妊娠高血压与中医体质回顾性分析

主要目的]分析妊娠高血压与中医体质关系。资料来源]在山东省莱芜市妇幼保健院病案室,选取2012年8月至2013年11月于山东省莱芜市妇幼保健院妇产科住院治疗,正常妊娠期产妇和PIH产妇病历。选择文献量及依据]1研究类型:临床观察。2研究对象:符合妊娠高血压诊断标准;中医四诊资料齐全;同一患者反复入院症状发生变化时重复纳入,无明显变化时仅纳入第一次入院情况。3诊断分型:正常型、肝郁气滞、肝肾阴虚、脾肾气虚、情志化火和气血两虚。4评价指标:中医体质分型。5干预措施:常规临床护理措施。共60例住院病历。数据提炼规则及应用方法]中医体质分型方法参照北京中医药大学王琦教授九分法为基础,按照中医辨证将孕妇体质再并成6种类型。PIH中医体质整理分析,孕期根据怀孕时间分成早孕期、中孕期和晚孕期,12周以内为孕早期,13周~27周围孕中期,28周~40周为孕晚期,孕妇中医体质上的转变多数于孕中、晚期,需要在孕晚期重新为产妇进行中医体质分型。使用Microsoft Excel2013建立数据库,早期与中晚期人数与孕中晚期PIH情况分布。数据综合得出结果与结论]孕中晚期中医体质多转变为脾肾气虚,脾肾气虚和情志化火产妇患PIH人数较多。未来展望]根据中医体质分型方法将产妇中易转型或易发病型进行统一监护,并采取恰当的护理干预措施。

Pregnancy-induced Hypertension and TCM Constitution Retrospective Analysis

The main purpose ] Analyze the relationship between pregnancy-induced hypertension and TCM constitution. Source ] In Laiwu City, Shandong Province, MCH medical record room, selected from August 2012 to November 2013 in Laiwu City, Shandong Province, MCH obstetrics and gynecology hospital treatment, normal pregnancy maternal and PIH maternal medical history. Select the amount and basis of the literature ] （1） Type： clinical observation. （2） study： meet the diagnostic criteria for gestational hypertension; four diagnostic information is complete ; repeat the same admission included patients with recurrent symptoms change, included only the first hospitalization without significant change. （3） diagnostic classification ： normal type, liver qi stagnation, liver and kidney, spleen and kidney deficiency, emotional fire and blood deficiency. （4） Evaluation ： TCM constitution typing. （5） interventions ： routine clinical care measures. A total of 60 cases of medical records. Data extraction rules and application method ] TCM constitution typing method referring Beijing University of Chinese Medicine Professor Wang Qi nine points system based on TCM in accordance with the constitution pregnant again and into six types. PIH TCM constitution analyzed with pregnancy early pregnancy divided according to the time of pregnancy, the pregnancy and late pregnancy, early pregnancy within 12 weeks, 13 weeks to 27 around the second trimester, 28 weeks to 40 weeks for the third trimester, pregnant women change on TCM constitution most in pregnancy, and late maternal TCM need to re-type physique in the third trimester. Use Microsoft Excel2013 establish a database, the number of early and late pregnancy in the case of the late distribution of PIH. Data integration outcome and Conclusions ] Trimesters TCM constitution much into spleen qi deficiency, spleen qi deficiency and emotional suffering of the fire maternal PIH higher number. Future ] According to TCM constitution typing method will be easy