王俊君, 张英, 邵明凤, 马春来. 上海某社区孕妇焦虑状态与中医体质相关性研究[J]. 上海预防医学, 2019, 31(5): 400-404. DOI: 10.19428/j.cnki.sjpm.2019.19222
引用本文: 王俊君, 张英, 邵明凤, 马春来. 上海某社区孕妇焦虑状态与中医体质相关性研究[J]. 上海预防医学, 2019, 31(5): 400-404. DOI: 10.19428/j.cnki.sjpm.2019.19222
WANG Jun-jun, ZHANG Ying, SHAO Ming-feng, MA Chun-lai. Correlation between anxiety state of pregnant women and TCM physique in a community in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2019, 31(5): 400-404. DOI: 10.19428/j.cnki.sjpm.2019.19222
Citation: WANG Jun-jun, ZHANG Ying, SHAO Ming-feng, MA Chun-lai. Correlation between anxiety state of pregnant women and TCM physique in a community in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2019, 31(5): 400-404. DOI: 10.19428/j.cnki.sjpm.2019.19222

上海某社区孕妇焦虑状态与中医体质相关性研究

Correlation between anxiety state of pregnant women and TCM physique in a community in Shanghai

  • 摘要:
    目的了解上海某社区孕妇的焦虑状态及其与中医体质的相关性,为防治孕妇焦虑提供客观依据。
    方法对社区建档的381个孕妇,采用调查问卷形式,通过焦虑自评量表(SAS)和中医9种基本体质分类量表进行是否焦虑判定和体质分型,并分析焦虑状态及其与中医体质的相关性。
    结果总计调查381例孕妇,有焦虑状态91例(23.89%),其中焦虑孕妇以特禀(含兼夹特禀)78例(27.56%)、气郁(含兼夹气郁)89例(26.57%)、痰湿(含兼夹痰湿)86例(26.06%)、湿热(含兼夹湿热)82例(26.03%);非焦虑状态290例(76.11%),以平和质21例(100.00%)、气虚(含兼夹气虚)275例(75.34%)、阴虚(含兼夹阴虚)264例(75.21%)、阳虚(含兼夹阳虚)244例(74.16%);单因素分析结果显示,焦虑与体质分型里的平和、阳虚、血瘀、气郁、特禀及湿热体质以及与学历有显著的相关性(P<0.05)。多因素logistic回归分析结果显示,平和体质、气郁体质、特禀体质、以及学历与孕妇焦虑密切相关。
    结论该社区孕妇焦虑发生率23.89%,其中以特禀(含兼夹特禀)、气郁(含兼夹气郁)、痰湿(含兼夹痰湿)、湿热(含兼夹湿热)为最多见的体质类型。其中中专及以下学历焦虑发生率30.19%,高于平均发生率;气郁、特禀体质的孕妇更易发生焦虑。

     

    Abstract:
    ObjectiveTo investigate the anxiety state of pregnant women in a community in Shanghai and its correlation with TCM constitution, providing evidence for prevention and treatment of anxiety of pregnant women.
    MethodsThe anxiety and constitution classification of the 381 pregnant women in the community were determined by self-rating anxiety scale (SAS) and 9 basic constitution classification scales of TCM, on the basis of which the relationship between anxiety state and TCM constitution was analyzed.
    ResultsOf the 381 pregnant women investigated, 91 (23.89%) were anxious.Among them, 78 (27.56%) were special constitution, 89 (26.57%) Qi-depressed, 86 (26.06%) phlegm-dampness, 82 (26.03%) damp-heat, 290 (76.11%) non-anxious and 21 (100.00%) calm.And 275 cases (75.34%), 264 cases (75.21%) and 244 cases (74.16%) were of Qi deficiency, Ying deficiency, and Yang deficiency, respectively.Univariate analysis showed that anxiety was significantly correlated with peace, Yang deficiency, blood stasis, Qi depression, special endowment and damp-heat constitution as well as educational background (P < 0.05).Multivariate logistic regression analysis showed that calm constitution, Qiyu constitution, special constitution, and educational background were closely related to anxiety of pregnant women.
    ConclusionThere is a significant correlation between anxiety state of pregnant women in community and the constitution of traditional Chinese medicine and education level.The lower the education level, the more likely the pregnant women with Qi depression and special constitution are to have anxiety.

     

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