摘要
目的:分析盆腔炎性疾病后遗症(sequelae of PID,SPID)中医证型与中医体质的相关性。方法:选取诊断为SPID的患者290例,统计患者中医体质类型及中医证候分布情况,分析不同中医体质SPID患者的中医证型分布情况,探究其中医体质与中医证型之间的相关性。结果:SPID患者体质以阳虚质、气虚质、气郁质为主,中医证型中气虚血瘀证最多,其他依次为湿热瘀结证、气滞血瘀证、肾虚血瘀证、寒湿瘀滞证。290名SPID患者中,气虚质与气虚血瘀证、肾虚血瘀证相关;阳虚质与寒湿凝滞证、气虚血瘀证相关;痰湿质、气郁质、血瘀质与气滞血瘀证相关;湿热质与湿热瘀结证相关;平和质、特禀质与中医证型比较差异无统计学意义(P>0.05)。结论:阳虚质、气虚质、气郁质的人更容易罹患SPID,且中医证候与中医体质明确存在相关性,不同体质可能影响SPID患者发病及发病后的中医证候特点。
Objective:To analyze the correlation between the constitution and TCM patterns in SPID.Methods:All 290 patients diagnosed as SPID were chosen,to count TCM constitutions and the distribution of TCM patterns,to analyze the distribution of TCM patterns in SPID patients of different TCM constitutions,and discuss the correlation between TCM constitution and TCM patterns.Results:SPID patients were of Yang deficiency,Qi deficiency and Qi depression constitutions mainly,Qi deficiency and blood stasis pattern the most among TCM patterns,the others were damp heat stasis pattern,Qi stagnation and blood stasis pattern,kidney deficiency and blood stasis pattern,and cold dampness stasis pattern in order.Among 290 SPID patients,Qi deficiency constitution was related to Qi deficiency and blood stasis pattern,and kidney deficiency and blood stasis pattern;Yang deficiency constitution was relevant to cold dampness stasis pattern,and Qi deficiency and blood stasis pattern;phlegm damp constitution,Qi depression constitution and blood stasis constitution were related to Qi stagnation and blood stasis pattern;damp-heat constitution was related to damp heat stasis pattern;the difference had no statistical meaning when mild constitution and special constitution were compared with TCM patterns(P>0.05).Conclusion:The population of Yang deficiency constitution,Qi deficiency constitution and Qi depression constitution is more susceptible to SPID,and TCM patterns present the correlation to TCM constitution definitely,different constitutions may affect the onset of SPID patients and the characteristics of TCM patterns after the onset.
作者
徐静
张海娣
郭雅静
高小静
翟楠
陈慧娟
XU Jing;ZHANG Haidi;GUO Yajing;GAO Xiaojing;ZHAI Nan;CHEN Huijuan(Hebei University of Chinese Medicine,Shijiazhuang 050000,China;Hebei Provincial TCM Hospital,Shijiazhuang 050000,China)
出处
《西部中医药》
2023年第6期66-69,共4页
Western Journal of Traditional Chinese Medicine
基金
河北省在读研究生创新能力培养资助项目(XCXZZSS2021044)。
