本文關(guān)鍵詞：地震應(yīng)激對(duì)女性身心影響的調(diào)查分析　出處：《成都中醫(yī)藥大學(xué)》2010年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 地震災(zāi)難 月經(jīng)不調(diào) 中醫(yī)證候 肝郁氣滯 抑郁 焦慮

【摘要】：目的：探討地震應(yīng)激對(duì)女性生殖內(nèi)分泌的影響。 方法：在2008年8月一次性地采用自擬婦科問卷調(diào)查表、自擬中醫(yī)證候調(diào)查量表、焦慮自評(píng)量表(self-rating anxiety scale, SAS)和抑郁自評(píng)量表(self-rating depression scale, SDS)進(jìn)行問卷調(diào)查。依據(jù)相關(guān)納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn),災(zāi)區(qū)應(yīng)激組選擇在“5·12汶川大地震”重災(zāi)區(qū)(平武縣,都江堰市,彭州縣)進(jìn)行問卷調(diào)查,非災(zāi)區(qū)對(duì)照組選擇在非重災(zāi)區(qū)(簡陽市,資中市)女性作對(duì)照進(jìn)行問卷調(diào)查。 結(jié)果：兩個(gè)組共發(fā)出問卷表129份,剔除無效問卷39份,災(zāi)區(qū)應(yīng)激組有效問卷表45份,非災(zāi)區(qū)對(duì)照組有效問卷表45份。(1)兩組的基線狀況良好,可比性強(qiáng)(P0.05)。(2)災(zāi)區(qū)應(yīng)激組月經(jīng)不調(diào)嚴(yán)重程度顯著高于非災(zāi)區(qū)對(duì)照組(P0.05),其中災(zāi)區(qū)應(yīng)激組6種月經(jīng)不調(diào)共35例,發(fā)病率為77.78%,依次為月經(jīng)延長9例,月經(jīng)先期8例,月經(jīng)后期6例,月經(jīng)過少6例,月經(jīng)過多4例,月經(jīng)先后不定期2例。白帶色質(zhì)異常兩組比較無統(tǒng)計(jì)學(xué)意義(P0.05)。(3)抑郁及焦慮評(píng)分災(zāi)區(qū)應(yīng)激組均顯著高于非災(zāi)區(qū)對(duì)照組(P0.01)。(4)災(zāi)區(qū)應(yīng)激組的中醫(yī)證候調(diào)查量表中20項(xiàng)有19項(xiàng)地震前后比較有顯著差異(P0.01,P0.05),根據(jù)診斷標(biāo)準(zhǔn),地震后辨證分型屬于肝郁氣滯23例,氣陰兩虛12例,脾虛痰濕8例,氣虛血瘀2例。(5)災(zāi)區(qū)應(yīng)激組親屬有死亡的女性的月經(jīng)不調(diào)嚴(yán)重程度與親屬有傷殘的及親屬無傷亡的比較有顯著差異(p0.05),親屬有傷殘的女性的月經(jīng)不調(diào)嚴(yán)重程度與親屬無傷亡的比較無顯著差異(p0.05)。地震后抑郁和焦慮程度均依次為：親屬有死亡親屬有傷殘親屬無傷亡(p0.05)。(6)災(zāi)區(qū)應(yīng)激組月經(jīng)不調(diào)嚴(yán)重程度依次為：小學(xué)文化初中文化中�；蚋咧幸陨衔幕Ｊ芙逃潭仍降�,抑郁和焦慮程度越重(p0.05)。(7)災(zāi)區(qū)組月經(jīng)不調(diào)嚴(yán)重程度與抑郁及焦慮呈正向相關(guān)(P0.01),月經(jīng)不調(diào)嚴(yán)重程度與肝郁氣滯,氣陰兩虛均呈正向相關(guān)(P0.05)。(8)肝郁氣滯證與氣陰兩虛證月經(jīng)不調(diào)嚴(yán)重程度比較有顯著差異(p0.05),肝郁氣滯證與氣陰兩虛證白帶色質(zhì)異常比較無顯著差異(p0.05),肝郁氣滯證與氣陰兩虛證SDS和SAS比較均有顯著差異(p0.01)。 結(jié)論：(1)地震災(zāi)區(qū)女性月經(jīng)不調(diào)發(fā)病率高,親屬傷亡情況越嚴(yán)重,受教育水平越低,月經(jīng)不調(diào)嚴(yán)重程度越嚴(yán)重。(2)常見證型為肝郁氣滯,其次為氣陰兩虛。(3)地震應(yīng)激后,女性易發(fā)生抑郁及焦慮改變。親屬傷亡情況越嚴(yán)重,受教育水平越低,抑郁及焦慮情況越嚴(yán)重。
[Abstract]:Objective: to study the effect of earthquake stress on female reproductive endocrine. Methods: in August 2008, we used the questionnaire of gynecology questionnaire and the questionnaire of TCM syndromes. Self-rating anxiety scale. Sas) and self-rating depression scale (SDSs) were used in the questionnaire survey according to the relevant inclusion criteria and exclusion criteria. The stress group in the disaster area selected the questionnaire survey in the "5.12 Wenchuan earthquake" disaster area (Pingwu County, Dujiangyan City, Pengzhou County), and the non-disaster control group in the non-disaster area (Jianyang City). Zizhong City) female as a control questionnaire survey. Results: two groups issued 129 questionnaires, excluding 39 invalid questionnaires, 45 effective questionnaires in the disaster-stricken stress group and 45 effective questionnaires in the non-disaster control group. The baseline status of the two groups was good. The severity of menstrual irregularity in the stress group was significantly higher than that in the non-disaster area control group (35 cases). The incidence rate was 77.78, followed by 9 cases of menstrual prolongation, 8 cases of premenstrual period, 6 cases of late menstruation, 6 cases of menorrhagia and 4 cases of menorrhagia. The scores of depression and anxiety in the stress group were significantly higher than those in the control group (P 0.01). (. 