大学生痛经症状评分与中医体质相关性研究.docVIP

大学生痛经症状评分与中医体质相关性研究 　　【摘要】目的：探讨大学女生痛经症状评分与中医体质的相关性。方法：对308名大学女生采用《中医体质调查问卷》进行中医体质调查，纳入295例进行统计分析。结果：①不同痛经症状评分程度的大学女生年龄、BMI、初潮年龄、月经周期、行经天数等均不具有统计学意义（P0.05）。②痛经症状评分与平和质转化分成负相关（P0.05），与年龄、视觉模拟评分（VAS）、阳虚质、阴虚质、气虚质转化分成正相关（P0.05）。中度痛经者的平和质转化分明显低于无痛经者和轻度痛经者（P0.05）；中度痛经者的气虚质转化分明显高于无痛经者和轻度痛经者（P0.05）。③无痛经者以平和质为主，痛经者以兼夹体质为主。结论：大学女生痛经症状评分程度与中医体质密切相关，临床应辨质防治原发性痛经。 　　【关键词】原发性痛经；体质；流行病学调查；视觉模拟评分 　　【中图分类号】R181.3+2 【文献标志码】 A 【文章编号】1007-8517（2016）08-0066-03 　　Abstract：Objective To study the relationship between the score of dysmenorrheal and nine constitutional types in female students. Methods By using the standard Constitution in Chinese Medicine Questionnaire， 308 female students were investigated and 295 cases were analyzed.Results ①There were no different in the age， BMI， menarche age， menstrual cycle， menstrual phase of different dysmenorrheal degree （P0.05）.②There was a significant negative correlation between the score of dysmenorrheal and Gentleness type（P0.05）， positive correlation between the score of dysmenorrheal and age， Visual Analogue Scale （VAS），Yang-deficiency type， Yin-deficiency type， Qi-deficiency type（P0.05）. The score of Gentleness type in middle-grade dysmenorrheal students was obviously decreased than the normal and low-grade dysmenorrheal students（P0.05）. The score of Qi-deficiency type in middle-grade dysmenorrheal students was obviously increased than the normal and low-grade dysmenorrheal students（P0.05）.③The Gentleness type gave priority to non- dysmenorrheal students， but the combined type gave priority to dysmenorrheal students. Conclusions There was consanguineous correlation between the dysmenorrheal score and TCM constitution in female students. 　　Keywords：Dysmenorrheal； Constitution； Epidemiological Investigation； Visual Analogue Scale （VAS） 　　原发性痛经是困扰大学女生的常见病，其发生与女生的中医体质类型密切相关[1]。本研究采用量表调查的方式，探寻大学女生不同痛经评分程度与中医体质的相关性，为临床辨质防治原发性痛经提供参考，现报告如下。 　　1资料与方法 　　1.1一般资料2014年9月，随机整群抽取华北理工大学中医学专业在校二年级和四年级女生，发放《中医体质调查问卷》308份，回收有效问卷295份。 　　1.2纳入及排除标准纳