Risk Factors Of Irregular Menstruation During Adolescence And Its Correlation With TCM Syndromes

ObjectiveTaking the patients with irregular menstruation during adolescence as the research object,the risk factors of the disease were investigated and the TCM syndrome differentiation was performed.To explore the risk factors of irregular menstruation during adolescence and its correlation with TCM syndromes,and provide a theoretical reference for the prevention and clinical syndrome differentiation of adolescent menstruation.Methods1.Cases from 2018.1-2019.1 The gynaecological clinic affiliated to the Second People’s Hospital of Fujian University of Traditional Chinese Medicine was diagnosed as a case of irregular menstruation in adolescence,and the adolescent health checkup in the same hospital physical examination center was a control group.2.Applying a questionnaire on risk factors for menstrual irregularities in adolescence,conducting epidemiological investigations on the subjects and discussing the risk factors associated with irregular menstruation during adolescence.3.Collect the four diagnostic information of the patient’s Chinese medicine,and classify the patient according to the standard of TCM syndrome differentiation of irregular menstruation.4.To explore the correlation between risk factors of irregular menstruation and TCM syndromes during adolescence.Results1.Risk factors for irregular menstruation during adolescence compared with the control group:(1)Related risk factors include irregular menstruation of mother or sister(P=0.012),overweight or obesity(P=0.030).(2)Independent risk factors were stress anxiety(P=0.007).2.100 cases of adolescent menstrual irregularity questionnaire,45 cases of liver qi stagnation syndrome,18 cases of phlegm dampness syndrome,1 case of blood deficiency syndrome,12 cases of blood stasis syndrome,6 cases of qi deficiency syndrome,15 cases of kidney deficiency syndrome,blood heat syndrome 3 example.The proportion of each type of syndrome is 45% of liver qi stagnation syndrome,18% of phlegm dampness syndrome,15% of kidney deficiency syndrome,12% of blood stasis syndrome,6% of qi deficiency syndrome,3% of blood heat syndrome,and 1% of blood deficiency syndrome.3.Correlation between risk factors of irregular menstruation and TCM syndromes during adolescence: There was a correlation between tension anxiety and liver qi stagnation syndrome(P=0.034<0.05,OR=2.667).Conclusion1.Irregular menstruation of mother or sister,overweight or obesity,Stress anxiety are the risk factors for irregular menstruation during adolescence,in which tension anxiety is an independent risk factor for irregular menstruation during adolescence.Menstruation of girls with irregular family history of mothers or sisters should be given more attention.In order to prevent the occurrence of irregular menstruation during adolescence,the body mass index should be controlled within the health index by adjusting dietary habits and rational exercise.At the same time,it is necessary to guide adolescent girls to learn to regulate emotions,relieve stress,and strengthen mental health education for adolescent girls.2.Adolescent menstrual irregularity in the syndrome differentiation is most common with liver qi stagnation syndrome,liver qi stagnation is an important pathogenesis of irregular menstruation during adolescence.3.Tension anxiety is associated with liver qi stagnation syndrome.Clinical treatment of menstrual irregular menstruation patients with liver qi stagnation syndrome should pay attention to the patient’s mental state of mind,reduce the patient’s mental stress,through emotional counseling to assist drug treatment.