广西6所高校女大学生原发性痛经影响因素与体质调查研究  

Study on Influencing Factors of Primary Dysmenorrhea and Traditional Chinese Medicine Constitution Among Female Students in Six Universities in Guangxi Province

作　　者：莫思羽 赵惠芳 蒋晶 阮敏敏 熊坚 潘美欣 赵思婷 韩潼垚 赵彩娇[1] MO Siyu;ZHAO Huifang;JIANG Jing;RUAN Minmin;XIONG Jian;PAN Meixin;ZHAO Siting;HAN Tongyao;ZHAO Caijiao(Guangxi University of Chinese Medicine,Nanning Guangxi 530001,China;Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610072,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]成都中医药大学,四川成都610072

出　　处：《新中医》2024年第20期84-89,共6页New Chinese Medicine

基　　金：国家大学生创新创业训练计划项目(202210600038);广西壮族自治区大学生创新创业训练计划项目(S202310600088,S202310600092)。

摘　　要：目的:调查分析广西6所高校女大学生原发性痛经的影响因素和中医体质类型。方法:对广西6所高校的女大学生发放网络问卷开展调查,调查内容包括基本资料、月经情况、痛经情况、痛经缓解措施、痛经影响因素及中医体质类型。结果:共收到734份调查问卷,剔除71份不符条件的问卷,得到有效问卷663份。调查人群中原发性痛经394人,占59.4%。痛经缓解措施选择上,大部分患者采用热敷腹部和服用止痛药。痛经患者与健康人群月经中血块量、情绪状况及饮食偏嗜情况比较,差异均有统计学意义(P<0.05)。痛经患者与健康人群月经初潮年龄、月经周期是否规律、月经量、月经颜色、月经质地、睡眠情况及运动情况比较,差异均无统计学意义(P>0.05)。Logistic二元回归分析结果显示,广西6所高校女大学生痛经的主要危险因素是月经中有少量和大量血块,情绪上多思、多虑、急躁易怒,饮食上喜食热食、热饮和喜爱冰品、冷饮。原发性痛经患者中,平和质、兼夹体质、气虚质、阳虚质占比较大;健康人群中,平和质、气虚质、兼夹体质占比较大。原发性痛经患者与健康人群兼夹体质、平和质与阳虚质占比比较,差异均有统计学意义(P<0.05)。结论:原发性痛经发病与中医体质类型息息相关,兼夹体质和阳虚质者原发性痛经发病风险大于健康人群,平素保持心情愉悦、少食生冷饮品,并根据自身体质类型选择科学的生活方式有利于防治痛经。Objective:To investigate and analyze the influencing factors of primary dysmenorrhea and the types of traditional Chinese medicine(TCM)constitution among female students in six universities in Guangxi Province.Methods:A total of female students in six universities in Guangxi Province were investigated by network questionnaire,including basic information,menstruation,dysmenorrhea,measures to relieve dysmenorrhea,influencing factors and types of TCM constitution.Results:A total of 734 questionnaires were received;71 unqualified questionnaires were excluded,and 663 valid questionnaires were obtained.There were 394 patients with primary dysmenorrhea,accounting for 59.4%.In terms of the measures to relieve dysmenorrhea,most patients used hot compress on abdomen and took painkillers.There were statistically significant differences in the comparisons of blood clots,emotional status and dietary preferences between patients with dysmenorrhea and healthy people(P<0.05).There was no significant difference in the comparisons of the age of menarche,regularity of menstrual cycle,menstrual volume,menstrual color,menstrual texture,sleep and exercise between patients with dysmenorrhea and healthy people(P>0.05).Logistic binary regression analysis showed that the main risk factors of dysmenorrhea among female students in six universities in Guangxi Province were a small number or a large number of blood clots in menstruation,emotional overthinking,over-worry,impatience and irritability,and preference for food and drinks with heat in nature,preference for food and drinks with cold in nature.In the patients with primary dysmenorrhea,the proportion of neutral constitution,mixed constitution,qi-deficiency constitution,yang-deficiency constitution was relatively large,and in healthy people,the neutral constitution,qi-deficiency constitution and mixed constitution accounted for a large proportion.There were statistically significant differences in the comparison of the proportion of mixed constitution,neutral constitution and yang-defic

关 键 词：原发性痛经 女大学生 高校 广西 影响因素 中医体质 调查问卷 

分 类 号：R271.113[医药卫生—中医妇科学]