早期先兆流产的影响因素及与中医体质的关系研究

发布时间：2018-01-16 21:29

本文关键词：早期先兆流产的影响因素及与中医体质的关系研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过对早期先兆流产患者的影响因素及体质间的分布规律进行研究,探讨早期先兆流产的影响因素及与体质类型之间的关系,为早期先兆流产的预防和临床辨病辨证论治提供参考依据。方法:根据临床流行病学调查研究方案,制定一致的体质调查表和一般情况表,选取2015年1月到2016年1月在山东中医药大学附属医院妇科就诊的早期先兆流产患者及孕早期无先兆流产症状的妊娠妇女,以问卷调查的形式,收集并整理两组患者的基本信息,将有效数据录入Excel,采用SPSS17.0统计软件对数据资料进行统计分析。结果:1.本研究的调查结果显示,早期先兆流产与孕产次数、自然流产史、人工流产史有相关性。早期先兆流产组中有黄体功能不足者最多,占总人数的77%;有甲状腺功能减退者占17%。2.早期先兆流产组体质类型以阳虚质最多,其次为气虚质,分别占总人数的37%和25%;而正常妊娠组以平和质最多,为52%。3.阳虚体质在早期先兆流产组中所占比例为37%,而在正常妊娠组仅占11%;气虚体质在早期先兆流产组中所占比例为25%,于正常妊娠组中只有10%。由此,早期先兆流产的发生发展与中医体质分型密切相关,阳虚质、气虚质为早期先兆流产的易感体质。4.早期先兆流产病人的体质类型随着孕产次数增多,阳虚质、气郁质所占比例减少,而气虚质、阴虚质所占比例有所升高。说明孕产次数的增加与体质有特定的联系。调查发现黄体功能不足者主要表现为气虚质,甲状腺功能减退者主要表现为阳虚质。结论:孕产次数、自然流产史、人工流产史、黄体功能不足可能对早期先兆流产有一定的影响,由于有甲状腺功能减退者所占比例为17%,尚还不能说明甲状腺功能减退者更容易发生先兆流产的情况,可能是由于样本量较少,病例收集较为局限所导致,有待进一步研究。早期先兆流产病人存在病理体质,其中早期先兆流产的易感体质表现为阳虚质、气虚质。早期先兆流产病人的体质类型随着孕产次数增加,阳虚质、气郁质所占的比例减少,而气虚质和阴虚质所占比例有所增加。调查发现黄体功能不足者主要表现为气虚质,甲状腺功能减退者主要表现为阳虚质。体质可通过多种方式进行调整,故针对易感体质采取相应的防治途径,是防范早期先兆流产的有效措施。
[Abstract]:Objective: To study the distribution of the influencing factors of the patients with early threatened abortion and the constitution, to explore the relationship between influence factors of Early Threatened Abortion and body type, the treatment to provide reference for the prevention and clinical early threatened abortion disease. Methods: according to the clinical epidemiological research program, develop a consistent the physical form and the general table, from January 2015 to January 2016 and early pregnancy in female patients with threatened abortion in early pregnancy and no symptoms of threatened abortion gynecology clinic of Affiliated Hospital of Shandong University of Traditional Chinese Medicine, in the form of questionnaire survey, collect the basic information of the two groups of patients, the effective Excel data input, the data were analyzed using the SPSS17.0 statistical software. Results: 1. the results of this study showed that early threatened abortion and the number of pregnancy, spontaneous abortion, artificial There is a correlation between the history of abortion. Early threatened abortion group have inadequate luteal function most, accounted for 77% of the total number; hypothyroidism accounted for 17%.2. of early threatened abortion group of Yang deficiency constitution type in the most, followed by qi deficiency, accounted for 37% of the total number of 25%; and the normal pregnancy group in a calm and matter most 52%.3., Yang deficiency constitution in early threatened abortion group accounted for 37%, while in the normal pregnancy group accounted for only 11%; the constitution of qi deficiency in the early threatened abortion group in the proportion of 25%, in the normal pregnancy group in which only 10%., and the occurrence and development of TCM constitution type of early threatened abortion is closely related to Yang deficiency matter, susceptible.4. early threatened abortion patients with Qi deficiency constitution type for threatened abortion in early pregnancy with increased frequency of Yang deficiency, qi stagnation and reduce the proportion of qi deficiency, yin deficiency has increased the proportion of pregnant. There is a particular contact with increased physical property. The survey found that the number of luteal insufficiency were mainly manifested as Qi deficiency and hypothyroidism were mainly manifested as Yang deficiency. Conclusion: the number of pregnancy, spontaneous abortion, abortion history, inadequate luteal function may have effects on the early threatened abortion, due to hypothyroidism the proportion of 17%, still can not explain the more easily hypothyroidism occurrence of threatened abortion, may be due to the small sample amount, collecting cases are limited to further study. Early threatened abortion patients are pathological constitution, which threatened abortion predisposition for Yang deficiency, Qi deficiency early threatened abortion patients. Physical types with the number of pregnancy increased, Yang deficiency, qi stagnation, the proportion decreased, while Qi deficiency and yin deficiency constitution proportion increases According to the survey, it is found that the luteal insufficiency is mainly manifested as Qi deficiency. Hypothyroidism is mainly manifested as Yang deficiency. Physique can be adjusted by many ways. Therefore, taking effective prevention and treatment for susceptible constitution is an effective measure to prevent early threatened abortion.

【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】：2016
【分类号】：R271.9

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