台湾中部地区原发性痛经中医证候分布特点研究
发布时间：2018-08-07 21:48
【摘要】：目的:通过对台湾中部地区台中市、彰化市、南投市女性原发性痛经之研究调查,初步探讨原发性痛经的病因病机、痛经的就医情况、缓解痛经的方法以及中医证候分类,为防治原发性痛经提供参考。方法:对彰化市久大中医诊所、台中市黎明中医诊所、东丰中医诊所、南投市永盛中医诊所四家诊所就诊的女性患者进行问卷调查,以原发性痛经女性作为病例组,以无痛经女性作为对照组。将收集到的问卷资料进行数值量化后输入,全部数据整理编码后输入计算机处理,采用SPSS17.0版本统计软件包建立数据库,运用统计学方法,进行数据分析与相关性探讨,以获得研究结果。一般数据用频数法,计数资料用卡方检验,以P0.05为差异有统计学意义,P0.05为差异无统计学意义。结果:(1)原发性痛经患者的平均年龄为26.83±12.14岁;其中以22~28岁(72例,占41.14%)数量最多;(2)痛经组与非痛经组在初潮年龄、月经周期、行经天数、经色、经量比较,差异无统计学意义(P0.05);痛经组与非痛经组在月经血块上比较差异有统计学意义(P0.05)。(3)痛经组与非痛经组痛经家族史比较,差异有显著统计学意义(P0.05);(4)痛经组与非痛经组饮食偏嗜、冷饮习惯比较,差异无统计学意义(P0.05);(5)痛经之医药处理方法:调查显示女性的痛经处理方法以热水袋敷下腹最多,占34.8%,其次是服用止痛药,占30.3%,进行中医及西医就诊者仅为14.3%及2.3%。由此可见,痛经组患者多自行处理痛经的不适,仅少部分愿意求诊治疗;因痛经就诊中医者以服中药为主,占88.0%;使用针灸者仅占12.0%;(6)痛经程度分析:痛经以中度为主,占整体痛经人数54.9%,其次为轻度36.0%、重度9.1%;(7)本次调查辨证分型以湿热瘀结型为主,占32.6%,其次为寒凝血瘀型27.4%,气滞血瘀型22.3%,气血虚弱型14.3%,肝肾不足型只占3.4%。结论:原发性痛经是妇科常见病、多发病,为影响妇女正常工作和生活质量的常见原因,随着社会压力的增加,生活节奏的加快,痛经的发病率呈不断上升的趋势。本调查结果显示原发性痛经与家族史有关,与饮食习惯无关;台湾中部地区原发性痛经以湿热瘀结型最为常见。
[Abstract]:Objective: to explore the etiology and pathogenesis of primary dysmenorrhea, medical treatment of dysmenorrhea, methods of relieving dysmenorrhea and classification of TCM syndromes by investigating the primary dysmenorrhea in Taichung city, Changhua city and Nantou city in central Taiwan. To provide reference for prevention and treatment of primary dysmenorrhea. Methods: a questionnaire survey was conducted among the female patients from four clinics in Changhua City, Jiuda TCM Clinic, Taichung Liming TCM Clinic, Dongfeng TCM Clinic and Yongsheng TCM Clinic in Nantou City. The primary dysmenorrhea women were selected as the case group. Women without dysmenorrhea were used as control group. The data collected from the questionnaire were numerically quantified and input, and all the data were processed by computer. The database was established by using the SPSS17.0 version statistical software package, and the data analysis and correlation discussion were carried out by using the statistical method. To obtain the results of the study. General data using frequency method, counting data with chi-square test, with P0.05 as the difference has statistical significance for the difference is not statistically significant. Results: (1) the average age of patients with primary dysmenorrhea was 26.83 卤12.14 years old, among them, 22 cases were 28 years old (72 cases, 41.14%), (2) dysmenorrhea group and non-dysmenorrhea group were at menarche age, menstrual cycle, menstrual days, meridian color and menstrual volume. There was no significant difference between dysmenorrhea group and non-dysmenorrhea group on menstrual clot (P0.05). (3). The family history of dysmenorrhea in dysmenorrhea group and non-dysmenorrhea group was significantly different (P0.05); (4). There was no significant difference in cold drinking habits (P0.05); (5). The investigation showed that the most of the methods of treatment of dysmenorrhea were hot water bag applied to the lower abdomen (34.8%), followed by taking painkillers (30.3%), and only 14.3% and 2.3% of the women treated with traditional Chinese medicine and western medicine. Thus, it can be seen that the patients in the dysmenorrhea group tend to deal with the discomfort of dysmenorrhea by themselves, and only a few of them are willing to seek treatment for dysmenorrhea; those who seek medical treatment for dysmenorrhea mainly take traditional Chinese medicine, accounting for 88.0; acupuncture and moxibustion only account for 12.0; (6) the degree of dysmenorrhea: moderate to moderate dysmenorrhea. The total number of dysmenorrhea was 54.9, followed by mild 36.0 and severe 9.1; (7) the syndrome differentiation of this investigation was based on the type of dampness and heat stasis, accounting for 32.6B, followed by cold coagulation and blood stasis 27.4B, Qi stagnation and blood stasis 22.3cm, Qi and blood weakness 14.3B, liver and kidney insufficiency 3.4B. Conclusion: primary dysmenorrhea is a common disease in gynecology. In order to influence women's normal work and quality of life, the incidence of dysmenorrhea is increasing with the increase of social pressure and the quickening of life rhythm. The results showed that primary dysmenorrhea was related to family history and not related to dietary habits, and damp-heat stasis syndrome was the most common type of primary dysmenorrhea in central Taiwan.
