CAJ | 학술논문

目的基于中医的体质分类学说,探索体检人群中发现的子宫肌瘤患者的体质特征.方法选择413例体检人群中的子宫肌瘤患者作为病例组,选择同期413例非子宫肌瘤女性体检者作为对照组,按照病例-对照研究设计进行流行病学调查,应用《中医体质问卷》进行体质辨识；同时采用《女性月经情况调查表》调查月经的相关信息,从健康体检的问诊信息中提取既往病史信息.计算相关指标的频数和百分数,组间的比较用方差分析.率和构成比的比较用卡方检验,配对资料计算OR值和95％的可信区间.结果子宫肌瘤组气郁质的发生率高于非子宫肌瘤组(x2=8.209,P＜0.05).实性体质(痰湿质、湿热质、气郁质及血瘀质)的子宫肌瘤患者与月经有关的症状发生率升高,差异有统计学意义；既往疾病中高血压的发生率高于对照组.结论气郁质是子宫肌瘤的常见偏颇体质.实性体质是子宫肌瘤患者体质改变的主要倾向.
목적 기우중의적체질분류학설,탐색체검인군중발현적자궁기류환자적체질특정.방법 선택413례체검인군중적자궁기류환자작위병례조,선택동기413례비자궁기류녀성체검자작위대조조,안조병례-대조연구설계진행류행병학조사,응용《중의체질문권》진행체질변식；동시채용《녀성월경정황조사표》조사월경적상관신식,종건강체검적문진신식중제취기왕병사신식.계산상관지표적빈수화백분수,조간적비교용방차분석.솔화구성비적비교용잡방검험,배대자료계산OR치화95％적가신구간.결과 자궁기류조기욱질적발생솔고우비자궁기류조(x2=8.209,P＜0.05).실성체질(담습질、습열질、기욱질급혈어질)적자궁기류환자여월경유관적증상발생솔승고,차이유통계학의의；기왕질병중고혈압적발생솔고우대조조.결론 기욱질시자궁기류적상견편파체질.실성체질시자궁기류환자체질개변적주요경향.
Objective To explore the constitution characteristics of patients with uterine fibroids.Methods A total of 413 patients with uterine fibroids (patient group) and 413 healthy women (control group) were enrolled in this case-control study. All the participants were required to fill in a questionnaire on Chinese Medicine constitution.The frequency and percentage of indicators were calculated,and analysis of variance and Chi-square test were used to find difference between the two groups.Results The incidence of Qi-stagnation constitution in the patient group was higher than that in the control group (x2 =8.209,P ＜ 0.05 ). The incidence of menstrual abnormalities was increased in patients with constitution of Phlegm-dampness and Dampness-heat,Qi-stagnation and Blood-stasis.The detection rate of hypertension of the patient group was also significantly increased.Conclusion The most common constitution of patients with uterine fibroid is Oi-stagnation.