【摘要】：目的:通過對(duì)臺(tái)灣中部地區(qū)臺(tái)中市、彰化市、南投市女性原發(fā)性痛經(jīng)之研究調(diào)查,初步探討原發(fā)性痛經(jīng)的病因病機(jī)、痛經(jīng)的就醫(yī)情況、緩解痛經(jīng)的方法以及中醫(yī)證候分類,為防治原發(fā)性痛經(jīng)提供參考。方法:對(duì)彰化市久大中醫(yī)診所、臺(tái)中市黎明中醫(yī)診所、東豐中醫(yī)診所、南投市永盛中醫(yī)診所四家診所就診的女性患者進(jìn)行問卷調(diào)查,以原發(fā)性痛經(jīng)女性作為病例組,以無痛經(jīng)女性作為對(duì)照組。將收集到的問卷資料進(jìn)行數(shù)值量化后輸入,全部數(shù)據(jù)整理編碼后輸入計(jì)算機(jī)處理,采用SPSS17.0版本統(tǒng)計(jì)軟件包建立數(shù)據(jù)庫(kù),運(yùn)用統(tǒng)計(jì)學(xué)方法,進(jìn)行數(shù)據(jù)分析與相關(guān)性探討,以獲得研究結(jié)果。一般數(shù)據(jù)用頻數(shù)法,計(jì)數(shù)資料用卡方檢驗(yàn),以P0.05為差異有統(tǒng)計(jì)學(xué)意義,P0.05為差異無統(tǒng)計(jì)學(xué)意義。結(jié)果:(1)原發(fā)性痛經(jīng)患者的平均年齡為26.83±12.14歲;其中以22~28歲(72例,占41.14%)數(shù)量最多;(2)痛經(jīng)組與非痛經(jīng)組在初潮年齡、月經(jīng)周期、行經(jīng)天數(shù)、經(jīng)色、經(jīng)量比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);痛經(jīng)組與非痛經(jīng)組在月經(jīng)血塊上比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(3)痛經(jīng)組與非痛經(jīng)組痛經(jīng)家族史比較,差異有顯著統(tǒng)計(jì)學(xué)意義(P0.05);(4)痛經(jīng)組與非痛經(jīng)組飲食偏嗜、冷飲習(xí)慣比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);(5)痛經(jīng)之醫(yī)藥處理方法:調(diào)查顯示女性的痛經(jīng)處理方法以熱水袋敷下腹最多,占34.8%,其次是服用止痛藥,占30.3%,進(jìn)行中醫(yī)及西醫(yī)就診者僅為14.3%及2.3%。由此可見,痛經(jīng)組患者多自行處理痛經(jīng)的不適,僅少部分愿意求診治療;因痛經(jīng)就診中醫(yī)者以服中藥為主,占88.0%;使用針灸者僅占12.0%;(6)痛經(jīng)程度分析:痛經(jīng)以中度為主,占整體痛經(jīng)人數(shù)54.9%,其次為輕度36.0%、重度9.1%;(7)本次調(diào)查辨證分型以濕熱瘀結(jié)型為主,占32.6%,其次為寒凝血瘀型27.4%,氣滯血瘀型22.3%,氣血虛弱型14.3%,肝腎不足型只占3.4%。結(jié)論:原發(fā)性痛經(jīng)是婦科常見病、多發(fā)病,為影響婦女正常工作和生活質(zhì)量的常見原因,隨著社會(huì)壓力的增加,生活節(jié)奏的加快,痛經(jīng)的發(fā)病率呈不斷上升的趨勢(shì)。本調(diào)查結(jié)果顯示原發(fā)性痛經(jīng)與家族史有關(guān),與飲食習(xí)慣無關(guān);臺(tái)灣中部地區(qū)原發(fā)性痛經(jīng)以濕熱瘀結(jié)型最為常見。
[Abstract]:Objective: to explore the etiology and pathogenesis of primary dysmenorrhea, medical treatment of dysmenorrhea, methods of relieving dysmenorrhea and classification of TCM syndromes by investigating the primary dysmenorrhea in Taichung city, Changhua city and Nantou city in central Taiwan. To provide reference for prevention and treatment of primary dysmenorrhea. Methods: a questionnaire survey was conducted among the female patients from four clinics in Changhua City, Jiuda TCM Clinic, Taichung Liming TCM Clinic, Dongfeng TCM Clinic and Yongsheng TCM Clinic in Nantou City. The primary dysmenorrhea women were selected as the case group. Women without dysmenorrhea were used as control group. The data collected from the questionnaire were numerically quantified and input, and all the data were processed by computer. The database was established by using the SPSS17.0 version statistical software package, and the data analysis and correlation discussion were carried out by using the statistical method. To obtain the results of the study. General data using frequency method, counting data with chi-square test, with P0.05 as the difference has statistical significance for the difference is not statistically significant. Results: (1) the average age of patients with primary dysmenorrhea was 26.83 鹵12.14 years old, among them, 22 cases were 28 years old (72 cases, 41.14%), (2) dysmenorrhea group and non-dysmenorrhea group were at menarche age, menstrual cycle, menstrual days, meridian color and menstrual volume. There was no significant difference between dysmenorrhea group and non-dysmenorrhea group on menstrual clot (P0.05). (3). The family history of dysmenorrhea in dysmenorrhea group and non-dysmenorrhea group was significantly different (P0.05); (4). There was no significant difference in cold drinking habits (P0.05); (5). The investigation showed that the most of the methods of treatment of dysmenorrhea were hot water bag applied to the lower abdomen (34.8%), followed by taking painkillers (30.3%), and only 14.3% and 2.3% of the women treated with traditional Chinese medicine and western medicine. Thus, it can be seen that the patients in the dysmenorrhea group tend to deal with the discomfort of dysmenorrhea by themselves, and only a few of them are willing to seek treatment for dysmenorrhea; those who seek medical treatment for dysmenorrhea mainly take traditional Chinese medicine, accounting for 88.0; acupuncture and moxibustion only account for 12.0; (6) the degree of dysmenorrhea: moderate to moderate dysmenorrhea. The total number of dysmenorrhea was 54.9, followed by mild 36.0 and severe 9.1; (7) the syndrome differentiation of this investigation was based on the type of dampness and heat stasis, accounting for 32.6B, followed by cold coagulation and blood stasis 27.4B, Qi stagnation and blood stasis 22.3cm, Qi and blood weakness 14.3B, liver and kidney insufficiency 3.4B. Conclusion: primary dysmenorrhea is a common disease in gynecology. In order to influence women's normal work and quality of life, the incidence of dysmenorrhea is increasing with the increase of social pressure and the quickening of life rhythm. The results showed that primary dysmenorrhea was related to family history and not related to dietary habits, and damp-heat stasis syndrome was the most common type of primary dysmenorrhea in central Taiwan.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R271.113

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