KHẢO SÁT ĐẶC ĐIỂM TRIỆU CHỨNG LÂM SÀNG Y HỌC CỔ TRUYỀN CỦA BỆNH NHÂN ĐAU BỤNG KINH NGUYÊN PHÁT THUỘC HỘI CHỨNG THỰC HÀN, KHÍ TRỆ HUYẾT Ứ TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC TP. HỒ CHÍ MINH – CƠ SỞ 3

Abstract

Objective: To survey the characteristics of Traditional Medicine (TM) symptoms of patients with primary dysmenorrhea belonging to the Excess Cold and Qi stagnation and blood stasis syndromes at the University Medical Center Ho Chi Minh City – Branch 3 (UMC3). Subjects and Methods: A cross-sectional study was conducted on 72 patients with primary dysmenorrhea belonging to the Excess Cold and Qi stagnation and blood stasis syndromes. Results: The median age was 24.0 years. BMI was 20.8 kg/m2. The prevalence of premenstrual symptoms included back pain (86.1%), abdominal pain (80.6%), breast distension (62.5%), and irritability (59.7%). Pain severity according to the VAS scale was 6 – 8 points, and the total duration of pain was 48 hours. According to TM, the Qi stagnation and blood stasis syndrome accounted for 59.7%, and the Excess Cold syndrome accounted for 40.3%. The Cronbach’s alpha coefficient for the Excess Cold syndrome was 0.75, and for the Qi stagnation and blood stasis syndrome was 0.88. Conclusion: Primary dysmenorrhea is common at the age of 24 years. Over 50% of patients have premenstrual symptoms. The average pain severity is 6 – 7 points, and the pain duration is approximately 48 hours. According to TM, the Qi stagnation and blood stasis syndrome accounts for a higher proportion than the Excess Cold syndrome. The internal reliability of the diagnostic criteria for both the Qi stagnation and blood stasis syndrome and the Excess Cold syndrome reached a good level with a Cronbach’s alpha coefficient >0.7.