4) in the stress group of the disaster area, there were significant differences before and after the earthquake in the 20 items of TCM syndrome survey scale (P0.01). According to the diagnostic criteria, 23 cases of liver depression and qi stagnation, 12 cases of deficiency of qi and yin and 8 cases of phlegm dampness due to spleen deficiency were classified according to the diagnostic criteria. 2 cases of Qi deficiency and blood stasis. (5) there was significant difference in the severity of menstrual irregularity among the women whose relatives had died in the stress group in the disaster area compared with the disabled relatives and the relatives with no casualties (p 0.05). There was no significant difference between the severity of menstrual irregularity and the number of relatives with no casualties. The degree of depression and anxiety after the earthquake was in the order of: relatives with dead relatives, disabled relatives with no casualties (P < 0.05). The severity of menstrual irregularity in the stress group in the disaster area was: primary school culture, junior middle school culture, secondary school culture or high school culture, and the lower the level of education. The more severe the degree of depression and anxiety, the more serious the menstrual disorder degree and the depression and anxiety were positively correlated with the severity of menstrual disorder, and the severity of menstrual disorder and the stagnation of liver-qi were positively correlated with the severity of depression and anxiety. There was a significant difference in the severity of menstrual failure between Qi Yin deficiency syndrome and Qi Yin deficiency syndrome (P 0.05). There was no significant difference in the color and quality of leukorrhea between the stagnation of qi and qi and deficiency of qi and yin, but there was a significant difference in SDS and SAS between the two types of deficiency of qi and yin. Conclusion (1) the incidence of menstrual disorder is high, the death and injury of relatives is more serious, the education level is lower, and the severity of menstrual disorder is more serious. 2) the common syndrome type is liver depression and qi stagnation. The second is deficiency of Qi and Yin. 3) after earthquake stress, women are prone to depression and anxiety. The more serious the death and injury of relatives, the lower the level of education, the more serious the depression and anxiety.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R395.1

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