207例月经后期患者证型分布的临床流行病学调查  

Clinical Epidemic Study of Syndrome Distribution on 207 Patients with Late Menstruation

作　　者：尤昭玲[1] 马惠荣[1,2] 王若光[1] 尹香花[1] 柳永霞[2] 

机构地区：[1]湖南中医药大学,湖南长沙720501 [2]河北医科大学,河北石家庄050091

出　　处：《陕西中医学院学报》2009年第3期20-22,共3页Journal of Shaanxi College of Traditional Chinese Medicine

基　　金：十一五国家科技支撑计划(2007BAI20B016);湖南省教育厅重点项目(05A031);湖南省博士后基金(2007RS4020);湖南中医药大学中诊教研室资助(ZD200705)

摘　　要：目的了解月经后期患者证型分布状况,为规范辨证诊断标准奠定基础。方法采用临床流行病学横断面调查的方法,对1016例功血中207例月经后期患者进行问卷调查和各证型的频数统计。结果207例月经后期患者共出现501证次,按证型出现的频数和构成比大小依次为:脾气虚118例,肾气虚97例,肝郁69例,肾阴虚60例,血热59例(实热17例+虚热26例+肝郁化热16例),血瘀46例,血虚37例。结论比较现有的教材和国家、行业辨证诊断标准,根据临床流行病学调查结果,建议考察加入脾虚、血瘀证型。Objective To find out syndrome distribution of late menstruation patients to lay foundation for the standardization of syndrome differentiation. Methods Cross sectional study of clinical epidemiology was used. 207 late menstruation patients among 1016 functional uterine bleeding patients were surveyed by questionnaire and frequency of each syndrome were counted. Results Among 207 patients, the total of 501 syndromes appeared, with 118 spleen deficieny, 97 Kidney Qi deficiency, 69 liver Qi stagnation, 60 kidney Yin deficiency, 59 blood heat（ excessive heat 17 ＋ deficient heat26 ＋ liver Qi stagnation transforming into heat 16 ） , blood stasis 46, blood deficiency 37 according to their frequency. Conclusion Spleen deficiency and blood stasis syndromes are suggested to add by comparing with extent textbooks and national diagnosis standard based on result of clinical epidemiology study.

关 键 词：功血 月经后期 临床流行病学调查 证型分布 

分 类 号：R271.115[医药卫生—中医妇科学]