围绝经期综合征中医证候分布特点文献研究

目的研究围绝经综合征的中医证候分布特点,为规范本病的诊断和治疗提供依据。方法检索中国期刊全文数据库、中文科技期刊数据库、中国生物医学文献数据库、中国中医药数据库、万方数据资源系统1991-2011年发表的有关围绝经期综合征文献,进行文献整理分析。结果纳入分析文献191篇。围绝经期综合征常见中医证候有49个,其中肝肾阴虚、肾阳虚、肾阴虚、肾阴阳两虚、心肾不交、肝郁气滞、脾肾阳虚最多见;提取常见症状共65个,包括月经紊乱、头晕耳鸣、失眠、烘热汗出、腰膝酸软、心悸、易怒、纳呆等;病位以肾、心、肝、脾为主;病性以虚为主;脉象以细数、沉细、弦细为主,舌象以舌淡或舌红,苔薄或少苔为主。结论围绝经期综合征的中医证候分布比较集中,本研究为下一步临床科研工作奠定了基础。

Literature Research on TCM Syndromes Distribution Characteristics of Menopausal Syndrome

Objective To analyze TCM syndromes distribution characteristics of menopausal syndrome,provide evidence for further research.Methods The articles related to menopausal syndrome in CNKI Chinese Academic Journal database,Chinese Science and Technology Journal database,China Biological Medicine database,Chinese medicine database,Wanfang database during 1991-2011 were retrieved and analyzed.Results A total of 191 articles were included in the analysis,49 syndromes were found in menopausal syndrome,in which the common syndromes were liver and kidney yin deficiency,kidney yang deficiency,kidney yin deficiency,kidney yin and yang deficiency,heart and kidney deficiency,liver depression,spleen and kidney yang deficiency.We extracted a total of 65 common symptoms,including menstrual disorders,dizziness and tinnitus,insomnia,hot flashes sweeting,waist and knees,palpitations,irritability,poor appetite and so on.The common positions were kidney,heart,liver and spleen.The common disease characteristic was the deficiency-based.The common pulse were fine rapid,sunken fine,string-like fine.The common tongue were pale or red,the tongue fur were mainly moss thin or less moss.Conclusion The menopausal syndrome of TCM syndromes distribution characteristics were more concentrated,and this research laid a foundation for further clinical research work.