产后盆底功能障碍的中医证素特征研究  

Study on Distribution Features of Syndrome Elements of Postpartum Pelvic Floor Dysfunction

作　　者：刘倩[1] 吴冬梅[1] 张敏[2] LIU Qian;WU Dong-Mei;ZHANG Min(The Second Affiliated Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou 350003, China;Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003 [2]福建中医药大学,福建福州350122

出　　处：《中国中医药信息杂志》2017年第12期12-16,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：福建省卫生厅青年科研课题(2014-2-32)

摘　　要：目的探讨产后盆底功能障碍的证素分布特征及组合规律,阐释其中医病机及证候特点,为该病的中医证候规范化研究提供依据。方法选取262例产后盆底功能障碍患者,运用证素辨证方法,探究其病位证素、病性证素分布及组合规律。结果常见病位证素为肾、胞宫、心神、肝;常见病性证素为气不固、气虚、气滞、阳虚、气陷。病位多为两脏器、三脏器组合,以肾+心神、肾+胞宫多见。病位+病性证素组合以肾+心神+气不固最常见。与肾相关的证候还可见肾气虚、肾阳虚、肾阳气虚、肾阴虚;与肝相关的证候为肝郁气滞;与肝、肾二脏相关的证候为肝肾阴虚;与脾、肾相关的证候为中气下陷、脾肾气虚。结论产后盆底功能障碍的病位主要在肾,涉及胞宫、心神、肝;病性以虚为主,重要病机为气不固。Objective To explore the distribution and combination rules of TCM syndromes of postpartum pelvic floor dysfunction patients;To interpret its pathogenesis and characteristics of TCM syndromes;To provide evidence for the TCM syndrome standardization study of the disease.Methods Totally262cases of postpartum pelvic floor dysfunction patients were included as the research objects.The distribution and combination rules of syndrome elements were analyzed by using the method of syndrome elements differentiation.Results The common syndrome elements of disease locations of postpartum pelvic floor dysfunction were kidney,uterus,mind and liver;the common syndrome elements of disease nature were insecurity of qi,qi deficiency,qi stagnation,yang deficiency and qi collapse.Usual form was two-viscera and three-viscera combination;the majority of combination were kidney+mind and kidney+uterus.The most common combination form of disease location and nature was kidney+mind+insecurity of qi.Moreover,there were other syndromes related to kidney,including kidney qi deficiency,kidney yang deficiency,dual vacuity of kidney yang and qi,kidney yin deficiency were associated with kidney syndromes;liver depression and qi stagnation was associated with liver;liver and kidney yin deficiency was associated with liver and kidney.Conclusion Kidney is the primary disease location of postpartum pelvic floor dysfunction,which also involves uterus,mind and liver.The main disease nature is deficiency,and insecurity of qi is the important pathology characteristic of this disease.

关 键 词：产后盆底功能障碍 证素 分布 组合 

分 类 号：R271.91[医药卫生—中西医结合]