不同体质更年期女性Kupperman、Greene评分研究  

Study on Kupperman score and Greene score for menopausal women with different TCM constitutions

作　　者：王洪彬[1] 崔建美[1] 赵舒[1] 孙娜[1] 刘丹丹[1] 王静雅[1] 

机构地区：[1]河北联合大学中医学院,河北唐山063000

出　　处：《中国妇幼保健》2015年第30期5235-5237,共3页Maternal and Child Health Care of China

基　　金：河北省唐山市科技计划项目〔12130289b〕;河北省中医药管理局科研计划课题〔2013069〕;河北省唐山市科技创新人才培养计划〔14130264B〕

摘　　要：目的探讨不同体质更年期女性改良Kupperman评分、Greene评分特点。方法对130例更年期女性采用《中医体质调查问卷》进行调查,并进行统计分析。结果 1不同体质的更年期女性年龄、体质指数(BMI)、初潮年龄、结婚年龄、初产年龄、妊娠次数、生产次数等差异均无统计学意义(P>0.05)。2不同体质的更年期女性改良Kupperman评分和Greene评分差异有统计学意义(P<0.01)。阳虚质、湿热质、特禀质、兼夹体质的改良Kupperman评分和Greene评分显著高于平和质,差异有统计学意义(P<0.01或P<0.05)。阳虚质、气虚质、痰湿质、瘀血质、体质倾向的改良Kupperman评分和Greene评分显著低于兼夹体质,差异有统计学意义(P<0.01或P<0.05)。3在心理症状评分方面,兼夹体质和体质倾向的焦虑和抑郁评分均明显高于平和质,差异有统计学意义(P<0.01),阳虚质、气虚质、痰湿质、瘀血质、特禀质的焦虑症状评分显著低于兼夹体质,差异有统计学意义(P<0.01或P<0.05),阳虚质的抑郁症状评分显著低于兼夹体质,差异有统计学意义(P<0.01)。在躯体症状评分方面,阳虚质、瘀血质和兼夹体质明显高于平和质,差异有统计学意义(P<0.01);阳虚质、气虚质、痰湿质、湿热质、特禀质和体质倾向显著低于兼夹体质,差异有统计学意义(P<0.01或P<0.05)。结论九种体质更年期女性改良Kupperman评分和Greene评分存在显著性差异,体质影响了更年期症状的程度。Objective To explore the characteristics of modified Kupperman score and Greene score for menopausal women with different traditional Chinese medicine （TCM） constitutions. Methods TCM Constitution Questionnaire was used to survey 130 menopausal women, then the results were analyzed statistically. Results There was no statistically significant difference in age, body mass index （ BMI）, menarche age, marriage age, primiparous age, gravidity, and parity among the menopausal women with different TCM constitutions （P〉0. 05） . There were statistically significant differences in modified Kupperman score and Greene score among the menopausal women with different TCM constitutions （P〈0.01） . Modified Kupperman scores and Greene scores of Yang-deficiency type, wet-heat type, special diathesis type, and combined type menopausal women were statistically significantly higher than those of normal constitution type meno- pausal women （P〈0. 01or P〈O. 05 ） . Modified Kupperman scores and Greene scores of Yang-deficiency type, Qi-deficiency type, phlegm-wetness type, blood-stasis type, constitutional liability type menopausal women were statistically significantly lower than those of combined type menopausal women （P〈0. 01 or P〈0. 05） . Anxiety and depression scores of combined type and constitutional liability type menopausal women were statistically significantly higher than those of normal constitution type menopausal women （ P〈0. 01 ） ; anxiety symp- tom scores of Yang-deficiency type, Qi-deficiency type, phlegm-wetness type, blood-stasis type, and special diathesis type menopausal women were statistically significantly lower than those of combined type menopausal women （P〈0. 01 or P〈0. 05 ）, depression symptom score of Yang-deficiency type menopausal women was statistically significantly lower than that of combined type menopausal women （P〈0.01） . Somatic symptom scores of Yang-deficiency type, blood-stasis type, and combined type menopausal women were statistically sign

关 键 词：更年期 体质 流行病学调查 

分 类 号：R711.75[医药卫生—妇产科学]