胎孕期时节运气禀赋与自然流产的相关性探讨

Study on the relationship between the universal energy endowments in the pregnant women and the spontaneous abortion

目的:基于北京市临床医疗大数据研究胎孕期时节运气禀赋与自然流产的相关性。方法:本研究采用回顾性病例研究方法,取2013年1月20日至2019年4月18日加入北京市医疗保险的全部自然流产及怀孕人群为病例组、对照组,按出生年及节气对两组人群进行分类,比较两组胎孕期各岁运、各客气及各出生节气禀赋所占比值,找到流产高危运气及节气禀赋,进一步找到自然流产高危/保护人群。结果:自然流产人群之胎孕期五运六气禀赋中岁运禀赋依次以少火、太土、太木及少火-太土、太木-少火组合为最多,以少土、太火、少木及太火-少土为最少;客气依次以阳明在泉、少阴司天、太阳在泉为最多,以阳明司天、太阴在泉、厥阴司天为最少;客气组合则以少阳在泉-少阴司天、少阳司天-厥阴在泉、太阴司天-太阳在泉依次为最多,以阳明司天-少阴在泉、太阴在泉-厥阴司天、厥阴在泉-阳明司天最少;从出生节气看,依次以谷雨、小雪、夏至、立夏时出生者最多,以立春、小寒、清明时出生者为最少;从禀赋中节气出现频次看,以惊蛰、谷雨、雨水最多,白露、夏至、大雪最少。自然流产高危及保护人群分别有46、42个。结论:能致肝肾虚寒的禀赋易致流产,这为北京地区自然流产的预防和治疗提供了依据。

Objective:Based on the big medical data in Beijing to study the relationship between the universal energy endowments in the pregnant women and the spontaneous abortion.Methods:A retrospective case-control study was used for this study,from January 20,2013 to April 18,2019.All the patients with spontaneous abortion who joined the Beijing medical insurance were taken as the case group,and all the pregnant women were taken as the control group.According to the year of birth and the solar term,the two groups were divided into subgroups.Comparison of the ratio of guest yun,guest qi and solar terms endowments between the case group and the control group to find out to the high-risk five evolutive phases and six climatic factors endowment and high-risk solar term endowment of abortion,and find the high-risk abortion population and protection population.Results:In the pregnant women,the most guest yun endowments were Shaohuo,Taitu,Taimu,Shaohuo-Taimu and Taimu-Shaohuo,while Shaotu,Taihuo,Shaomu,and Taihuo-Shaotu were the least;the most guest qi endowments were Yangming Zaiquan,Shaoyin Sitian and Taiyang Zaiquan,while Yangming Sitian,Taiyin Zaiquan,and Jueying Sitian were the least.The most guest qi combination were Shaoyang Zaiquan-Shaoyin Sitian,Shaoyang Sitian-Jueyin Zaiquan,and Taiyin Sitian-Taiyang Zaiquan,Yangming Sitian-Shaoyin Zaiquan,Taiyin Zaiquan-Jueyin Sitian,and Jueyin Zaiquan-Yangming Sitian were the least.Grain rain,light snow,summer solstice,and beginning of summer were the most solar terms when the pregnant women closed to born,while beginning of spring,lesser cold,and fresh green were the least.According to the frequency of the solar terms in the endowment.Seeing from the frequency of solar terms in endowments from hibernation,grain rain,and rain water were the most,while white dew,summer solstice,and heavy snow were the least.There were 46 high-risk spontaneous abortion subgroups and 42 protection subgroups.Conclusion:The results show that the endowment which can cause liver and kidney deficiency cold is easy to cause abortion,which provides a practical basis for the prevention and treatment of abortion in Beijing.