广州地区1 225例围绝经期妇女中医体质分析研究
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R241.2;R271.11+6

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广东省中医药局科研项目(20192076);广东省中医药局科研项目(20192038)


Study and Analysis of Chinese Medicine Constitutions of 1 225 Cases of Women During Perimenopausal Period in Guangzhou Area
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    摘要:

    目的:调查广州地区围绝经期妇女中医体质类型的分布,为围绝经期妇女提供中医体质调养理论依据。方法:根据改良Kupperman 评分标准,纳入围绝经期妇女共1 225 例,包括绝经综合征患者(证候组) 490 例及非绝经综合征妇女(无证候组) 735 例;采用《中医体质调查问卷》对所有样本进行中医体质调查,并进行相关统计学分析。结果:无证候组体质以平和质为主(占73.6%);而证候组以偏颇体质为主(占61.1%),其中兼夹体质占52.7%,兼夹类型中以兼夹4 种及以上为主(占60.1%);2 组兼夹体质均以阳虚质兼夹占最大比例。证候组单纯偏颇体质以阳虚、特禀质、阴虚为主,兼夹体质亦以阳虚、特禀质及阴虚质为主;无证候组单纯偏颇体质以阳虚、阴虚、血瘀为主,兼夹体质以阳虚质、湿热质及阴虚为主。结论:绝经综合征患者兼夹体质更为多见;绝经综合征与非绝经综合征的兼夹体质类型存在一定差异,但均以阳虚质兼夹为主,特禀质兼夹与阴虚兼夹亦为绝经综合征常见的兼夹体质。

    Abstract:

    Abstract: Objective: To investigate the distribution of Chinese medicine constitution types of women during perimenopausal period in Guangzhou,so as to provide a theoretical basis of recuperation of Chinese medicine constitutions for women during perimenopausal period. Methods : According to modified Kupperman scoring standard , a total of 1 225 cases of women during menopausal period were enrolled,covering 490 cases of menopausal syndrome(the syndrome group) and 735 cases of non- menopausal syndrome(the non- syndrome group). Chinese medicine constitutions of all cases were investigated through Constitution in Chinese Medicine Questionnaire, and the related statistical analysis was carried out. Results:The moderate constitution which dominantly appeared in the non-syndrome group accounted for 73.6%. In the syndrome group,the biased constitutions which dominantly appeared accounted for 61.1%,among which the composite constitutions accounted for 52.7%,and the composite constitutions with four or more types of constitutions accounted for 60.1% . Yang deficiency composite constitution had the largest proportion of composite constitutions in the two groups. Simple biased constitutions of the syndrome group mainly included yang deficiency, special intrinsic constitution, and yin deficiency; composite constitutions of the syndrome group mainly included the same constitutions above. In the nonsyndrome group,simple biased constitutions were dominated by yang deficiency,yin deficiency,and blood stasis. In the non- syndrome group, composite constitutions were dominated by yang deficiency constitution, dampness- heat constitution, and yin deficiency. Conclusion: Patients with menopausal syndrome are mainly of composite constitutions. There are some differences between menopausal syndrome and non- menopausal syndrome regarding types of composite constitutions,but the main composite constitution of the two syndromes is yang deficiency composite constitution. Special intrinsic composite constitution and yin deficiency composite constitution are common composite constitutions of menopausal syndrome.

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陈粮,钟毅征,刘晓青,何虹,陈晶晶,李莉.广州地区1 225例围绝经期妇女中医体质分析研究[J].新中医,2021,53(15):172-175

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  • 在线发布日期: 2021-08-10
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