孕早期中医体质辨识与孕期疾病研究

Study on Relationship between TCM Constitution Identification of Early Pregnant Women and the Pregnancy Diseases

目的了解某社区孕妇孕早期中医体质与孕期疾病的关系,为孕期保健指导提供依据。方法选择2013年1—4月在某社区妇科门诊接受早孕建册服务的孕妇按照《中医体质分类与判定》标准进行体质辨识,记录孕妇孕期发生妊娠合并症的情况。结果 100例孕妇平和体质占47%,偏颇体质占53%。初筛高危孕妇和初筛正常孕妇的偏颇体质分布差异有统计学意义(P<0.05);初筛正常的孕妇中,孕中后期出现高危因素者偏颇体质的发病率高于平和体质孕妇,差异有统计学意义(P<0.05)。结论高危妊娠更多出现在偏颇体质的孕妇中。社区产前保健医生要加强对偏颇体质孕妇的保健指导及孕期随访,以提高孕妇健康水平,减少高危妊娠的发生。

OBJECTIVE To understand the relationship of the early Constitution type in traditional Chinese medicine（TCM） of pregnant women and pregnancy diseases in a community provide the basis for health advice during pregnancy. METHODS Select 100 early pregnant women who registered in the Gynecologic clinic of a community health service center from January to April in 2013. A scale on Classification and Determination of TCM was taken as a tool for investigation, while the high-risk factors were recorded. RESULTS The constitution types of 100 pregnant women were as following： 47 cases were yin-yang balanced type and all other 53 as yin-yang imbalanced types. The differences between the balanced and imbalanced types among normal pregnant women and those who had risk factors for pregnancy showed statistical significance（P〈0.05）. The differences in the balanced and imbalanced types women who were normal at first and had high-risk factors after 3 months showed a statistical significant（P〈0.05）. CONCLUSION High-risk pregnancies appeared more in imbalanced type of TCM. To improve maternal health and reduce the incidence of high-risk pregnancies, prenatal care provider should strengthen the community health guidance for pregnant women and pregnancy follow-up.