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中医药研究论丛
 263.1 青少女经痛与中医体质之相关性研究： 以兰阳女中为例
TJ TCM.26(3) : 1-13, 2023
DOI : : 10.6516/TJTCM.202309_26(3).0001
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青少女经痛与中医体质之相关性研究： 以兰阳女中为例
Correlation between Dysmenorrhea and
TCM Constitution in Female Adolescents:
An Example of Lan-Yang Girls’ Senior High School
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简净音 1 赖慧真 2 蔡金川 3 陈旺全 3,4 吕万安 5,*
1 佛光大学文化资产与创意学研究所
2 实效整合医疗医学会
3 义大医疗财团法人义大医院中医科
4 义守大学学士後中医学系
5 佛光大学乐活产业学院
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【摘要】
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目的：经痛（dysmenorrhea）是妇女常见的疾病之一，不仅影响女性的生理质 量，还影响生理层面，整体观念和辨证论治是中医两个基本特点，和体质有密 不可分的关系，本研究乃针对青少女进行经痛与中医体质的关系探讨，进一步 分析是否与个案之人口学资料、疾病状况、家族病史、疾病治疗等有所关联， 希望能够提供中西医师在临床上之叁考。 方法：本研究采取结构式问卷调查，以立意取样为原则，对象为国立兰阳女中 学生进行随机抽签，问卷第一部份为个人 基本资料，第二部份为经期相关资 料，第三部份是中医体质量表。
结果：共收案 483人，足岁年龄15岁 110人（22.8%），16岁147人（30.4%），17 岁168人（34.8%），初经年龄11岁90人（18.6%），12岁173人（35.8%），13 岁121人（25.1%），BMI 过轻124人（25.7%），BMI 过重33人（6.8%），BMI 属肥胖21人（4.3%）。其中有经痛经验者283人（58.6%），无经痛经验者188 人（38.9%），经痛最主要的不适症状为下腹疼痛，经期各类疼痛与程度则以 轻度阵阵的抽痛与难受最多；经痛程度与中医体质具有显着相关性（χ2 =14.06 ，p=.03＜.05），相反的经痛有无与中医体质则无显着相关性。
结论：经痛严重度或严重经痛和中医体质具有关系
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【关键词】痛经、中医体质、原发性痛经、继发性痛经、青少女
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Ching-Yin Chien, M.A. 1 Hui-Chen Lai, M.D.2 Chin-Chuan Tsai, M.D., Ph.D. 3 Wang-Chuan Chen, M.D., Ph.D. 3,4 Wan-An Lu, M.D., Ph.D.5,*
1 Graduate Institute of Cultural Assets and Reinvention, Fo Guang University, Yilan, Taiwan;
2 Effectived Integration Medical Association, Taipei, Taiwan;
3 Department of Chinese Medicine, E-DA Dachang Hospital, The School of Chinese Medicine for Post-Baccalaureate, I Shou University, Kaohsiung, Taiwan;
4 The School of Chinese Medicine for Post-Baccalaureate, I Shou University, Kaohsiung, Taiwan.
5 College of LOHAS Industry, Fo Guang University, Yilan, Taiwan.
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【Summary】
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Purpose: Dysmenorrhea is one of the common diseases among women. It not only affects women’s physical quality, but also affects the physiological level. Holistic concept and syndrome differentiation and treatment are two basic characteristics of traditional Chinese medicine, which are inseparable from physical fitness. This study was investigated the correlation between dysmenorrhea and TCM constitution in female adolescents, further analyze whether it is related to the demographic data, disease status, family history and disease treatment, hoping enough traditional Chinese physician and Western physician’s clinical references.
Methods: This study adopts a structured questionnaire survey with the purposive sampling. The objects are randomly selected students of National Lan-Yang Girls’ Senior High School. The first part of the questionnaire is personal basic information, the second part is menstrual related information, and the third part is TCM constitution quality table.
Results: A total of 483 cases were accepted, among which 110 (22.8%) were 15 years old, 147 (30.4%) were 16 years old, and 168 (34.8%) were 17 years old. There were 90 (18.6%) at the menstrual age of 11, 173 (35.8%) at the menstrual age of 12, and 121 (25.1%) at the menstrual age of 13. There were 124 (25.7%) had an 13 underweight BMI, 33 (6.8%) had an overweight BMI, and 21 (4.3%) had an obese BMI. Among them, 283 (58.6%) had menstrual pain experience, and 188 (38.9%) had no menstrual pain experience. The main symptom of menstrual pain is lower abdominal pain, and the most common type and degree of menstrual pain is mild throbbing pain and discomfort. here is a significant correlation between the degree of menstrual pain and TCM constitution (χ2 =14.06，p=.03＜.05), on the contrary, there is no significant correlation between the presence of dysmenorrhea and TCM constitution.
Conclusion: There is a relationship between the severity of menstrual pain or severe menstrual pain and TCM constitution.
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【Keywords】dysmenorrhea, Traditional Chinese Medicine Constitution, primary dysmenorrhea, secondary dysmenorrhea, female adolescents
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