中国中医药信息杂志
中國中醫藥信息雜誌
중국중의약신식잡지
CHINESE JOURNAL OF INFORMATION ON TRADITIONAL CHINESE MEDICINE
2015年
5期
20-24
,共5页
中医体质%准父母%新生儿健康%相关性
中醫體質%準父母%新生兒健康%相關性
중의체질%준부모%신생인건강%상관성
TCM constitution type%expectant parents%neonatal health%relationship
目的：探讨孕早中期准父母双方中医体质与新生儿健康状况的关系，为针对性地进行育龄夫妇孕前-围孕期中医体质干预提供依据。方法采用本课题组编制的孕期夫妇中医体质评估量表和新生儿产后访视量表，选取2012年4月－2013年3月在上海市浦东新区三林社区卫生服务中心建立孕妇手册的675例妊娠妇女及其配偶，对其体质类型变化及新生儿健康情况进行调查。结果孕早中期准父母体质均以平和质为主。孕妇平和质约为55%，偏颇体质以气虚质、阳虚质和湿热质为主；准父亲平和质约为76%，偏颇体质以湿热质、阴虚质和气虚质为主。孕早期和中期准父母体质均无明显变化。与平和质比较，湿热质父亲其新生儿发生黄疸的风险较高，阴虚质母亲其新生儿发生吐奶的风险较高(P＜0.05)。孕早中期准父母体质对新生儿健康问题的共同作用不明显。结论孕期准父母体质与新生儿健康存在一定相关关系，有必要区分准父母体质，进而有针对性地进行健康干预。
目的：探討孕早中期準父母雙方中醫體質與新生兒健康狀況的關繫，為針對性地進行育齡伕婦孕前-圍孕期中醫體質榦預提供依據。方法採用本課題組編製的孕期伕婦中醫體質評估量錶和新生兒產後訪視量錶，選取2012年4月－2013年3月在上海市浦東新區三林社區衛生服務中心建立孕婦手冊的675例妊娠婦女及其配偶，對其體質類型變化及新生兒健康情況進行調查。結果孕早中期準父母體質均以平和質為主。孕婦平和質約為55%，偏頗體質以氣虛質、暘虛質和濕熱質為主；準父親平和質約為76%，偏頗體質以濕熱質、陰虛質和氣虛質為主。孕早期和中期準父母體質均無明顯變化。與平和質比較，濕熱質父親其新生兒髮生黃疸的風險較高，陰虛質母親其新生兒髮生吐奶的風險較高(P＜0.05)。孕早中期準父母體質對新生兒健康問題的共同作用不明顯。結論孕期準父母體質與新生兒健康存在一定相關關繫，有必要區分準父母體質，進而有針對性地進行健康榦預。
목적：탐토잉조중기준부모쌍방중의체질여신생인건강상황적관계，위침대성지진행육령부부잉전-위잉기중의체질간예제공의거。방법채용본과제조편제적잉기부부중의체질평고량표화신생인산후방시량표，선취2012년4월－2013년3월재상해시포동신구삼림사구위생복무중심건립잉부수책적675례임신부녀급기배우，대기체질류형변화급신생인건강정황진행조사。결과잉조중기준부모체질균이평화질위주。잉부평화질약위55%，편파체질이기허질、양허질화습열질위주；준부친평화질약위76%，편파체질이습열질、음허질화기허질위주。잉조기화중기준부모체질균무명현변화。여평화질비교，습열질부친기신생인발생황달적풍험교고，음허질모친기신생인발생토내적풍험교고(P＜0.05)。잉조중기준부모체질대신생인건강문제적공동작용불명현。결론잉기준부모체질여신생인건강존재일정상관관계，유필요구분준부모체질，진이유침대성지진행건강간예。
Objective To investigate the relationship between neonatal health and TCM constitution types of early to mid-pregnancy expectant parents;To provide basis for the targeted interventions for couples of childbearing age before pregnancy-periconceptional TCM constitution. Methods Compiling scales for pregnant couple’ TCM constitution type assessment and postpartum visits to newborns, the research team got access to the information of neonatal physical problems, constitutions and changes of 675 babies’ father and mother who had established maternal manual from April, 2012 to March, 2013 at the Sanlin Community Health Center of Pudong District of Shanghai. Results Early to mid-pregnancy expectant parents mainly had peace constitution type. In detail, 55% of pregnant women had gentle constitution type, while others mainly had qi deficiency, yang deficiency and damp-heat constitution types;76% expectant fathers got peace constitution, while others mainly got damp-heat, yin deficiency and qi deficiency constitution types. Marital pregnancy physique did not change significantly. Compared with the peace constitution type, newborns, whose fathers got damp-heat constitution type, had higher risk of jaundice, and whose mothers got yin deficiency, the babies had higher risk of spits (P<0.05). The constitution types of expectant parents did not have obvious combined action on neonatal health. Conclusion There is a certain relationship between neonatal health and TCM constitution types of early to mid-pregnancy expectant parents. It is necessary to distinguish constitution types of prospective parents, and thus to take targeted health interventions.
