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Based On Previous Dynasties Medical Database And Clinical Investigation About Volume And Color Of Menstruation Symptoms Standardized Research

Posted on:2011-10-24Degree:DoctorType:Dissertation
Country:ChinaCandidate:L XuFull Text:PDF
GTID:1114330332474674Subject:Basic Theory of TCM
Abstract/Summary:PDF Full Text Request
Objective:To standardize the symptoms on volume and color of menstruation, attempting from the perspective "self-control", "the volume of menstrual flow, the color in the menstrual period daily change" to supplement the the new understanding about the volume and color of menstruation symptoms.Method:Unifies the methods which using the literature, the database and the clinical questionnaire conducts the research. It provides the theory instruction that consult literature to understand present situation of symptom standardized research. Based on all previous dynasties medical notes database, Extracted volume of menstrual flow, color symptom data, follows the logic classification principle and the definition method, Carries on the naming, the definition and the classified reorganization to the volume of menstrual flow, the color symptom. Apply the frequency analysis, Phi correlation analysis method to analyze the results of menstrual symptoms. Combination of on-site epidemiological investigation, Questionnaire's design take "quantifying, the individuation, the objectification" as a characteristic. Supposes oneself is the reference, Compare to oneself normally and abnormally when the individual own around contrasts. According to cycle and menstrual period number of days change, The menstrual period daily using the sanitary napkin condition carried on the quantitative survey. the clause were designed from the menstrual cycle, the menstrual period duration, using the amount sanitary napkin and abnormal changes in volume of menstruation and so on aspects. The menstruation color clause were designed according to the menstruation first half and the latter half normally,abnormally changes forms in pairs.It takes the description of menstrual colors in literature and medical database as the model. Determines five kind of menstrual colors initially, Based on comparison standard makes rightly objectively compared to the international standard color chip and the menstrual colors investigation,and takes the sensory image analogy with the corresponding experience class material for the analogy, such as the menstruation yellowish-brown is similar to the coffee color. Questionnaire validity and reliability testing were used factor analysis and reliability testing Chronbach'sa coefficient, the investigation results is analyzed by frequency and the Phi correlation analysis.Result:Eight symptoms units was established after mestrual volum and color symptoms were standardized. And counts the frequency which corresponds in previous dynasties medical notes database. Including menstruation much (658times), menstruation less (767times), menstruation sometimes much sometimes few (51times),menstruation pale red (312times), menstruation bright red (176times), menstruation dark red (365times), menstruation similars dark (257times),menstruation yellowish-brown (26times). According to Chinese and West medical authoritative work and in medical notes database symptom description, makes the definition separately. Statistical analysis obtained by the relevant volume and menstrual cycle, menstruation period correlation is significant. Questionnaire validity and reliability testing were used factor analysis and reliability testing Chronbach'sa coefficient, The survey questionnaire Chronbach'a coefficients were larger than 0.6, mostly in the 0.7 and above, with good internal consistency.It is more reasonable that the volume of menstrual flow structure according to 3 dimensions and the menstruation color according to 2 dimensions classification structure. Questionnaire is easy to understand and answer, spent less time, acquire a better evaluation of acceptability. The clinical investigation result confirmed it is higher that the incidence of fewer menstrual symptoms than Multi-menstrual symptoms among the reproductive period of women seeking medical help. Correlation is significant between the changes of volume of menstruation with menstrual cycle and menstrual period. Menstrual colors can be divided into five kinds of color. Clinical questionnaire results show:the "self as a reference", with increased or reduced use of sanitary products every day, can effectively avoid the interference, improved maneuverability and practicality. Observe the normal,abnormal menstrual volume and color difference between the daily change. Statistics found that the questionnaire as "the first 2,3 days for the time period window of the observation period" to observe the amount and color change is a more stable time points.Conclusion:Through literature and the medical database available to menstrual volume and color qualitative description,and made the definitions separately. Unifies the clinical questionnaire to be possible to the volume of menstrual flow, the color to carry on the quota description and can form the objectification measuring technique. Simultaneously the symptoms of normative research should pay attention to its own oneself as a reference to the "individual" of measurement. Proposes "the symptom unit" and "the menstrual period 2,3 day of observation window" hypothesis, for symptom standardization research development mentality, Providing the methods.The research on standardization provide developed ideas for the normative study, provide a way which make difficult to obtain, quantify, be objective to an indicator is converted to the relative quantitative and objective clinical evidence. From clinical, to clinical.Those causes the theory and clinical confirms mutually. It does the preliminary exploration studies that can move Chinese medicine towards the scientific and objective way...
Keywords/Search Tags:Volume of menstruation, Menstruation color, Symptoms standard, Connotation, Individuation, Quantification, Objectification
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