月经过少中医证型与体质的相关性研究

发布时间：2018-06-15 11:24

本文选题：月经过少 + 中医证型　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的分析临床月经过少的常见中医证型以及中医体质类型的分布规律和特点,探讨两者间的相关性。以中医体质理论为指导,为护理人员对月经过少患者进行辨证施护、辨体施护时提供参考依据。方法本研究采用问卷调查研究的方式,收集2015年7月至2015年12月就诊于杭州市中医院中医妇科门诊及住院部的月经过少患者,按照纳入及排除标准筛选出127例病例。调查内容包括患者基本情况、月经过少中医证型调查表和中医体质调查表。结果通过EXCEL软件建立数据库,采用SPSS 17.0统计软件进行分析。结果1.中医证型调查:127例月经过少患者,中医证型分布情况为肾虚证(46.57%)、血虚证(2.94%)、血瘀证(40.69%)、痰湿证(9.80%),肾虚证与血瘀证之间的构成比无统计学意义(P0.050),而其他证型之间的构成比有统计学意义(P0.001)。2.中医体质调查:127例月经过少患者,中医体质分布情况为平和质(7.88%)、气虚质(10.84%)、阳虚质(24.14%)、阴虚质(17.73%)、痰湿质(4.93%)、湿热质(7.88%)、血瘀质(6.40%)、气郁质(19.21%)、特禀质(0.99%),阳虚质、气郁质及阴虚质之间的构成比无统计学意义(P0.050),气虚质、湿热质、平和质及血瘀质之间的构成比无统计学意义(P0.050),而其他体质之间的构成比有统计学意义(P0.001)。3.中医证型与体质的相关性:(1)肾虚型月经过少患者的中医体质分布:阳虚质、气郁质及阴虚质之间的构成比无统计学意义(P0.050),其他体质之间的构成比有统计学意义(P0.001)。(2)血疲型月经过少患者的中医体质分布:阳虚质、阴虚质及气郁质之间的构成比无统计学意义(P0.050),其他体质之间的构成比有统计学意义(P0.001)。(3)阳虚质与肾虚证、血瘀证等证型相关(P0.050);气郁质与肾虚证、血瘀证等证型相关(P＜0.050);阴虚质与肾虚证、血瘀证等证型相关(P＜0.050);气虚质与血虚证等证型相关(P0.050);湿热质与痰湿证等证型相关(P0.050);血疲质与肾虚证等证型相关(P0.050);平和质、痰湿质、特z质与各证型之间无明显相关性。结论1.纳入本课题的127例月经过少患者中,中医证型具有差异性,以肾虚证、血瘀证为主。2.纳入本课题的127例月经过少患者中,中医体质具有差异性,以阳虚质、气郁质、阴虚质为主,其次是气虚质、湿热质、平和质和血癖质。3.月经过少中医证型与体质之间具有相关性。肾虚型月经过少以阳虚质、气郁质、阴虚质居多;血癖型月经过少以阳虚质、阴虚质、气郁质居多。阳虚体质者常见肾虚证、血瘀证,气郁体质者常见肾虚证、血瘀证,阴虚体质者常见肾虚证、血瘀证,气虚体质者常见血虚证,湿热体质者常见痰湿证,血瘀体质者常见肾虚证。
[Abstract]:Objective to analyze the distribution and characteristics of common TCM syndromes and constitution types in clinical menorrhagia and to explore the correlation between them. Under the guidance of physique theory of traditional Chinese medicine, nursing staff can provide reference for nursing patients with menorrhagia based on syndrome differentiation and physical nursing. Methods from July 2015 to December 2015, 127 cases of menorrhagia were selected according to the criteria of inclusion and exclusion in the department of gynecology and gynecology of Hangzhou traditional Chinese Medicine Hospital. The contents of the investigation include the basic condition of the patient, the questionnaire of TCM syndrome type of menstrual insufficiency and the questionnaire of TCM physique. Results the database was established by excel and analyzed by SPSS 17.0. Result 1. A survey of TCM syndromes: 127 cases of menorrhagia, The distribution of TCM syndromes was as follows: kidney deficiency syndrome 46.57m, blood deficiency syndrome 2.94m, blood stasis syndrome 40.69m, phlegm dampness syndrome 9.80m, the ratio of kidney deficiency syndrome and blood stasis syndrome had no statistical significance (P0.050), but the composition ratio of other syndrome types had statistical significance (P0.001f.2). The constitution of traditional Chinese medicine (TCM) was investigated in 127 patients with menorrhagia. The distribution of TCM constitution was as follows: mild and mild, Qi deficiency 10.84, Yang deficiency, 24.14, Yin deficiency, 17.73, phlegm, dampness, heat, blood stasis, Qi stagnation, 19.2121, intrinsic substance 0.99g, Yang deficiency. There was no statistical significance between the constitution ratio of qi stagnation and yin deficiency (P 0.050), but there was no statistical significance between Qi deficiency, dampness and heat, peace and blood stasis, but there was significant difference between other constitution ratio (P 0.001g 路3). Correlation between TCM Syndrome Type and physical Fitness: (1) Distribution of TCM Constitution in patients with Renal deficiency of menstruation: Yang deficiency, The constitution ratio between qi stagnation and yin deficiency has no statistical significance (P 0.050), but the constitution ratio between other constitution is statistically significant (P 0.001. 0. 0. 2) the constitution distribution of Chinese medicine in patients with low menstruation of blood exhaustion type: Yang deficiency, There was no statistical significance between the constitution ratio of yin deficiency and qi stagnation (P0.050), but there was statistical significance between other constitution (P 0.001. 0. 0. 3) there was a correlation between yang deficiency and kidney deficiency, blood stasis and other syndromes (P0.050; Qi stagnation and kidney deficiency, etc., P 0. 050, P 0. 050, P 0. 050, P 0. 050, P 0. 050, P 0. 050). The correlation between blood stasis syndrome and other syndrome types (P < 0.050), yin deficiency syndrome and kidney deficiency syndrome, blood stasis syndrome and other syndromes (P < 0.050); Qi deficiency syndrome and blood deficiency syndrome related to P0.050; damp-heat syndrome and phlegm dampness syndrome related to P0.050; blood deficiency and kidney deficiency syndrome related to P0.050; peaceful, wet, phlegm, etc. There was no significant correlation between z quality and various syndromes. Conclusion 1. Among 127 patients with menorrhagia included in this study, TCM syndrome types are different, with kidney deficiency syndrome, blood stasis syndrome as the main. 2. Among 127 patients with menorrhagia included in this study, TCM physical constitution is different, mainly Yang deficiency, Qi stagnation, Yin deficiency, followed by Qi deficiency, dampness and heat, peace and blood addiction. 3. There is correlation between TCM syndrome type and physique. Kidney deficiency type menstruation with Yang deficiency, Qi Yu, Yin deficiency is the majority; Hematophilia menstruation with Yang deficiency, Yin deficiency, Qi Yu in the majority. The common kidney deficiency syndrome, blood stasis syndrome, qi depression constitution common kidney deficiency syndrome, blood stasis syndrome, yin deficiency constitution common kidney deficiency syndrome, blood stasis syndrome, qi deficiency constitution common blood deficiency syndrome, dampness and heat constitution common phlegm dampness syndrome, Blood stasis constitution common kidney deficiency syndrome.
【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】：R248.3

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