子宫内膜增生症的中医辨证分型探讨  

Discussion of TCM Pattern /Syndrome Differentiation of Endometrial Hyperplasia

作　　者：周征[1] 雷洁莹[1] 

机构地区：[1]广州市中医医院,广东广州510130

出　　处：《世界中西医结合杂志》2014年第10期1059-1061,共3页World Journal of Integrated Traditional and Western Medicine

基　　金：广东省中医药局科技项目(No.20111021)

摘　　要：目的探讨子宫内膜增生症（EH）的中医辨证特征。方法观察186例患者的中医辨证分型规律,对比总结其中医辨证在不同年龄、病程、病理分型等方面的分布情况。结果肾虚和脾虚为本病各年龄段及病程在1~10年的患者中最常见的辨证类型,各证型分布依次为肾虚型〉脾虚型〉血瘀型〉痰湿型〉血热型。虚证和寒证是EH最常见的中医证候,病程在〉1~5年、〉6~10年和〉10年的患者中亦均以寒证及虚证多见。病理类型中以单纯型增生的患者辨证为肾虚证多见。结论临床运用中医中药辨证治疗EH已取得了良好的临床疗效,且其副作用小,治疗期间无须避孕,而得到越来越多患者的青睐。Objective To discuss the characteristics of TCM pattern/syndrome differentiation of endometrial hyperplasia（EH）. Methods The rules of TCM pattern/syndrome differentiation were observed in 186 patients. The distribution of TCM pattern/syndrome differentiation was compared and summarized in terms of age, duration of sickness and pathological division. Results Kidney deficiency and spleen deficiency were the most common differentiated patterns of EH patients of different age and with the duration of sickness 1 to 10 years. The pattern distribution：kidney deficiency 〉 spleen deficiency 〉 blood stagnation 〉 phlegm damp 〉 blood heat. Deficiency syndrome and cold syndrome were the most common TCM syndromes of EH, and were also common in the patients with the duration of sickness 〉 1 to 5 years, 〉 6 to 10 years and 〉 10 years. Regarding pathological pattern, kidney deficiency was common in the patients of simple hyperplasia. Conclusion The treatment based on pattern/syndrome differentiation of TCM achieves the good clinical efficacy on EH and has little side effect,without contraceptive required. This therapeutic method is accepted by more and more patients.

关 键 词：子宫内膜增生症 中医辨证 中医证候分布 

分 类 号：R711.7[医药卫生—妇产科学]