淮安市中职女生原发性痛经的中医体质研究

Research on TCM constitution of primary dysmenorrhea of female students in Huaian city

目的探讨原发性痛经的体质特征。方法 2013年5-6月,随机整群抽取淮安市1200名中职女生进行中医体质与原发性痛经相关性的问卷调查,数据用SPSS17.0进行χ2检验统计处理。结果 （1）平和质与偏颇质在原发性痛经发生时间、持续时间和疼痛程度上的比较,差异均无统计学意义（P〉0.05）。（2）平和质和偏颇质原发性痛经发生率差异有统计学意义（P〈0.05）,提示偏颇质是淮安地区中职女生原发性痛经的易感体质。（3）偏颇质中各类型体质原发性痛经发生率由高到低排列：痰湿质（83.33%）〉血瘀质（81.82%）〉湿热质（81.25%）〉阳虚质（79.31%）〉气郁质（75%）〉阴虚质（72.73%）〉气虚质（61.54%）〉特禀质（57.43%）。结论原发性痛经有好发的中医体质类型,体质调摄可以对原发性痛经早期干预有非常重要的意义。

Objective To explore the physical characteristics of primary dysmenorrhea. Methods 1200 girls in Secondary Vocational Schools from May 2013 to June 2013 were randomly selected to have a questionnaire survey on the relationship between TCM Constitution and primary dysmenorrhea. And the data were processed by chi square test with SPSS17. 0. Results（1）There was no significant difference in the occurrence time, duration and pain of primary dysmenorrhea between the yin-yang harmony constitution and the bias constitution（P〉0.05）.（2）There was some significant difference in incidence of primary dysmenorrhea between the yin-yang harmony constitution and the bias constitution（P〈0.05）. The bias constitution was the predilection constitution of primary dysmenorrhea.（3）The incidence rate of primary dysmenorrhea of each type of constitution of bias constitution from high to low was as follows： phlegm-dampness constitution（83.33%）〉 blood stasis constitution（81.82%）〉 damp-heat constitution（81.25%） 〉yang deficiency constitution（79.31%）〉 qi stagnation constitution（75%） yin deficiency constitution（72.73%） 〉qi deficiency constitution（61.54%）〉 allergic constitution（57.43%）. Conclusion Primary dysmenorrhea is a very common TCM constitution type. Physical adjustment has very important implications for early intervention in primary dysmenorrhea.