The Investigation Of The Clinical Characteristics Of Dysmenorrhea

Dysmenorrhea refers to the menstrual period or before and after menstrua-tion, cyclical abdominal pain, or pain in the lumbosacral, even faint. According to the presence or absence of pelvic lesions, divided into primary dysmenorrhea and sec-ondary dysmenorrhea. The incidence of reported on dysmenorrhea in about 30-80%, which greatly affect the normal life and work of women. Western medicine treatment of dysmenorrhea mainly by drugs of non steroidal anti-inflammatory drugs and con-traceptive treatment, more side effects. Chinese medicine treatment of dysmenorrhea not only various methods, and less side effect, has obvious advantages. To further ex-plore the etiology, syndromes of dysmenorrhea main characteristics and prevention measures, studied this topic.ObjectiveTo investigate the etiology of dysmenorrhea, the main syndrome characteristics and prevention and control measures. By 2000 cases of dysmenorrhea clinical inves-tigation, it focuses on the clinical characteristics of the type of cold coagulation and blood stasis, dysmenorrheal. On the basis make clinical research program of the type of cold coagulation and blood stasis dysmenorrhea.MethodsThe topics include dysmenorrhea literature review, dysmenorrhea clinical cha-racteristics investigation and study of the treatment for congealing cold and blood sta-sis dysmenorrhea clinical. First part of dysmenorrhea literature review, investigation of the second part dysmenorrhoea pathogeny in the form of questionnaire survey, syndrome characteristics, prevention and treatment, the contents of the questionnaire points as the main symptoms of general information, causes of dysmenorrhea, dys-menorrhea, dysmenorrhea of secondary syndrome feature and dysmenorrhea related measures in five areas, a total of 78 road problem, including multiple-choice and radio. After the end of the investigation will input data in an excel table, the database was established. By using SPSS 17.0 statistical analysis; In the questionnaire on the basis of the study, establishend the clinical research program of congealing cold coagula-tion and blood stasis dysmenorrhea.Results(1) The survey mainly concentrated in the 13-14 years old age at menarche. After menarche,menstrual period, menstrual cycle, the normal proportion was 49.8%,88.6%,46.4%. The normal proportion is the most.(2) Survey found 2000 cases of patients with dysmenorrhea, mild accounted for 62.6%, moderate accounted for 26%, severe 9.1%, other is 2.3%, dysmenorrhea pa-tients in the course of the disease distribution in 1～5 years accounted for 32.2%, with the increase of the degree of dysmenorrhea, dysmenorrhea disease presenting in-creasing trend, no statistical significance by test, not the same degree of dysme-norrhea patients in the course of the disease shows no significant difference.(3) Dysmenorrhea incentives that have a clear incentive to 66.3%, among them to feel the cold who most accounted for 74.0%, followed by diet 40.4%,30.5%of physical factors, emotional factors 30.2%,18.5% movement, genetic factors 7.8%.(4) On the whole with the severity of dysmenorrhea, Qi deficiency symptoms more obvious. In more than 50% patients with mild dysmenorrhea Yaoxisuanruan, less gas lazy words, Shenpi fatigue symptoms, moderate dysmenorrhea is over 70%, there are more than 80% accompanied with severe dysmenorrhea symptoms, showed an increasing trend.(5)The choice of drugs in patients with severe dysmenorrhea in western medicine combined with Chinese medicine accounted for 43.4%. the way of single Chinese medicine accounted for 18.7%,accounted for 12.6% of oral antibio-tics painkillers, for patients with dysmenorrhea, choose the most is the decoc-tion dosage form accounted for about 26.5%, followed by water pillaccounted for 23.7%.(6) The survey results showed that patients with cold coagulation and blood stasis dysmenorrhea of 1063 people, accounting for 53.2% of investigation number. In the mild, moderate and severe patients with dysmenorrhea, cold coagulation and blood stasis type the number of patients respectively 589,338,182, the proportion were 47.0% and 65.0%,61.5%, congealing cold and blood stasis dysmenorrhea in moderate and severe dysmenorrhea occupied larger proportion, but there was no significant dif-ference. The clinical characteristics of congealing cold and blood stasis dysmenorrhea: 44.8% patients with dysmenorrhea dysmenorrhea start time occurred in 1 year after menarche,66.1% to menstrual pain, the nature of pain with cold pain pain reduction in the heat for, accounted for 30.5%, pain at the site of pain in the lower abdomen 78.3% and symptoms appear frequency before five in turn belly chills, more or less quantity, and the poor, the quantity is little, the dark purple color with block, soreness and weakness of waist and knees.(7) Patients with cold coagulation and blood stasis dysmenorrhea in patients with non cold coagulation and blood stasis dysmenorrhea compared, feeling cold frequency, has a significant difference; mild dysmenorrhea patients, cold coagulation and blood stasis dysmenorrhea proportion is not low cold coagulation and blood stasis dysme-norrhea, and in severe pain, the patients cold coagulation and blood stasis dysmenorr-hea, the proportion is not high cold coagulation and blood stasis dysmenorrhea, but statistically no significant difference; cold coagulation and blood stasis dysmenorrhea syndrome microgastropods Lengtong pain reduction in the heat, lower abdomen, body chills, chills the dark purple color with block, the quantity is less, or more or by vo-lume but less than the frequency of cold coagulation and blood stasis dysmenorrhea, poor urine long appear high, statistically significant difference, to validate the current differentiation standard of cold coagulation and blood stasis dysmenorrhea specific.Conclusion(1) The age of menarche, menstrual cycle, menstruation time and the amount of dysmenorrhea and no relation. The degree of dysmenorrhea in mild and mod-erate. Dysmenorrhea mainly cause to feel cold. Dysmenorrhea syndrome mainly is mixed with the actual situation, and with the severity of dysmenorr-hea symptoms more obvious deficiency. Severe dysmenorrheapatients on drug selec-tion combined with western medicine.(2) The type of cold coagulation and blood stais dysmenorrhea in dysmenorr-hea patients withthe highest proportion of. The syndrome types of dysmenorrhea be-gan to appear mostly in 1 year after menarche, pain occurring time mainly in the pre-menstrual and menstrual, pain at the site of multi in the lower abdomen, the nature of pain mainly cold pain pain reduction in the heat, the frequency of occurrence of symptoms of the top five were followed by belly chills, more or less quantity, and the poor, the quantity is little, the dark purple color with block, soreness and weakness of waist and knees.(3) Patients with cold coagulation blood stasis dysmenorrheal and non cold coa-gulation and blood stasisdysmenorrhea compared to feel more closely relationship with cold. Patients with cold coagulation and blood stasis dysmenorrhea than patients with non cold coagulation and blood stasis dysmenorrhea, more distributed in, in severe dysmenorrhea. Congealing cold and blood stasis dysmenorrhea patients with syndrome and non congealing cold and blood stasis dysmenorrhea patients com-pared difference, verify the type of cold coagulation and blood stasis dysmenorrhea syndrome differentiation standard of specificity.