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目的对原发性痛经患者进行子宫位置与发病情况评估,为进一步临床选穴治疗提供基础数据。方法对来自4个临床分中心的368例原发性痛经患者进行调查,调查内容包括基本情况、子宫位置、疼痛程度、伴随症状。结果 368例被调查者中,子宫前位258例(70.11%),中位20例(5.43%),后位90例(24.46%)。对痛经疼痛程度进行分析,中度疼痛者以子宫前位最多;重度疼痛者以子宫后位最多。对痛经伴随症状(出现频次在50%以上的症状)进行分析,不同子宫位置患者均有全身症状(乏力)和精神症状(忧郁),前者高于后者。子宫前位和中位还伴有局部症状(腰背痛、腿痛)和消化症状(食欲不振),而子宫后位者上述局部症状和消化症状不显著。结论子宫位置可能对痛经疼痛程度、痛经伴随症状有影响,且可能与相关经脉脏腑有关系。
Objective To evaluate uterine position and incidence of patients with primary dysmenorrhea and provide basic data for further clinical treatment of points. Methods A total of 368 primary dysmenorrhea patients from 4 clinical sub-centers were investigated. The investigation included basic information, uterine position, degree of pain, and concomitant symptoms. Results Among the 368 respondents, 258 (70.11%) were in the anterior uterus, 20 (5.43%) in the middle and 90 (24.46%) in the posterior. Analysis of the degree of dysmenorrhea pain, moderate pain in front of the uterus up to; severe pain in the uterus posterior position up. Dysmenorrhea associated symptoms (frequency of appearance in more than 50% of the symptoms) were analyzed in different uterine position patients have systemic symptoms (fatigue) and mental symptoms (depression), the former is higher than the latter. The anterior uterus and median also accompanied by local symptoms (low back pain, leg pain) and digestive symptoms (loss of appetite), while the posterior uterine symptoms of these local symptoms and digestive symptoms were not significant. Conclusion The location of the uterus may have an effect on the degree of dysmenorrhea and symptoms associated with dysmenorrhea, and may be related to the related meridians.