不同年龄段围绝经期妇女证素特点及与围绝经期综合征关系研究

发布时间：2018-07-21 19:01

【摘要】：围绝经期是妇女从壮年向老年过度必经的特殊生理时期,由于物质生活的丰富和精神压力的增加,现代女性进入围绝经期的年龄较以往有提前的趋势,且由此产生的围绝经期综合征对女性的生活质量有着较大的影响。目前研究表明,约有90%的妇女在45～55岁的这个年龄段会出现不同程度的临床表现,也有一些女性虽然没有达到围绝经期的诊断标准,但是已经出现了围绝经期综合征的临床症状,因此我们根据内经的描述,对围绝经期妇女以及围绝经期前的妇女进行研究,希望能够明确到围绝经期妇女生理病理的特点,为围绝经期综合征的早期诊断和防治提供依据。目的：采用流行病学研究方法,根据中医“五七”、“六七”、“七七”的理论对不同年龄段女性进行划分,评估不同年龄段女性的中医病理特点,分析围绝经期综合征的易患因素,为临床中医药防治围绝经期综合征提供参考。方法：本研究遵循临床流行病学的调研原则,采用问卷调查的方式,设计三个统一的临床调研表,分别是一般情况调查表、改良KI表及四诊信息采集表。随机选取2014年12月至2015年8月就诊于福建中医药大学附属第三人民医院及社区医院的35-55岁的妇女450例,其中,35-41岁、42-48岁以及49-55岁各150例。由经过统一培训的中医师对这450例调查对象进行一般情况、四诊信息的采集,同时由450例调查对象对出现围绝经期症状进行自我评价。调查资料经整理归类、核实无误后,采用单人输入的方法对调查资料进行录入并校对,建立数据库,再用SPSS19.0统计软件对所录入的数据进行统计学分析处理。参照人民卫生出版社出版的朱文锋教授的《证素辨证学》,根据证素辨证原理确定病位证素和病性证素。结果：本次调查一共收集到450份调查问卷,排除错漏、矛盾以及缺损的调查问卷30份,有效问卷420份,有效应答率为93.33%。其中,35-41岁年龄段女性141例,42-48岁年龄段女性140例,49-55岁年龄段女性139例。1 围绝经期综合征的易患因素本次研究发现,围绝经期综合征的发生与被调查者年龄、孕次、性格特点、家庭情况、是否有妇科病史、文化程度及饮食口味等均存在一定的相关性。怀孕次数越多、性格内向、家庭情况越差、有妇科炎症病史、受教育程度越高以及有饮食口味偏好的女性,越容易患围绝经期综合征。2不同年龄段围绝经期综合征患者中医证素分析本研究认为,围绝经期女性的病性特点为本虚标实、虚实夹杂。本虚主要以阴虚、气虚、血虚为主,阴虚最为明显。标实主要以气滞、湿、血瘀、热为主,气滞最为明显。围绝经期综合征的形成与发展和肝、脾、肾有密切相关。3 围绝经期综合征易患因素与中医病理因素的关系怀孕次数越多、性格内向、家庭和睦情况越差、有妇科病史、文化程度高、饮食口味有所偏好等与围绝经期综合征的发生有关,且直接影响围绝经期综合征的中医病理因素。结论：1 围绝经期综合征的发生与被调查者年龄、孕次、性格特点、家庭情况、是否有妇科病史及文化程度等均存在一定的相关性。2 围绝经期女性的病性特点为本虚标实、虚实夹杂。“肝郁”为围绝经期综合征病理变化的重要环节。无论是病位证素积分还是病性证素积分,均是在49-55岁年龄段为最高。3怀孕次数、性格、家庭情况、妇科病史、文化程度等与围绝经期综合征的发生有关,且直接影响围绝经期综合征的中医病理因素。
[Abstract]:Perimenopausal period is a special period of special physiological period for women from strong years to old age. Due to the abundance of material life and the increase of mental pressure, the age of modern women enters the perimenopausal period in advance, and the resulting perimenopausal syndrome has a great influence on the quality of life of women. 90% of women have different levels of clinical manifestation at this age of 45~55, and some women have not reached the diagnostic criteria for perimenopause, but the clinical symptoms of perimenopausal syndrome have appeared. Therefore, according to the description of the menopause, we study perimenopausal women and pre perimenopausal women. In the hope of providing the basis for the early diagnosis and prevention of perimenopausal syndrome, it is hoped to provide the basis for the early diagnosis and prevention of perimenopausal syndrome. Objective: to divide the women of different age groups according to the theory of epidemiology and the theory of "57", "six or seven" and "77" to evaluate the Chinese traditional medicine of different age groups. The pathological features of perimenopausal syndrome are analyzed to provide reference for the prevention and treatment of perimenopausal syndrome in clinical traditional Chinese medicine. Methods: This study follows the principles of clinical epidemiology, and designs three unified clinical survey forms by questionnaire survey, which are the general situation questionnaire, improved KI table and four diagnosis information collection. A random selection of 450 cases of 35-55 year old women aged 35-55 years from December 2014 to August 2015 at the third people's Hospital and community hospital affiliated to the Fujian University of traditional Chinese medicine were selected. Among them, 35-41 years, 42-48 years and 150 cases of 49-55 years old. The traditional Chinese medicine teachers were given the general situation for the 450 cases, the four diagnosis information was collected, and 450 was collected at the same time. The subjects were evaluated for perimenopausal symptoms. After sorting and checking the data, the survey data were recorded and proofread by single person input method, the database was established, and the data received by SPSS19.0 statistical software were analyzed with statistical analysis. In this survey, 450 questionnaires were collected, 30 questionnaires were excluded, contradictions and defects were excluded, 420 questionnaires were valid, and the effective response rate was 93.33%., 141 cases of 35-41 year old women and 42-48 year old women. 140 cases of sex, 139 cases of.1 peri menopause syndrome in 49-55 year old women, this study found that the occurrence of perimenopausal syndrome is related to the age, pregnancy, character, family condition, history of gynaecology, the degree of culture and the taste of diet. The more the number of pregnancy, the introverted character, the home. The worse the situation of the tribunal, the history of gynecologic inflammation, the higher education and the preference for diet, the more vulnerable to perimenopausal syndrome.2 in different age groups of perimenopausal syndrome, the analysis of the TCM syndrome of perimenopausal syndrome of perimenopausal syndrome is that the characteristics of perimenopausal women are virtual and false, and the deficiency is mainly Yin deficiency and Qi deficiency. Blood deficiency mainly, yin deficiency is the most obvious. The main objective is Qi stagnation, wet, blood stasis, heat mainly, qi stagnation is the most obvious. The formation of peri menopausal syndrome is closely related to the liver, spleen and kidney. The more frequent factors of.3 peri menopause syndrome are related to the pathological factors of traditional Chinese medicine, the more pregnant times, the introverted character, the worse the family harmony, the gynecopathy. History, high level of culture and preference of food and taste are related to the occurrence of perimenopausal syndrome and directly affect the pathological factors of Chinese medicine in perimenopausal syndrome. Conclusion: the occurrence of 1 perimenopausal syndrome is related to the age, pregnancy, character, family condition, the history of gynecology and the degree of culture. The characteristics of the related.2 perimenopausal women are deficiency and real, and "liver depression" is an important link in the pathological changes of perimenopausal syndrome. Both the score of the syndrome and the syndrome score of the disease are the highest number of.3 pregnancy, character, family, history of Gynecology, and the degree of culture at the age of 49-55. The occurrence of menstrual syndrome is directly related to the pathological factors of perimenopausal syndrome.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.116

【相似文献】