本文關鍵詞：異位妊娠發(fā)病相關因素及其體質類型的調查研究　出處：《浙江中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

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【摘要】：目的本研究旨在了解異位妊娠發(fā)病的相關性因素,同時問卷調查并分析異位妊娠患者的中醫(yī)體質類型,以期從中西醫(yī)結合的角度出發(fā),為異位妊娠的防治提供數(shù)據(jù)參考。方法通過收集105例于2015年12月1日至2016年11月30日期間在杭州市中醫(yī)院婦一科住院并確診為異位妊娠患者及105例同期住院的正常妊娠分娩婦女的相關病史資料,同時對兩組研究對象進行中醫(yī)體質類型的問卷調查,將所得數(shù)據(jù)錄入計算機,建立相關數(shù)據(jù)庫,利用SPSS17.0系統(tǒng)進行統(tǒng)計學處理與分析。結果1.研究組中有流產(chǎn)史的女性占64.8%(68/105),有足月分娩史的女性占63.8%(67/105),有盆腔感染性疾病史的女性占30.5%(32/105)、有盆腔手術史的女性占32.4%(34/105),有不孕史的女性占9.5%(10/105)、有異位妊娠史的女性占64.8%(68/105),有婚前性行為的女性占31.4%,均顯著多于對照組,且差異具有統(tǒng)計學意義(P0.05)。2.研究組中既往流產(chǎn)方式為人工流產(chǎn)的女性異位妊娠發(fā)生率為75.4%(52/69),顯著高于藥物流產(chǎn)女性(51.6%,16/31),既往分娩方式為剖宮產(chǎn)分娩者異位妊娠的發(fā)生率為76.1%(35/47),顯著高于自然分娩者(56.1%,32/56),且均具有統(tǒng)計學差異(P0.05)。3.研究組在處暑期間人數(shù)分布最多,占12.4%(13/105),顯著多于對照組,差異具有統(tǒng)計學意義(P0.05)。4.本研究根據(jù)2009年4月由中華中醫(yī)藥學會正式發(fā)布的《中醫(yī)體質分類與判定》標準判定出異位妊娠患者的體質類型,其中血瘀質占第一位,氣郁質占第二位,氣虛質占第三位,且這三種體質類型在兩組間的差異具有統(tǒng)計學意義(P0.05)。破裂型異位妊娠患者中的氣虛質占第一位(36.5%,8/22),顯著多于未破裂型異位妊娠患者(P0.05);未破裂型異位妊娠患者中血瘀質占第一位(30.1%,25/83),顯著多于破裂型異位妊娠患者(P0.05);需輸血異位妊娠患者中氣虛質占第一位(34.6%,9/26),顯著多于未輸血患者(P0.05);未輸血患者血瘀質占第一位(30.4%,24/83),顯著多于需輸血患者(P0.05)。結論1.盆腔感染性疾病史、流產(chǎn)史、盆腔手術史、異位妊娠史、不孕史、婚前性行為及足月分娩史均為異位妊娠發(fā)病的相關性因素。2.既往流產(chǎn)方式為人工流產(chǎn)的女性發(fā)生異位妊娠的風險高于藥物流產(chǎn)者,既往分娩方式為剖宮產(chǎn)分娩的女性發(fā)生異位妊娠的風險高于自然分娩者。3.九種體質類型中血瘀質、氣郁質和氣虛質為異位妊娠的主要體質類型。未破裂型和未輸血的異位妊娠患者的體質類型以血瘀質為主,破裂型和需輸血異位妊娠患者的體質類型以氣虛質為主。
[Abstract]:The purpose of this study is to understand the related factors of ectopic pregnancy at the same time, the survey and analysis of patients with TCM constitution types of ectopic pregnancy, in order to view from a combination of traditional Chinese and Western medicine, to provide reference data for the prevention and treatment of ectopic pregnancy. Methods the related history data of 105 cases were collected from December 1, 2015 to November 30, 2016 in a hospital and Hangzhou Traditional Chinese Medical Hospital the diagnosis of ectopic pregnancy and 105 cases of patients hospitalized in the same period of normal pregnant women, and conducted a questionnaire survey of TCM constitutions of two groups of subjects, the data entered into the computer database for statistical processing and analysis by using SPSS17.0 system. The history of abortion 1. in the study group (women accounted for 64.8% 68/105), a full-term delivery history of women accounted for 63.8% (67/105), a disease history of female pelvic infection accounted for 30.5% (32/105), a The history of pelvic surgery women accounted for 32.4% (34/105), a history of infertility women accounted for 9.5% (10/105), a history of ectopic pregnancy women accounted for 64.8% (68/105), have premarital sexual behavior of women accounted for 31.4%, significantly more than the control group, and the difference was statistically significant (P0.05).2. previous abortion in the study group women for abortion ectopic pregnancy rate was 75.4% (52/69), was significantly higher than that of drug abortion women (51.6%, 16/31), the previous mode of delivery for cesarean delivery of ectopic pregnancy rate was 76.1% (35/47), significantly higher than natural childbirth (56.1%, 32/56), and there was significant difference (P0.05.3.) in the study group during the distribution of the number of the most Chushu, accounting for 12.4% (13/105), significantly more than the control group, the difference was statistically significant (P0.05.4.) according to the constitution classification of traditional Chinese medicine in April 2009 by the Chinese Medical Association officially released the < > and judgment criteria of misplaced The patient's physical type of pregnancy, including blood stasis accounted for the first, qi stagnation, Qi deficiency accounted for second, accounted for third, with statistical significance and the three kinds of physical types of the difference between the two groups (P0.05). Ruptured ectopic pregnancy in patients with Qi deficiency accounted for the first (36.5%, 8/22), significantly more than unruptured ectopic pregnancy (P0.05); patients with unruptured ectopic pregnancy in patients with blood stasis accounted for the first (30.1%, 25/83), significantly more than the ruptured ectopic pregnancy (P0.05); blood transfusion of patients with ectopic pregnancy in the virtual mass accounted for the first (34.6%, 9/, 26) were significantly more than patients without blood transfusion (P0.05); blood transfusion patients with blood stasis accounted for the first (30.4%, 24/83), significantly more than the required blood transfusion patients (P0.05). Conclusion: 1. pelvic infection disease history, abortion history, history of pelvic surgery, ectopic pregnancy, infertility, sexual behavior and full-term delivery history are correlated due to the onset of ectopic pregnancy Higher than the female drug abortion.2. previous abortion abortion risk for ectopic pregnancy, the birth of a previous cesarean delivery for women the risk of ectopic pregnancy is higher than the natural childbirth.3. nine kinds of physical types of blood stasis, qi stagnation is a different type of pregnancy. The main body rupture of blood stasis in patients with pregnancy mainly physical types and type of ectopic blood transfusion, in most patients with Qi deficiency constitution and blood transfusion of ectopic pregnancy rupture.

【學位授予單位】：浙江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R714.22

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