痛经与中医体质相关性分析

Analysis of Correlation between Dysmenorrhea and Constitution of Traditional Chinese Medicine

目的探讨痛经患者的相关特点及体质分布,探索痛经体质及情志因素对痛经的影响,为不同体质类型痛经患者制定治疗方案提供参考,提供康复、体质调节方案。方法采用自制痛经调查表,国际焦虑调查表和国际抑郁调查表以及王琦的《中医体质量表》对收集的患者进行调查问卷,筛选出有效病例158例,将所得数据录入Excel表,运用SPSS13.0对数据进行统计分析。结果①偏颇质占91.1%,平和质占8.9%,其中偏颇质出现频率最高的体质为痰湿质,占25.3%。气郁质,占19%;②不同体质类型的情志失调程度比较:不同体质类型痛经患者的焦虑抑郁程度有差别,其中平和组较气郁、湿热、痰湿、阳虚轻(P<0.05),气虚较气郁、湿热、痰湿、阳虚轻(P<0.05),气郁较痰湿、阳虚、阴虚重(P<0.05);③痛经疼痛程度的分布结果:可以忍耐29例(占36.7%),坐立不宁33例(占41.8%),卧床休息12例(占15.2%),痛到昏倒3例(占3.8%)。发现痛经患者多数坐立不宁(41.8%),其中,轻度可以忍耐的患者在抑郁程度上,明显小于其他3组。结论痛经与中医体质分布关系密切。

Objective To explore the characteristics and physical distribution of dysmenorrhea patients, to explore the influence of dysmenorrhea constitution and emotional factors on dysmenorrhea, and to provide reference for different types of dysmenorrhea patients to formulate treatment programs, and to provide rehabilitation and physical adjustment programs.Methods A total of 158 valid cases were selected by self-made dysmenorrhea questionnaire, international anxiety questionnaire, international depression questionnaire and Wang Qi′s Chinese Medicine Constitution Scale. The data were entered into Excel table and analyzed by SPSS13.0. Results(1) Prejudice accounted for 91.1% and peace accounted for 8.9%. Phlegm-dampness was the most frequent constitution, accounting for 25.3%. Depressive temperament accounted for 19%.(2) Comparing the degree of emotional disorder of different constitution types: The degree of anxiety and depression of dysmenorrhea patients with different constitution types was different, among which the level group was lighter than qi depression, damp-heat, phlegm-dampness and yang deficiency(P < 0.05), Qi deficiency was lighter than qi depression, damp-heat, phlegm-dampness and yang deficiency(P < 0.05), and qi depression was heavier than phlegm-dampness, yang deficiency and yin deficiency(P < 0.05).(3) Distribution results of pain degree of dysmenorrhea: 29 cases(36.7%) were tolerant, 33 cases(41.8%) were restless, 12 cases(15.2%) were in bed, and 3 cases(3.8%) were comatose. It was found that the majority of dysmenorrhea patients were restless(41.8%).The degree of depression in mild tolerant patients was significantly lower than that in the other three groups. Conclusion Dysmenorrhea is closely related to the distribution of constitution of TCM.