發(fā)布時(shí)間：2018-06-15 11:24

  本文選題：月經(jīng)過(guò)少 + 中醫(yī)證型��； 參考：《浙江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的分析臨床月經(jīng)過(guò)少的常見(jiàn)中醫(yī)證型以及中醫(yī)體質(zhì)類(lèi)型的分布規(guī)律和特點(diǎn),探討兩者間的相關(guān)性。以中醫(yī)體質(zhì)理論為指導(dǎo),為護(hù)理人員對(duì)月經(jīng)過(guò)少患者進(jìn)行辨證施護(hù)、辨體施護(hù)時(shí)提供參考依據(jù)。方法本研究采用問(wèn)卷調(diào)查研究的方式,收集2015年7月至2015年12月就診于杭州市中醫(yī)院中醫(yī)婦科門(mén)診及住院部的月經(jīng)過(guò)少患者,按照納入及排除標(biāo)準(zhǔn)篩選出127例病例。調(diào)查內(nèi)容包括患者基本情況、月經(jīng)過(guò)少中醫(yī)證型調(diào)查表和中醫(yī)體質(zhì)調(diào)查表。結(jié)果通過(guò)EXCEL軟件建立數(shù)據(jù)庫(kù),采用SPSS 17.0統(tǒng)計(jì)軟件進(jìn)行分析。結(jié)果1.中醫(yī)證型調(diào)查:127例月經(jīng)過(guò)少患者,中醫(yī)證型分布情況為腎虛證(46.57%)、血虛證(2.94%)、血瘀證(40.69%)、痰濕證(9.80%),腎虛證與血瘀證之間的構(gòu)成比無(wú)統(tǒng)計(jì)學(xué)意義(P0.050),而其他證型之間的構(gòu)成比有統(tǒng)計(jì)學(xué)意義(P0.001)。2.中醫(yī)體質(zhì)調(diào)查:127例月經(jīng)過(guò)少患者,中醫(yī)體質(zhì)分布情況為平和質(zhì)(7.88%)、氣虛質(zhì)(10.84%)、陽(yáng)虛質(zhì)(24.14%)、陰虛質(zhì)(17.73%)、痰濕質(zhì)(4.93%)、濕熱質(zhì)(7.88%)、血瘀質(zhì)(6.40%)、氣郁質(zhì)(19.21%)、特稟質(zhì)(0.99%),陽(yáng)虛質(zhì)、氣郁質(zhì)及陰虛質(zhì)之間的構(gòu)成比無(wú)統(tǒng)計(jì)學(xué)意義(P0.050),氣虛質(zhì)、濕熱質(zhì)、平和質(zhì)及血瘀質(zhì)之間的構(gòu)成比無(wú)統(tǒng)計(jì)學(xué)意義(P0.050),而其他體質(zhì)之間的構(gòu)成比有統(tǒng)計(jì)學(xué)意義(P0.001)。3.中醫(yī)證型與體質(zhì)的相關(guān)性:(1)腎虛型月經(jīng)過(guò)少患者的中醫(yī)體質(zhì)分布:陽(yáng)虛質(zhì)、氣郁質(zhì)及陰虛質(zhì)之間的構(gòu)成比無(wú)統(tǒng)計(jì)學(xué)意義(P0.050),其他體質(zhì)之間的構(gòu)成比有統(tǒng)計(jì)學(xué)意義(P0.001)。(2)血疲型月經(jīng)過(guò)少患者的中醫(yī)體質(zhì)分布:陽(yáng)虛質(zhì)、陰虛質(zhì)及氣郁質(zhì)之間的構(gòu)成比無(wú)統(tǒng)計(jì)學(xué)意義(P0.050),其他體質(zhì)之間的構(gòu)成比有統(tǒng)計(jì)學(xué)意義(P0.001)。(3)陽(yáng)虛質(zhì)與腎虛證、血瘀證等證型相關(guān)(P0.050);氣郁質(zhì)與腎虛證、血瘀證等證型相關(guān)(P＜0.050);陰虛質(zhì)與腎虛證、血瘀證等證型相關(guān)(P＜0.050);氣虛質(zhì)與血虛證等證型相關(guān)(P0.050);濕熱質(zhì)與痰濕證等證型相關(guān)(P0.050);血疲質(zhì)與腎虛證等證型相關(guān)(P0.050);平和質(zhì)、痰濕質(zhì)、特z質(zhì)與各證型之間無(wú)明顯相關(guān)性。結(jié)論1.納入本課題的127例月經(jīng)過(guò)少患者中,中醫(yī)證型具有差異性,以腎虛證、血瘀證為主。2.納入本課題的127例月經(jīng)過(guò)少患者中,中醫(yī)體質(zhì)具有差異性,以陽(yáng)虛質(zhì)、氣郁質(zhì)、陰虛質(zhì)為主,其次是氣虛質(zhì)、濕熱質(zhì)、平和質(zhì)和血癖質(zhì)。3.月經(jīng)過(guò)少中醫(yī)證型與體質(zhì)之間具有相關(guān)性。腎虛型月經(jīng)過(guò)少以陽(yáng)虛質(zhì)、氣郁質(zhì)、陰虛質(zhì)居多;血癖型月經(jīng)過(guò)少以陽(yáng)虛質(zhì)、陰虛質(zhì)、氣郁質(zhì)居多。陽(yáng)虛體質(zhì)者常見(jiàn)腎虛證、血瘀證,氣郁體質(zhì)者常見(jiàn)腎虛證、血瘀證,陰虛體質(zhì)者常見(jiàn)腎虛證、血瘀證,氣虛體質(zhì)者常見(jiàn)血虛證,濕熱體質(zhì)者常見(jiàn)痰濕證,血瘀體質(zhì)者常見(jiàn)腎虛證。
[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.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R248.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 趙文娟;陳英;盧艷梅;;宮腔鏡下宮腔粘連分離術(shù)聯(lián)合Interceed治療宮腔粘連效果研究[J];中國(guó)婦幼保健;2017年02期

