612例肾虚相关证型功能性子宫出血患者证型分布规律的临床调查  

Epidemiological survey of TCM syndromes distribution related to kidney deficiency in 612 patients with DUB

作　　者：马惠荣[1] 尤昭玲[2] 赵新广[2] 尹香花[2] 雷磊[2] 陈景伟[1] 

机构地区：[1]河北医科大学,石家庄050091 [2]湖南中医药大学,长沙410208

出　　处：《中华中医药杂志》2010年第1期20-23,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：十一五国家科技支撑计划(No.2007BAI20B016);湖南省教育厅重点项目(No.05A031);湖南省博士后基金(No.2007RS4020)~~

摘　　要：目的:了解肾虚相关证型功血患者中医证型分布状况,为规范功血辨证诊断标准奠定基础。方法:采用临床流行病学横断面调查方法,对612例肾虚相关证型功血患者进行问卷调查和各证型的频数统计。结果:复合肾虚证型(510,83.33%)较单一证型(102,16.67%)多见。单一证型中,肾阴虚(45,44.12%)、肾气虚(45,41.18%)多见。且肾气虚多兼肝郁(68,11.09%)、血虚(57,9.30%)、血瘀(57,9.30%);肾阴虚证多兼肝郁(113,18.43%)、血瘀(99,16.15%)和血虚证(49,7.99%);肾阳虚证多兼脾气虚证(75,12.23%)。排卵型功血多见肾气虚证(186,57.23%),无排卵型功血多见肾气虚(146,50.69%)、肾阴虚(111,38.54%)。结论:临床肾虚功血多为复合证型,常易相兼的其他证型有肝郁、脾虚、血虚、血瘀。Objective： To investigate the syndromes distribution in patients with dysfunctional uterine bleeding（DUB） related to kidney deficiency, and to provide the basis for standardizing the DUB syndrome differentiation of kidney deficiency. Methods： DUB Patients with kidney deficiency were chosen and accepted epidemical survey through the questionnaire, then the frequency and constituent ratio of each syndrome were calculated. Results： In 612 cases of DUB patients with kidney deficiency, there were 102 patients with simple syndromes covered 16.67%, and 510 patients with compound syndromes covered 83.33%. In patients with simple syndromes, the common syndromes were kidney-yin deficiency（45,44.12%） and kidney-qi deficiency（45,41.18%）. And the syndromes of kidney-qi deficiency and kidney-yin deficiency were often respctively complicated with liver stagnation（68,11.09%; 113,18.43%）, blood deficiency（57,9.30%; 99,16.15%） and blood stasis（57,9.30%; 99,16.15%）, the syndrome of kidney-yang deficiency usually complicated with spleen-qi deficiency（75,12.23%）. The syndrome of kidney-qi deficiency （ 186,57.23% ） was commonly-seen in the patients with ovular DUB, while the syndromes of kidney-qi（146,50.69%） and kidney-yin deficiency（111,38.54%） were frequently-seen in the patients with anovular DUB. Conclusion： In clinic, the compound syndromes were commonly seen in patients with DUB due to kidney deficiency, the complicated syndromes of kidney deficiency were liver stagnation, spleen-qi deficiency, blood deficiency and blood stasis.

关 键 词：功血 肾虚相关证型 临床流行病学凋鱼 证型分布 

分 类 号：R271.9[医药卫生—中西医结合]