文献类型：期刊文献

中文题名：甘肃中医药大学女大学生原发性痛经人群中医证型分布情况及自我护理研究

英文题名：Study on the Distribution of Traditional Chinese Medicine Syndrome Types and Self-nursing of Primary Dysmenorrhea in Female Students in Gansu University of Chinese Medicine

作者：王歌[1];王瑞琼[1];魏兴民[1];代润景[1];牛菊红[1];马晓华[1];冉鑫[1];尹洁[1]

第一作者：王歌

机构：[1]甘肃中医药大学,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2021

卷号：27

期号：1

起止页码：175

中文期刊名：中医药导报

外文期刊名：Guiding Journal of Traditional Chinese Medicine and Pharmacy

收录：CSTPCD

基金：国家自然科学基金项目(81660653)。

语种：中文

中文关键词：原发性痛经;中医证型;视觉模拟评分法;自我护理

外文关键词：primary dysmenorrhea;TCM syndrome type;VAS;self-care

摘要：目的:了解甘肃中医药大学女大学生原发性痛经的中医证型分布及自我护理方法,为根据不同中医证型提出针对性措施与策略奠定基础。方法:运用分层整群随机抽样方法抽取甘肃中医药大学1 704名女大学生为调查对象,采用自制问卷进行调查,使用SPSS 25.0对结果进行统计分析。结果:回收有效问卷1 645份,原发性痛经发生率为74.95%(1 233/1 645),痛经与非痛经学生在年龄、月经周期及月经初潮年龄方面比较,差异无统计学意义(P>0.05);痛经中医证型分布由高到低依次为寒凝胞脉型、气滞血瘀型、气虚血弱型、湿热下注型、肝肾虚损型;实证、虚证分布情况在不同严重程度之间比较,差异有统计学意义(P<0.05);大多数患者会采取两种及以上方式缓解疼痛,但是只有小部分患者会选择药物治疗。结论:该高校女大学生痛经以寒凝胞脉型最常见;痛经女大学生应针对不同痛经中医证型进行自我日常护理,同时应加强对痛经危害程度的认识,提高药物的使用率,改善痛经症状以提高个人生活质量。
O bjective: To understand the distribution of TCM syndrome types and self-care methods of primary dysmenorrhea in female students of Gansu University of Chinese Medicine, then to put forward specific measures and strategies according to different TCM syndromes. Methods: Totally 1 645 walid questionnarires were collected. A total of 1 704 female college students from Gansu University of Chinese Medicine were selected by stratified cluster random sampling. A self-made questionnaire was used for the survey. SPSS 25.0 was used for statistical analysis of the results. Results: The survey found that the incidence of primary dysmenorrhea was 74.95%(1 233/1 645), and there was no significant difference between dysmenorrhea and non-dysmenorrhea patients in age, menstrual cycle and menarche age(P>0.05). The distribution of dysmenorrhea syndrome was successively from high to low were: cold coagulation vein type, Qi stagnation and blood stasis type, Qi deficiency and blood weakness type, damp-heat wager type, liver and kidney deficiency type. The distribution of positive and false syndrome is different in different severity(P<0.05). Most students will take two or more ways to relieve pain, but only a small number of patients will choose to take medication. Conclusion: Cold coagulation vein type is the most common type of dysmenorrhea among female college students in this university. Female students wi th dysmenorrhea should carry out self-daily nursing according to different TCM syndromes of dysmenorrhea. At the same time, we should strengthen the awareness of the harm of dysmenorrhea, improve the utilization rate of drugs, so as to reduce the degree of dysmenorrhea and improve the quality of personal life.