某高校2572例女生原发性痛经中医体质调查及相关性研究  

Investigation of TCM Constitution in 2 572 Female College Students with Primary Dysmenorrhea:A Correlation Study

作　　者：李茎[1,2] 刘咏 陈智欣 刘玉红 尚宝令[3] LI Jing;LIU Yong;CHEN Zhi-Xin;LIU Yu-Hong;SHANG Bao-Ling(Hospital of South China Agricultural University,Guangzhou 510642 Guangdong,China;Huanong Community of Health Service Center of Wushan Street in Tianhe District,Guangzhou 510642 Guangdong,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China)

机构地区：[1]华南农业大学医院,广东广州510642 [2]广州市天河区五山街华农社区卫生服务中心,广东广州510642 [3]广东省中医院,广东广州510120

出　　处：《广州中医药大学学报》2022年第12期2752-2761,共10页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20202137);广东省中医药局重点学科建设项目(粤中医办函[2020]1号);广东省中医院中医学术流派传承工作室建设项目(中医二院[2013]233号)。

摘　　要：【目的】调查华南农业大学在校女生原发性痛经患者的中医体质特征,分析体质与原发性痛经的相关性。【方法】采用横断面流行病学调查方法,设计原发性痛经中医体质调查问卷,收集被调查者个人基本信息、中医体质情况、体质量指数(BMI)、痛经的程度和频率及其对学习、生活及心理的影响等方面数据,分析不同痛经程度、发作频率对学习、生活和心理的影响,探讨中医体质分布情况及其与痛经程度、发作频率、BMI等的相关性。【结果】(1)共收集2733份问卷,剔除无效问卷161份,共获得有效问卷2572份,有效问卷应答率为94.11%。(2)2572例被调查者中,平和(或基本平和)体质321例,占被调查者总人数的12.48%;偏颇体质2251例,占被调查者总人数的87.52%。(3)偏颇体质中,各类型体质发生率由高到低依次为阳虚质(1163例,占51.67%)、湿热质(498例,占22.12%)、阴虚质(239例,占10.62%)、气虚质(147例,占6.53%)、血瘀质(79例,占3.51%)、痰湿质(74例,占3.29%)、气郁质(28例,占1.24%)、特禀质(23例,占1.02%)。(4)痛经程度及痛经发作频率对学习、生活的影响及对不良情绪的产生均呈显著正相关,差异均有统计学意义(P<0.01)。(5)偏颇体质与平和体质在痛经程度和痛经发作频率上差异均有统计学意义(P<0.01),即前者的痛经程度更重,发作频率更高。(6)2251例偏颇体质患者中,单一体质600例,兼夹体质1651例,分别占偏颇体质总例数的26.65%和73.35%,2组患者的痛经程度和痛经发作频率比较,差异均有统计学意义(P<0.05或P<0.01),即后者的痛经程度更重,发作频率更高。(7)不同BMI的中医体质因素逻辑回归分析结果显示:阳虚质、阴虚质与偏瘦均呈正相关,与超重、肥胖呈负相关;痰湿质与偏瘦呈负相关,与超重、肥胖呈正相关;湿热质与偏瘦呈正相关,与肥胖呈负相关,差异均有统计学意义(P<0.05或P<0.01)。【结论】阳虚质、湿热Objective To investigate the characteristics of traditional Chinese medicine(TCM)constitution of female students with primary dysmenorrhea(PD)from South China Agricultural University(SCAU),and to explore the correlation between TCM constitution and PD.Methods A cross-sectional epidemiological survey was performed,and a TCM constitution questionnaire for PD was designed.The data of the respondents’basic personal information,TCM constitution,severity and attack frequency of dysmenorrhea,body mass index(BMI)were collected,and the impact of severity and attack frequency of dysmenorrhea on study,living and psychology of the respondents was investigated.Meanwhile,the correlation of TCM constitution types with severity of dysmenorrhea,attack frequency of dysmenorrhea and BMI was explored.Results(1)A total of 2733 questionnaires were collected,and then 161 invalid questionnaires were excluded,resulting in a total of 2572 valid questionnaires with a valid response rate of 94.11%.(2)Among the 2572 respondents,there were 321 cases of balanced or basically balanced constitutions,accounting for 12.48%,and 2251 cases of biased constitutions,accounting for 87.52%.(3)Among the respondents with biased constitutions,the incidence of each of constitution types in descending order was yang deficiency constitution(1163 cases,accounting for 51.67%),damp-heat constitution(498 cases,accounting for 22.12%),yin deficiency constitution(239 cases,accounting for10.62%),qi deficiency constitution(147 cases,accounting for 6.53%),blood stasis constitution(79 cases,accounting for 3.51%),phlegm-damp constitution(74 cases,accounting for 3.29%),and qi stagnation constitution(28 cases,accounting for 1.24%),and inherited special constitution(23 cases,accounting for1.02%).(4)The severity of dysmenorrhea and the attack frequency of dysmenorrhea were positively correlated with the impact on study,living and the appearance of bad moods(P<0.01).(5)The differences in the severity of dysmenorrhea and the attack frequency of dysmenorrhea were statistically

关 键 词：高校女生 原发性痛经 中医体质调查 阳虚质 湿热质 阴虚质 相关性研究 

分 类 号：R271.113[医药卫生—中医妇科学]