摘要
【目的】研究女性亚健康状态与月经周期中医体质变化的规律,探讨其月经周期中医体质类型和疾病易感性。【方法】使用本课题组前期工作研制的《亚健康状态调查表》及《月经情况调查表》对330例20~45岁治未病科就诊女性进行流行病学调查。【结果】亚健康女性占64.5%,其中无慢性疾病的单纯亚健康者21.5%,与疾病共存的亚健康者43.0%;患病率较高的前几种共存疾病依次为乳腺增生、阴道炎、颈椎病、高脂血症、慢性附件炎、子宫肌瘤等。对月经周期的动态观察发现,亚健康状态女性的经前期中医体质发生率最高的前3种类型依次为气郁质、湿热质、血瘀质等;行经期发生率最高的体质类型依次为气郁质、血瘀质、湿热质等;经后期发生率最高的体质类型依次为阳虚质、气虚质、湿热质等。亚健康女性以复合体质（兼夹体质）为主,占93%。【结论】亚健康女性中医体质与月经周期存在一定相关性,并对女性疾病的易感性及其发病后病情转归有不同的影响。对亚健康女性应加强健康生活方式宣导并进行＂体质辨识—调整偏颇体质—重建月经周期＂的中医药干预。
Objective To investigate the changes of traditional Chinese medical constitution types with menstrual cycle of sub-health state women, thus to explore the affectability of diseases during menstrual cycle. Methods Sub-health State Questionnaire and Menstruation State Questionnaire established in our previous study were used for the epidemiological survey of 330 women outpatients aged 20-45 years admitted by the disease-preventive department of Tianhe District Hospital of Traditional Chinese Medicine. Results In 330 cases, the cases of sub-health state accounted for 64.5%, in which 21.5%had pure sub-health state without any chronic diseases, and 43.0% had sub-health state together with some diseases. The diseases of hyperplasia of mammary glands, vaginitis, cervical spondylosis, hyperlipemia, chronic appendagitis, and uterus myoma had higher morbidity rate in order. At premenstrual phase, constitution types of Qi stagnation, damp heat, and blood stasis had the higher incidences; at menstruation phase, Qi stagnation, blood stasis, and damp heat had the higher incidences; at postmenstrual phase, yang deficiency, Qi deficiency, and damp heat had the higher incidences. Most of the sub-health state women had the complex constitution types, accounting for 93%. Conclusion Traditional Chinese medical constitution types are correlated with menstral cycle of sub-health state women, and show some effects on the affectability and progress of diseases. The investigation results of dynamic changes and the distribution of traditional Chinese medical constitution types during menstrual cycle will supply some evidence for the prevention and treatment of irregular menstruation and sub-health state of the women with Chinese medine.
出处
《广州中医药大学学报》
CAS
2015年第5期790-795,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:81202736)
广东科学技术厅-广东省中医药科学院联合科研专项(编号:2012A032500004)
广州中医药大学中医药科研创新基金项目(编号:11CX007)
关键词
亚健康
月经周期
中医体质
Sub-health state
Menstrual cycle
Traditional Chinese medical constitution
