摘要
围绝经期综合征患者的日常生活经常受到该疾病的影响和困扰,而对围绝经期妇女的医疗、预防、保健知识的宣传相对薄弱,因此建立一套中医综合干预围绝经期综合征的防治方案具有很强的实用性和必要性。目的:观察中医综合疗法治疗社区妇女围绝经期综合征的临床疗效。设计、场所、对象和干预措施:选择上海市3个社区符合入选要求的围绝经期妇女,按照中医相关证候标准辨证分型,分为肾阴虚型、肾阳虚型、心肝火旺型和肝气郁结型4型,对其进行中药、耳穴、心理辅导和传统保健操四位一体的中医综合疗法干预。主要结局指标:改良Kupperman评分以4周为1个观察周期,共观察12周,评定4次;围绝经期生存质量量表(menopause-specific quality of life questionnaire,MENQOL)评分在治疗前与治疗后各评定1次,共评定2次。结果:4个证型的Kupperman评分的转阴率在4周、8周、12周时均无明显的统计学差异。治疗前和治疗第12周的改良Kupperman评分和MENQOL评分则具有显著的统计学差异,中医综合治疗的总有效率达到97.83%。结论:中药、耳穴、心理辅导和传统保健操四位一体的中医综合疗法可明显改善社区围绝经期综合征妇女的生理和心理状况,具有良好的临床疗效,可进行示范性应用,在有条件的社区推广。
Backgroud：As perimenopausal syndrome is a particularly disturbing condition to the patient,it is practical and necessary to establish a program of comprehensive traditional Chinese medicine therapy for women with perimenopausal syndrome.Objective：To observe the therapeutic effects of a comprehensive traditional Chinese medicine therapy for women with perimenopausal syndrome in the community.Design,setting,participants and interventions：Women with perimenopausal syndrome who met the inclusion criteria in 3 communities of Shanghai were selected for this study.Comprehensive traditional Chinese medicine therapy,including administration of Chinese herbs,auricular point therapy,psychological counseling and the practice of Tai Chi,was applied for these women.Main outcome measures：The modified Kupperman index was measured once every 4 weeks for 12 weeks;the indexes of menopause-specific quality of life（MENQOL）questionnaire were measured before and after the treatment.Results：There was no significant difference in 4 groups of negative conversion ratio of the modified Kupperman index at the 4th,8th and 12th week,respectively.The indexes of the MENQOL questionnaire showed significant differences in 4 groups before and after the treatment.The overall efficacy rate of the comprehensive traditional Chinese medicine therapy in women with perimenopausal syndrome achieved 97.84% at the 8th and the 12th week.Conclusion：The comprehensive traditional Chinese medicine therapy can achieve significant improvements in women with perimenopausal syndrome who exhibit both physical and psychological symptoms.With such significant clinical effects,the comprehensive traditional Chinese medicine therapy should be promoted in the community.
出处
《中西医结合学报》
CAS
2011年第3期287-291,共5页
Journal of Chinese Integrative Medicine
基金
上海市科学技术委员会医学引导类科技资助项目(No.074119637)
关键词
围绝经期
中医治法
社区医学
问卷调查
perimenopause
therapeutic methods of traditional Chinese medicine
community medicine
questionnaires
