【作者】 刘佳；

【导师】 郭荣；

【作者基本信息】 湖北中医学院 ， 中医妇科学， 2009， 硕士

【摘要】 目的:为探讨妇科子宫切除手术卵巢去留对女性围绝经期的影响,并探讨不同手术方式术后出现绝经前后诸证的中医辨证分析。方法:1.研究对象收集2005年7月-2007年12月因在湖北省中医院妇科收治并手术的138例围绝经期子宫切除患者病案资料的回顾性研究,绘制调查表,调查内容包括一般情况、手术方式、病检结果、Kupperman评分、出现绝经前后诸证的中医辨证等。并将所得资料分为两组,以单纯切除子宫的为A组,子宫+双侧附件切除的为B组。2.观测指标:比较两组子宫切除术后围绝经期综合征的发生率,最早出现症状的时间、程度,并对两组出现围绝经期综合征的患者进行中医辨证分析。结果:1.A组与B组术后均有围绝经期综合征出现,两组发生率有显著性差异(P＜0.05)。2.术后两组最早出现症状的时间有显著性差异(P＜0.05)。3.两组围绝经期综合征程度比较,有显著性差异(P＜0.05)。4.两组术后出现围绝经期综合征KUPPERMAN评分有显著性差异(P＜0.05)。5.两组术后出现围绝经期综合征中医证型比较有显著性差异(P＜0.05)。结论:本研究表明双侧附件切除后围绝经期综合征的发生率高于双侧附件保留者,且双侧附件切除患者更年期症状出现时间早,症状严重。并对术后两组绝经前后诸证辨证分型结果表明,保留双侧附件患者主要表现为肾阴虚型,切除双侧附件患者主要表现为肾阴阳两虚型。保留双侧附件有利于子宫切除术后患者的生活质量的提高。更多还原

【Abstract】 Objective:To explore influence of Ovary during in perimenopause, and Chinese medicine-discrimination analysis on postoperative perimenopausal syndrome.Method:1.research objectCollection the date of 138 cases with post-hysterectomy in perimenopausal women who were admitted from 2005.7 to 2007.12, Drawing Questionnaire,General condition,pathological examination, Kupperman scoring method,TCM symptoms,Methods The 138 cases undergoing excision of bilateral accessory or not divided into two groups,92 cases as A group(excision group),40 cases as B group (preservation group),and analysis the result in statistics,and Analysis of TCM syndromes of Postoperative Perimenopause Syndrome.2.Observation IndicatorComparison the incidence rates of Perimenopause Syndrome of two groups,and the relationship of the appearance and the degree of Perimenopause Syndrome.syndrome differentiation and typing of Postoperative Perimenopause Syndrome in two groups,And Comparison the prevalence of two groups’. 5.statistical treatmentResults:1.Perimenopause syndrome appeared in 2 groups of post-hysterectomy, there was significant difference between two groups(P＜0.05).2.there was significant difference between two groups about the time (P＜0.05).3.there are siginificant difference between the two groups about the degree of Perimenopause Syndrome(P＜0.05).4.there are siginificant difference between the two groups about the kupperman’ s soring(P＜0.05).5.there are siginificant difference between the two groups about the TCM Syndrome type(P＜0.05).Conclusion:This study showed that the incidence of Perimenopause Syndrome is higher in excision of bilateral accessory than in preservation, the symptoms of Perimenopause Syndrome appeared earlier and the degree is more severe than the preservation’ s.Analysis on Perimenopause Syndrome of two groups in syndrome differ classification,and the results showed that the main manifestation of preservation of bilateral accessory is kidney yin deficiency,but excision of which is kidney-yin and yang deficiency.更多还原