted. 3. The majority of patients with intrauterine IUD bleeding side effects were pregnant for 3 times or more, and those with 2 pregnancies and less than 2 pregnancies accounted for the majority of healthy women. The incidence of side effects of intrauterine device bleeding is seasonal, and the incidence time is mainly in the summer and autumn season. 5. The majority of the patients with IUD bleeding side effects were high school diploma or above, and the majority of healthy women with IUD bleeding side effects were 26 to 35 years old. The side effects of intrauterine IUD bleeding were concentrated within 6 months after the ring. Conclusion 1. The six characteristics of the side effects of intrauterine device bleeding were summarized, and the theoretical basis of clinical prevention and treatment of intrauterine device bleeding side effects was developed. 2. It is an effective method to prevent the side effects of intrauterine device bleeding by early intervention of blood stasis constitution, good contraception and reducing the number of miscarriages. At present, it is of practical significance to carry out the epidemic regulation of the side effects of intrauterine device bleeding. Since the survey is mainly for women of childbearing age in Huangzhuang Town, Gangcheng District, Laiwu City, the following findings also show the situation in the region.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R169.42

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