【作者】 杨琳；

【导师】 刘静君；

【作者基本信息】 山东中医药大学 ， 中医妇科学， 2011， 硕士

【摘要】 目的:通过对复发性流产患者的临床调查,探讨复发性流产与体质类型之间的关系、复发性流产的易感体质及其发病相关因素。根据调查结果,探讨复发性流产的有效防治措施。方法:遵循临床流行病学调研方法,设计统一的体质调查表、一般情况调查表和精神心理因素调查表,对复发性流产患者及健康育龄妇女进行问卷调查。结果:通过临床调查发现,复发性流产患者体质类型以阳虚质、气郁质多见,而健康育龄妇女体质类型以平和质多见;阳虚体质、气郁体质在复发性流产患者中所占比例分别为35%和28%,明显高于在健康育龄妇女中所占比例,说明阳虚质、气郁质为复发性流产的易感体质;复发性流产患者随着流产次数的增多,阳虚质、气郁质所占比例有所减少,而气虚质、阴虚质所占比例有所增多,说明流产次数的多少对体质有一定的影响;调查发现精神心理因素、个体性格、人工流产史与复发性流产的发病也有一定的相关性。结论:复发性流产患者具有特有的体质类型分布,复发性流产的发病与体质、精神心理因素、个体性格、人工流产史等因素密切相关。体质具有可调性,故针对易感体质采取适当的防治措施,是预防复发性流产的有效方法。更多还原

【Abstract】 Purpose:?By clinical investigations in patients with recurrent spontaneous abortion, to explore the relationship between recurrent spontaneous abortion and the physical type,the susceptible physique of recurrent spontaneous abortion and its relevant factors.According to the findings, we could apply effective precautions to control?the incidence of recurrent spontaneous abortion. Method: Follow the clinical epidemiological research methods, we designed a unified physical questionnaire, general factors questionnaire and psychological questionnaire to conduct a questionnaire survey separately on recurrent spontaneous abortion patients and healthy women of childbearing age. Results: Through the clinical investigation, we found that most of the patients with recurrent spontaneous abortion were yang-deficiency physique and qiyu physique,but most of the healthy women of childbearing age were moderate physique. Yang-deficiency physique and qiyu physique in recurrence spontaneous abortion patients are accounted for 35% and 28%, that is significantly higher than that in healthy women of childbearing age. So yang-deficiency physique and qiyu physique are the susceptible physique of recurrent spontaneous abortion.With the increasing number of abortion,the proportions of yang-deficiency physique and qiyu physique has reduced, but the proportions of qi-deficiency physique and yin-deficiency physique has increased. So the number of abortion has a given effect on physical type. We also found that psychological factors, individual characters and the history of induced abortion were closely related to physical type.Conclusion: Patients with recurrent spontaneous abortion have a unique type of physical distribution.The incidence of recurrent spontaneous abortion is related to physical fitness,psychological factors,individual characters ,the history of induced abortion and other factors closely. Physique is adjustable, so to take appropriate precautions against the susceptible physique will be an effective way to prevent the incidence of recurrent spontaneous abortion.更多还原