关于经前烦躁障碍症亚型的理论探讨  

Theoretical Discussion about PMDD Subtypes

作　　者：孙文君 乔明琦 王海军 SUN Wenjun QIAO Mingqi WANG Haijun(TCM Basic Theroy Institute of Shandong Univeristy of TCM, Jinan 250355, Shandong, Chin)

机构地区：[1]山东中医药大学中医基础理论研究所,山东济南250355

出　　处：《辽宁中医杂志》2017年第10期2071-2073,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金委员会面上项目(81573854);国家自然科学基金委员会青年基金(81603510)

摘　　要：经前综合征(PMS)的特征是反复发作一系列的情感、生理和行为症状,在黄体月经周期过程中出现,月经后几天消失。经前烦躁障碍症(PMDD)是PMS的一种严重类型,精神症状明显,如急躁易怒、抑郁、焦虑、敏感等,甚至影响到人际、家庭及工作。本文从PMDD的中医证候分类、流行病学调查、临床诊断分析、临床疗效分析等不同方面,探讨PMDD可能存在的亚型,以及如何确定亚型的思路与方法。结果提示,PMDD可能存在焦虑型、抑郁型、混合型的不同亚型。围绕确认PMDD亚型的流行病学调查研究亟待开展。Premenstrual syndrome（PMS） is characterized by recurrent episodes of a series of emotional,physical and behavioral symptoms during the luteal menstrual cycle and disappear within a few days of menstruation.Premenstrual dysphoric disorder（PMDD） is a severe condition of PMS,with mental symptom,such as irritability,depression,anxiety,sensitive,etc,even affecting interpersonal,family and work.We investigate TCM syndrome classification,epidemiology,clinical diagnostic analysis and clinical efficacy analysis to explore possible subtypes of PMDD and the ideas and methods to determine subtypes.The results suggest that PMDD may have anxious subtype,depressed subtype,mixed subtype.It is urgent to conduct epidemiological investigations of PMDD subtypes.

关 键 词：PMDD 亚型 中医证候 焦虑型 抑郁型 混合型 

分 类 号：R271.115[医药卫生—中医妇科学]