福州地区围绝经期妇女症状与中医病理因素相关性研究

Correlation Between Symptoms of Perimenopausal Women and Pathological Factors of Traditional Chinese Medicine in Fuzhou Region

目的:分析不同年龄段妇女的中医证候分布及影响妇女健康状态的因素,为中医药防治围绝经期综合征的临床研究提供参考。方法:通过流行病学调查研究,采用证素辨证的方法,设计统一科研调查表,采用改良Kupperman Index(KI)及四诊信息采集表为每一例观察对象建立档案。结果:情绪波动、疲乏、失眠为围绝经期女性主要临床表现。影响改良Kupperman Index积分的病位证素是肝、脾,病性证素是湿、阴虚、阳虚、血瘀、血虚。结论:综上所述,围绝经期女性病性多属本虚标实、虚实夹杂,“肝郁”为围绝经期综合征病理变化的重要环节。

Objectives: Analysis of the distribution of TCM syndromes among women of different ages and factors affecting women' s health status. It provides a reference for the clinical study of traditional Chinese medicine for prevention and treatment of perimenopausal syndrome. Methods: Through epidemiological investigation and research. Use the method of syndrome differentiation. Design a unified research questionnaire. A file was created for each subject using the modified Kupperman Index (KI) and the four-diagnostic information collection form. Results: Mood swings, fatigue and insomnia are the main clinical manifestations of perimenopausal women. The disease syndrome affecting the improved Kupperman Index score is liver and spleen. The disease syndrome is wet, Yin deficiency, Yang deficiency, blood stasis and blood deficiency. Conclusion: In summary, the peri-menopausal women' s morbidity is mostly a virtual standard, false and real, and "liver stagnation" is an important part of the pathological changes of perimenopausal syndrome.