本文關鍵詞：早期先兆流產的影響因素及與中醫(yī)體質的關系研究　出處：《山東中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

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【摘要】：目的:通過對早期先兆流產患者的影響因素及體質間的分布規(guī)律進行研究,探討早期先兆流產的影響因素及與體質類型之間的關系,為早期先兆流產的預防和臨床辨病辨證論治提供參考依據。方法:根據臨床流行病學調查研究方案,制定一致的體質調查表和一般情況表,選取2015年1月到2016年1月在山東中醫(yī)藥大學附屬醫(yī)院婦科就診的早期先兆流產患者及孕早期無先兆流產癥狀的妊娠婦女,以問卷調查的形式,收集并整理兩組患者的基本信息,將有效數據錄入Excel,采用SPSS17.0統計軟件對數據資料進行統計分析。結果:1.本研究的調查結果顯示,早期先兆流產與孕產次數、自然流產史、人工流產史有相關性。早期先兆流產組中有黃體功能不足者最多,占總人數的77%;有甲狀腺功能減退者占17%。2.早期先兆流產組體質類型以陽虛質最多,其次為氣虛質,分別占總人數的37%和25%;而正常妊娠組以平和質最多,為52%。3.陽虛體質在早期先兆流產組中所占比例為37%,而在正常妊娠組僅占11%;氣虛體質在早期先兆流產組中所占比例為25%,于正常妊娠組中只有10%。由此,早期先兆流產的發(fā)生發(fā)展與中醫(yī)體質分型密切相關,陽虛質、氣虛質為早期先兆流產的易感體質。4.早期先兆流產病人的體質類型隨著孕產次數增多,陽虛質、氣郁質所占比例減少,而氣虛質、陰虛質所占比例有所升高。說明孕產次數的增加與體質有特定的聯系。調查發(fā)現黃體功能不足者主要表現為氣虛質,甲狀腺功能減退者主要表現為陽虛質。結論:孕產次數、自然流產史、人工流產史、黃體功能不足可能對早期先兆流產有一定的影響,由于有甲狀腺功能減退者所占比例為17%,尚還不能說明甲狀腺功能減退者更容易發(fā)生先兆流產的情況,可能是由于樣本量較少,病例收集較為局限所導致,有待進一步研究。早期先兆流產病人存在病理體質,其中早期先兆流產的易感體質表現為陽虛質、氣虛質。早期先兆流產病人的體質類型隨著孕產次數增加,陽虛質、氣郁質所占的比例減少,而氣虛質和陰虛質所占比例有所增加。調查發(fā)現黃體功能不足者主要表現為氣虛質,甲狀腺功能減退者主要表現為陽虛質。體質可通過多種方式進行調整,故針對易感體質采取相應的防治途徑,是防范早期先兆流產的有效措施。
[Abstract]:Objective: To study the distribution of the influencing factors of the patients with early threatened abortion and the constitution, to explore the relationship between influence factors of Early Threatened Abortion and body type, the treatment to provide reference for the prevention and clinical early threatened abortion disease. Methods: according to the clinical epidemiological research program, develop a consistent the physical form and the general table, from January 2015 to January 2016 and early pregnancy in female patients with threatened abortion in early pregnancy and no symptoms of threatened abortion gynecology clinic of Affiliated Hospital of Shandong University of Traditional Chinese Medicine, in the form of questionnaire survey, collect the basic information of the two groups of patients, the effective Excel data input, the data were analyzed using the SPSS17.0 statistical software. Results: 1. the results of this study showed that early threatened abortion and the number of pregnancy, spontaneous abortion, artificial There is a correlation between the history of abortion. Early threatened abortion group have inadequate luteal function most, accounted for 77% of the total number; hypothyroidism accounted for 17%.2. of early threatened abortion group of Yang deficiency constitution type in the most, followed by qi deficiency, accounted for 37% of the total number of 25%; and the normal pregnancy group in a calm and matter most 52%.3., Yang deficiency constitution in early threatened abortion group accounted for 37%, while in the normal pregnancy group accounted for only 11%; the constitution of qi deficiency in the early threatened abortion group in the proportion of 25%, in the normal pregnancy group in which only 10%., and the occurrence and development of TCM constitution type of early threatened abortion is closely related to Yang deficiency matter, susceptible.4. early threatened abortion patients with Qi deficiency constitution type for threatened abortion in early pregnancy with increased frequency of Yang deficiency, qi stagnation and reduce the proportion of qi deficiency, yin deficiency has increased the proportion of pregnant. There is a particular contact with increased physical property. The survey found that the number of luteal insufficiency were mainly manifested as Qi deficiency and hypothyroidism were mainly manifested as Yang deficiency. Conclusion: the number of pregnancy, spontaneous abortion, abortion history, inadequate luteal function may have effects on the early threatened abortion, due to hypothyroidism the proportion of 17%, still can not explain the more easily hypothyroidism occurrence of threatened abortion, may be due to the small sample amount, collecting cases are limited to further study. Early threatened abortion patients are pathological constitution, which threatened abortion predisposition for Yang deficiency, Qi deficiency early threatened abortion patients. Physical types with the number of pregnancy increased, Yang deficiency, qi stagnation, the proportion decreased, while Qi deficiency and yin deficiency constitution proportion increases According to the survey, it is found that the luteal insufficiency is mainly manifested as Qi deficiency. Hypothyroidism is mainly manifested as Yang deficiency. Physique can be adjusted by many ways. Therefore, taking effective prevention and treatment for susceptible constitution is an effective measure to prevent early threatened abortion.

【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R271.9

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