2 高飛霞;郜潔;巫海旺;丘維鈺;丘敏;羅頌平;;月經(jīng)過(guò)少中西醫(yī)病因的相關(guān)性及致病因素研究[J];遼寧中醫(yī)雜志;2016年05期

3 李柄楠;陳新;;穴位埋線治療腎虛血瘀型月經(jīng)過(guò)少的臨床觀察[J];中國(guó)民間療法;2016年04期

4 楊志平;;達(dá)英-35聯(lián)合二甲雙胍治療多囊卵巢綜合征對(duì)激素、胰島素抵抗的影響[J];中國(guó)婦幼保健;2016年05期

5 汪麟;李繼楊;孫連慶;;基于中醫(yī)養(yǎng)生理論的辨證施護(hù)對(duì)缺血性腦卒中恢復(fù)期患者的影響[J];中華護(hù)理雜志;2016年02期

6 林霞;吳琴英;;月經(jīng)過(guò)少與中醫(yī)體質(zhì)相關(guān)性研究[J];新中醫(yī);2015年10期

7 宋光芬;;中醫(yī)辨體施護(hù)干預(yù)原發(fā)性高血壓病痰濕體質(zhì)患者的臨床研究[J];衛(wèi)生職業(yè)教育;2015年13期

8 王艷;燕群美;張蔚;;中藥足浴對(duì)血瘀證病人微循環(huán)的影響[J];護(hù)理研究;2015年19期

9 張端香;馬錦蘭;;情志護(hù)理在不同體質(zhì)病人中的臨床應(yīng)用[J];全科護(hù)理;2015年18期

10 李丹;何嘉琳;;宮腔粘連中西醫(yī)研究進(jìn)展[J];浙江臨床醫(yī)學(xué);2015年06期

相關(guān)碩士學(xué)位論文 前1條

1 韓強(qiáng);有氧運(yùn)動(dòng)對(duì)痰濕體質(zhì)者中醫(yī)體質(zhì)積分及代謝指標(biāo)影響的臨床研究[D];南京中醫(yī)藥大學(xué);2011年

，

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