Analysis On TCM Syndromes And Related Factors Of Primary Dysmenorrhea Among Female College Students In Changsha

[objective] In this study,the clinical investigation of menopausal status of female college students in Changsha was carried out,and the cases of primary dysmenorrhea were screened out,and the incidence of primary dysmenorrhea was analyzed.The distribution rules of TCM syndromes and possible related factors of primary dysmenorrhea in Changsha female college students were explored and analyzed,to provide reference for clinical syndrome differentiation,and to provide useful guidance for disease preventing and the clinical treatment,so as to improve the level of clinical prevention and treatment of primary dysmenorrhea,and to provide effective countermeasures for mental health work of female college students during the menstrual physical.[methods] In this study,a questionnaire survey was conducted using the method of clinical epidemiological survey to design a unified questionnaire on the menstruation situation.A questionnaire survey was conducted on the college students in Universities of Changsha by means of cluster stratified random sampling.The questionnaire was compiled and the database was established with SPSS 22.0 software package and analyzed statistically.[result] 1.The survey issued a total of 5,000 copies of the questionnaire,4771 copies of the questionnaire were collected,including 4630 valid questionnaires,the recovery rate was 95.02%,the effective rate was 97.45%,which met the primary dysmenorrhea in 2391 cases,the overall incidence rate was 51.64 %.2.The survey of 2391 cases of primary dysmenorrhea female college students syndromes are as follows: the stagnation of qi and blood was 1253cases(52.4%),cold and dampness syndrome was 545 cases(22.79%),and there were 309 cases of blood deficiency syndrome(12.92%),141 cases(5.91%)of liver and kidney deficiency syndrome,109 cases(4.56%)of yang deficiency syndrome,34 cases(1.42%)of damp-heat stasis syndrome,mainly the stagnation of qi and blood syndrome,cold and dampness syndrome was the second,and the wet heat stasis card at least.Of the 2391 patients with primary dysmenorrhea,169(7.7%)cases were enrolled in the course disease of one year or less,317(13.25%)in 1-2years,667(27.90%)in 2-3 years,and 1238 cases(51.78%)in 3 years,of which the course disease of more than 3 years were mainly concentrated in the stagnation of blood stasis syndrome,853 cases,accounting for 68.90%,followed by cold and dampness syndrome,269 cases,accounting for 21.73%;duration of 1 year mainly concentrated in the blood deficiency syndrome,68 cases,accounting for 40.24%.The mild pain of primary dysmenorrhea in 2391 college students was412 cases(17.23%),moderate pain was 1743 cases(72.90%),severe pain was 236 cases(9.87%).Moderate and severe pain was mainly stagnation of qi and blood,cold and dampness-based,and moderate pain of stagnation of qi and blood,cold and dampness type were 57.49%,20.14% respectively,severe pain of stagnation of qi and blood,cold and dampness type,respectively accounting for 43.64%,33.06%.Among the 2391 patients with primary dysmenorrhea,649(27.14%)had the premenstrual period,1064(44.50%)were menstrual,217(9.08%)were the latter,Obviously,461 cases(19.28%).The premenstrual period was mainly qi stagnation and blood stasis syndrome,accounting for 45.45%and 36.67% respectively.The menstrual period was mainly qi stagnation and blood stasis syndrome,accounting for 70.21% and 17.76% respectively.The latter was mainly blood deficiency syndrome and liver and kidney deficiency syndrome,respectively accounting for 64.52%,15.21%.3.Analysis on related factors of primary dysmenorrhea among female college students in Changsha : There are 7 factors related to primary dysmenorrhea: body mass index,menarche age,mother dysmenorrhea history,menstrual period do not boil cold food,lack of exercise,poor mood,lack of sleep time.[conclusion] 1.The incidence rate of primary dysmenorrhea in Changsha female college students was 51.64%.The distribution of TCM syndromes was the most common in patients with stagnation of qi and blood syndrome,stagnation of qi and blood syndrome> cold dampness syndrome>blood deficiency syndrome> liver and kidney deficiency syndrome> yang deficiency syndrome > damp heat stasis syndrome.2.The course of primary dysmenorrhea,the degree of pain,and the time of pain are related to the distribution of TCM syndromes.The longer course of the primary dysmenorrhea mainly focus on the empirical,stagnation of qi and blood as the most,followed by cold and dampness syndrome.The shorter course of the primary dysmenorrhea mainly focus on the deficiency,blood deficiency syndrome as the most.Stagnation of qi and blood syndrome,cold and dampness syndrome in patients with moderate and severe dysmenorrheal take up the highest proportion.Stagnation of qi and blood syndrome and cold and dampness syndrome pain mainly occur before and menstrual period.Blood deficiency syndrome and liver and kidney deficiency syndrome were mainly after menstruation.3.Body weight index,menarche age,mother dysmenorrhea history,menstrual period do not boil cold food,lack of exercise,poor mood,lack of sleep time are the main factor affecting the incidence of primary dysmenorrhea in female college students in Changsha.