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2000例痛经患者问卷调查及临床特征分析

[Analysis of questionnaire and clinical characteristics of 2,000 cases of dysmenorrheal].

作者信息

Wang Yan-ying, Ma Kun

出版信息

Zhongguo Zhong Yao Za Zhi. 2015 Oct;40(20):3920-4.

Abstract

Through the questionnaire survey of 2,000 patients with dysmenorrhea, the clinical characteristics of dysmenorrhea were investigated, and the reference basis for preventing and controlling dysmenorrhea was provided. The results found that the age of menarche, short menstrual cycle, by volume, long period of time has no obvious relationship with the occurrence of dysmenorrhea. Dysmenorrhea main influence factors to feel cold; syndrome (symptoms) characteristics for the actual situation inclusions mainly, with severity, deficiency symptoms more obvious; in different degrees of dysmenorrhea, frequency of belly chills symptoms appear most, and cold coagulation and blood stasis syndrome (symptoms) appear higher frequency; The type of cold coagulation and blood stasis dysmenorrhea was 53.2%. Dysmenorrhea measures to select bed rest most, accounting for 79.6%. For severe dysmenorrhea in patients with drug choice to traditional Chinese combined with western medicine accounted for 43.4%. Selection of Chinese medicine formulations in patients with dysmenorrhea Decoction formulation accounted for the most 26.5%. The survey results, to avoid cold and have a positive effect on the prevention of dysmenorrhea, dysmenorrhea treatment should pay attention to warming channels to dispel cold.

摘要

通过对2000例痛经患者进行问卷调查,调查痛经的临床特征,为痛经的防治提供参考依据。结果发现,初潮年龄、月经周期短、经量、经期时间长与痛经的发生无明显关系。痛经主要影响因素为感受寒邪;证候(症状)特点以实证为主,伴有轻重不同,虚证症状较为明显;在不同程度痛经中,腹部冷痛症状出现频次最多,且寒凝血瘀证(症状)出现频率较高;寒凝血瘀型痛经占53.2%。痛经采取措施以选择卧床休息最多,占79.6%。对于重度痛经患者药物选择以中西医结合占43.4%。痛经患者选择中药剂型中汤剂剂型占比最多为26.5%。调查结果显示,防寒保暖对痛经预防有积极作用,痛经治疗应注重温经散寒。

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