207例月经后期患者证型分布的临床流行病学调查

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1016例功血中207例月经后期患者进行问卷调查和各证型的频数统计。结果207例月经后期患者共出现501证次，按证型出现的频数和构成比大小依次为：脾气虚118例，肾气虚97例，肝郁69例，肾阴虚60例，血热59例（实热17例＋虚热26例＋肝郁化热16例），血瘀46例，血虚37例。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，建议考察加入脾虚、血瘀证型。

Clinical Epidemic Study of Syndrome Distribution on 207 Patients with Late Menstruation

Objective To find out syndrome distribution of late menstruation patients to lay foundation for the standardization of syndrome differentiation. Methods Cross sectional study of clinical epidemiology was used. 207 late menstruation patients among 1016 functional uterine bleeding patients were surveyed by questionnaire and frequency of each syndrome were counted. Results Among 207 patients, the total of 501 syndromes appeared, with 118 spleen deficieny, 97 Kidney Qi deficiency, 69 liver Qi stagnation, 60 kidney Yin deficiency, 59 blood heat（ excessive heat 17 ＋ deficient heat26 ＋ liver Qi stagnation transforming into heat 16 ） , blood stasis 46, blood deficiency 37 according to their frequency. Conclusion Spleen deficiency and blood stasis syndromes are suggested to add by comparing with extent textbooks and national diagnosis standard based on result of clinical epidemiology study.