【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】：R271.113
本文编号：2171447
[Abstract]:Objective: to explore the etiology and pathogenesis of primary dysmenorrhea, medical treatment of dysmenorrhea, methods of relieving dysmenorrhea and classification of TCM syndromes by investigating the primary dysmenorrhea in Taichung city, Changhua city and Nantou city in central Taiwan. To provide reference for prevention and treatment of primary dysmenorrhea. Methods: a questionnaire survey was conducted among the female patients from four clinics in Changhua City, Jiuda TCM Clinic, Taichung Liming TCM Clinic, Dongfeng TCM Clinic and Yongsheng TCM Clinic in Nantou City. The primary dysmenorrhea women were selected as the case group. Women without dysmenorrhea were used as control group. The data collected from the questionnaire were numerically quantified and input, and all the data were processed by computer. The database was established by using the SPSS17.0 version statistical software package, and the data analysis and correlation discussion were carried out by using the statistical method. To obtain the results of the study. General data using frequency method, counting data with chi-square test, with P0.05 as the difference has statistical significance for the difference is not statistically significant. Results: (1) the average age of patients with primary dysmenorrhea was 26.83 卤12.14 years old, among them, 22 cases were 28 years old (72 cases, 41.14%), (2) dysmenorrhea group and non-dysmenorrhea group were at menarche age, menstrual cycle, menstrual days, meridian color and menstrual volume. There was no significant difference between dysmenorrhea group and non-dysmenorrhea group on menstrual clot (P0.05). (3). The family history of dysmenorrhea in dysmenorrhea group and non-dysmenorrhea group was significantly different (P0.05); (4). There was no significant difference in cold drinking habits (P0.05); (5). The investigation showed that the most of the methods of treatment of dysmenorrhea were hot water bag applied to the lower abdomen (34.8%), followed by taking painkillers (30.3%), and only 14.3% and 2.3% of the women treated with traditional Chinese medicine and western medicine. Thus, it can be seen that the patients in the dysmenorrhea group tend to deal with the discomfort of dysmenorrhea by themselves, and only a few of them are willing to seek treatment for dysmenorrhea; those who seek medical treatment for dysmenorrhea mainly take traditional Chinese medicine, accounting for 88.0; acupuncture and moxibustion only account for 12.0; (6) the degree of dysmenorrhea: moderate to moderate dysmenorrhea. The total number of dysmenorrhea was 54.9, followed by mild 36.0 and severe 9.1; (7) the syndrome differentiation of this investigation was based on the type of dampness and heat stasis, accounting for 32.6B, followed by cold coagulation and blood stasis 27.4B, Qi stagnation and blood stasis 22.3cm, Qi and blood weakness 14.3B, liver and kidney insufficiency 3.4B. Conclusion: primary dysmenorrhea is a common disease in gynecology. In order to influence women's normal work and quality of life, the incidence of dysmenorrhea is increasing with the increase of social pressure and the quickening of life rhythm. The results showed that primary dysmenorrhea was related to family history and not related to dietary habits, and damp-heat stasis syndrome was the most common type of primary dysmenorrhea in central Taiwan.
【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】：R271.113
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