356例中医体质类型与原发性痛经的相关性研究

摘要

目的：探讨北京顺义地区女性体质类型与原发性痛经的关系。方法：采用横断面研究的方法收集北京顺义区体质调查数据877例。采用自制的中医体质问卷调查表进行中医体质的调查，应用判别分析法对9种体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质)进行判定。Logistic回归分析采用多元分析法探索与原发性痛经呈显著相关的体质类型。结果：通过控制年龄、婚姻情况、工作类型、受教育程度等因素后，多元逐步Logistic回归分析模型入选了2个中医体质因素，按其影响程度的大小分为气郁质、血瘀质，其比值比(OR)和95%可信区间(CI)分别为2.13(1.63，2.97)、1.52(1.13，1.81)。结论：气郁质、血瘀质是原发性痛经的主要体质影响因素。%Objective:To investigate the relationship between the type of female physical fitness and primary dysmenorrhea in Shunyi area of Beijing. Method:Adopt the method of cross-sectional study collected shunyi district health survey data of 877 cases.Used the homemade TCM constitution questionnaire investigation of constitution in Chinese medicine,the application of discriminant analysis for 9 kinds of physical types (flat and quality,qi deficiency,yang deficiency,yin deficiency,phlegm and dampness,dampness heat,blood stasis,qi stagnation,special intrinsic quality) to determine.Logistic regression analysis was used multivariate analysis method to explore the primary dysmenorrhea was significantly related to the type of constitution.Result:After controlling for age,marital status,type of work,education degree,Logistic stepwise regression analysis model was selected to the two constitution in Chinese medicine. According to the influence degree of size was divided into qi stagnation,blood stasis,the OR and 95%CI respectively for 2.13(1.63,2.97) and 1.52(1.13,1.81). Conclusion:Qi stagnation and blood stasis constitutions are the main influential factors of primary dysmenorrhea.