月经后期中医证型分布临床流行病学调查

目的了解月经后期患者证型分布状况,为规范辨证诊断标准奠定基础。方法采用临床流行病学横断面调查的方法,对502例月经后期患者进行问卷调查和证型的频数统计。结果 502例月经后期患者共出现921证次,按证型出现频数和构成比大小依次为：肾气虚〉气滞〉脾气虚〉肾阳虚〉血瘀〉肾阴虚〉肝郁血热〉痰湿。结论比较现有的教材和国家、行业辨证诊断标准,根据临床流行病学调查结果,提议月经后期常见证型中考察加入脾气虚、血瘀两种证型。本调查结果还显示：月经后期患者以肾虚（肾气虚＋肾阴虚＋肾阳虚）证、气滞证、脾气虚证多见,从症状分布来看,总以虚证为主,兼有虚实夹杂。故肾、肝、脾三脏功能失调在本病的发生中起重要作用。

Clinical Epidemiological Investigation on TCM Pattern Distribution of Late Period

Objective To understand pattern distribution of patients with late period and to provide diagnosis standard.Methods Frequency of patterns was calculated by using cross-section study for 502 patients.Results A total of 921 patterns found among 502 patients with distribution of kidney Qi deficiencyQi stagnation spleen Qi deficiencykidney Yang deficiencyblood stasiskidney Yin deficiencyLiver stagnation with blood heatphlegm dampness.Conclusion Spleen Qi deficiency and blood stasis patterns are recommended to add to textbooks and diagnosis standard according to epidemiology investigation result.Result also shows that there are more patients with kidney deficiency patterns such as kidney Qi deficiency,kidney yang deficiency,and kidney yang deficiency,Qi stagnation,and spleen Qi deficiency.More patients have deficient conditions or combination of deficiency and excess.Dysfunction of spleen,liver and kidney play an important role in the pathology.