IUD出血副反中医证候分布及辨证特点临床流行病学调查研究.pdfVIP

Clinical epidemiological studies on Syndrome Differentiation characteristics and distribution of IUD induced bleeding side effects Specialty：Gynecology of TCM Author ： XinXiuLing l Tutor：Pro Prof.Liu RuiFen f Abstract Objective：To study the characteristics of the patients with IUD induced bleeding side-effect by clinical epidemiological survey and extract the correlated syndrome elements and their dialectic combining rules to conclude a diagnostic criteria. Methods ： A unified research table was designed and a questionnaire was conducted in the patients with IUD induced bleeding side effect. The clinical data was analyzed with statistical methods to explore the distribution pattern of syndromes and characteristics of syndrome differentiation. Results ：1.After statistical analysis ,we come up with the following results ： ①The peak age of IUD reduced bleeding side-effect is 30-40 years old.②The majority of the patients hold a high school certificate or higher academic certificate.③The abnormal bleeding usually occurs one year after the placement of IUD,especially 6 months after the placement.④ The occurrence rate in patients with three or more pregnancies is higher than those with less pregnancies. ⑤The major symptoms of the bleeding side effect are prolonged menstruation （7 days ≤15 days）, profuse menstruation (more than her normal amount),dark reddish menstruation with blood clots. ⑥ Among the 5 common syndromes,combination of stasis and heat is the most commonly encountered.⑦ The occurrence of prolonged menstruation(11-15 days) showed no significant difference among the 5 syndromes.⑧The occurrence of profuse menstruation with the amount increases by 1/3 showed no significant difference among the 5 syndromes.2.The main symptoms that are statistic