围绝经期综合征中医证候分布和辨证特点的临床流行病学研究.pdfVIP

提 要 目的：探讨围绝经期综合征患者发病的特点、提取相关证候要素并探讨其辨证组 合规律，总结出可参考的诊断标准。方法：采取临床现况调查— 随机抽样调查的方法， 对围绝经期妇女进行问卷调查，并对其临床资料进行统计分析，探讨本病中医证候的 分布情况及辨证特点。结果：1、将所得临床资料进行整理、统计、分析,得出本调查 收集的围绝经期综合征患者资料中：①围绝经期综合征的高发年龄是 45-49 岁。②围 绝经期综合征患者中，脑力劳动者占多数。③围绝经期综合征患者中，高中及以上学 历者占多数。④肾虚肝郁型居第一位。⑤通过频次统计得出占比重较大的几个症状， 依次是：睡眠障碍 （86% ）、烘热汗出 （86% ）、乏力 （85% ）、腰酸 （82% ）、健忘 （79% ）、 神疲（78% ）、月经紊乱或停闭（69% ）。2 、根据Logistic 回归分析，得出对中医证候 诊断有统计意义的主要症状，归纳诊断标准。结论：1.总结了围绝经期综合征发病的 四个特点。2.Logistic 回归分析等统计方法在中医基本证型的诊断方面是有帮助的。 3.当前开展围绝经期综合征的流调工作是很有实际意义的。 关键词 围绝经期综合征；证候分布；辨证特点；Logistic 回归分析；随机抽 样调查 Epidemiological studies on Traditional Chinese Medicine syndromes distribution regularity and Differentiation Features of Perimenopa_ sal Syndrome Speciality:Gynecology of TCM Author: LiuCuiping Tutor:Prof.Liu Ruifen Abstract Objective To explore the clinical features and summarize the syndromes distribution regularity and the characteristics of syndrome differentiation. At last summarize the standard of diagnoses. Methods Using clinicalinvestigation methods--sampling survey method ，questionnaires were applied to the Perimenopausal Syndrome patients. clinical data was statistically analyzed by in order to observe the clinical features and the syndromes distribution regularity and the characteristics of syndrome differentiation. Results 1.By the statistical analysis of data ，these results were obtained: (1) The Perimenopausal Syndrome patients are inclined to the ages between 45 and 49. (2) brainworkers are prone to have the disease . (3)It is the most top type of Liver depression and kidney deficiency. (4)The primary symptoms and signs Perimenopausal Syndrome patients according to the occurrent data were fo