青春期少女痛经中医体质类型的临床研究及分析

Clinical study and analysis of types of constitution of traditional Chinese medicine in adolescent girls suffering from dysmenorrhea

目的分析青春期少女痛经中医体质类型与发病的关系。方法选取2015年1月~2016年3月至我院就诊的120例原发性痛经患者,另同期收集120例健康体检非痛经者,采取调查问卷的方式进行中医体质类型分析。结果痛经患者在气虚质、阳虚质、瘀血质、气郁质的构成比明显高于健康体检者(P<0.05),且随着患者痛经程度的加重,中医体质为气虚质、阳虚质、瘀血质、气郁质类型的发生率呈上升趋势。结论对原发性痛经患者来说,气虚质、阳虚质、瘀血质、气郁质是该类疾病患者的主要体质,临床上应重点观察气虚质、阳虚质、瘀血质、气郁质原发性痛经患者的疾病预防与治疗。

Objective To analyze the relationship between constitution of traditional Chinese medicine （TCM） and mor- bidity of dysmenorrhea in adolescent girls.Methods From January 2015 to March 2016,120 patients with primary dys- menorrhea were visited in our hospital for treatment were selected.Another group of 120 non-dysmenorrhea participants for physical examinations in the same period was collected.The questionnaire was used to analyze the type of TCM constitution.Results The proportion of constitutions of qi deficiency,yang deficiency,stagnant blood,and qi depression in dysmenorrhea group was much higher than those ＇in the healthy participants group （P〈0.05）.With the severity of dys- menorrhea aggravating,the incidence of the types of TCM constitution in qi deficiency,yang deficiency,stagnant blood, and qi depression was in a rising tendency.Conclusion For patients with primary dysmenorrhea,constitutions of qi deft- eiency,yang deficiency,stagnant blood and qi depression are the main types,which should be paid great attention to ob- serve the prevention and treatment on the disease.