月经失调患者心理应激、情志及证候特点的调查分析  

The Investigation and Analysis of Psychological Stress, Emotional Factors and Syndrome Characteristics of Menstrual Disorder Patients

作　　者：王永霞[1] 黄梓燕[1] 

机构地区：[1]广东省中医院妇科,广州510120

出　　处：《中国中医药现代远程教育》2016年第13期46-49,共4页Chinese Medicine Modern Distance Education of China

基　　金：广东省社会发展领域科技计划项目(No:2011KT461)

摘　　要：目的了解月经失调患者的情志、心理应激情况及证侯特点。方法使用PSSG、五志量表、中医证侯计分表对月经失调患者心理应激情况、情志因素、中医证候的特点进行总结归纳,并对其相关关系进行分析。结果本调查的月经失调患者以月经后期、月经量少为主要表现。月经后期患者主要表现为肾虚证,月经量少患者表现为肾虚、肾虚肝郁、肝郁血瘀、肾虚血瘀。"怒"因素与肝郁血瘀有相关关系。五志总分与应激总分有线性回归关系。肾虚肝郁较肾阴虚相比,应激总分较高。结论肾虚是月经失调的主要病因,情志因素对月经失调的影响与肝郁、气机不畅关系密切,不良情志可引起应激总分的增加,从而引起月经失调。Objective To understand the emotions, psychological stress and syndrome characteristics of patients with menstrual disor-ders. Methods PSSG, Wuzhi scale of TCM and score card of syndromes of TCM was used to investigate the psychological stress, the emotions and syndromes of TCM in women with irregular menstruation, then the relationship between the scales was analyzed. Results The late menstruation or less menstrual quantity as the main performance of the surveyed menstrual disorder patients. Kidney deficiency is main symptom for patients with late menstruation, kidney deficiency, kidney deficiency with liver stagnation, liver de-pression and blood stasis and renal deficiency and blood stasis are main symptoms for patients with less menstruation quantity. ＂Anger＂ factors have correlation with liver depression and blood stasis. Wuzhi scores have linear regression relationship with stress scores. Kidney deficiency with liver stagnation has higher stress scores than kidney deficiency. Conclusion Kidney deficiency is the leading causes of menstrual disorder. Emotional factors on the influence of menstrual disorders are close to the liver depression and stagnation of qi activity. Total score of stress increased by bad mood can lead to menstrual disorders.

关 键 词：月经失调 心理应激 情志因素 

分 类 号：R271.111[医药卫生—中医妇科学]