子宫内膜异位症的中医证型分布与相关因素的研究  

Distribution of Chinese Medical Syndromes and Related Factors of Endometriosis

作　　者：季培英[1] 张婷婷[1] 徐莲薇[1] 曹琛[1] 邹坤[1] 李瑛[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院妇科,上海200437

出　　处：《上海中医药杂志》2009年第8期43-45,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市重点学科资助项目(S30303)

摘　　要：目的探讨子宫内膜异位症(EM s)的中医证型分布特点及相关因素。方法对152例EM s患者进行辨证分型,并分析其年龄、病变程度、流产次数,及对中医证型分布的影响。结果152例EM s患者证型分布为气滞血瘀型(43.4%)、肾虚血瘀型(27.1%)、湿热血瘀型(16.4%)、寒凝血瘀型(13.1%);22岁-28岁、29岁-35岁和36岁-42岁3个年龄段均以气滞血瘀型最多(P<0.05);病情轻度者气滞血瘀型居多,病情重度者肾虚血瘀型居多(P<0.05);从未流产患者气滞血瘀型较多,流产3次以上者肾虚血瘀型较多(P<0.05)。结论EM s证型出现频率由高至低为气滞血瘀型、肾虚血瘀型、湿热血瘀型、寒凝血瘀型;中医证型分布与年龄、病变程度、流产次数有一定相关性。Objective To explore the distribution of Chinese medical syndromes and related factors of endometriosis. Methods 152 cases of endometriosis were classified by syndrome differentiation. Ages, disease condition, abortion times and their influences on Chinese medical syndromes were analyzed. Results 152 cases of endometriosis were classified into four syndromes, including qi stagnation and blood stasis syndrome（43.4% ）, kidney deficiency and blood stasis syndrome（ 27. 1% ）, damp-heat and blood stasis syndrome （ 16.4% ）, and cold coagulation and blood stasis syndrome （ 13.1% ）. The highest frequency of qi stagnation and blood stasis syndrome occurred in the age groups of 22 to 28, 29 to 35, 36 to 42 （ P 〈0.05 ）. Qi stagnation and blood stasis syndrome was dominant in mild disease and non-abortion cases, and kidney deficiency and blood stasis occurred primarily in severe disease and those who had aborted for more than three times（P 〈0.05 ）. Conclusion The occurrence frequency of Chinese medical syndromes ranks decreasingly from qi stagnation and blood stasis syndrome, kidney deficiency and blood stasis syndrome, damp-heat and blood stasis syndrome to cold coagulation and blood stasis syndrome. And the distribution of the syndromes relates to the factors such as age, disease severity, and abortion times.

关 键 词：子宫内膜异位症 辨证分型 年龄 病变程度 流产 

分 类 号：R271.9[医药卫生—中西医结合]