不孕症患者922例中医体质分布特点  

Characteristics of traditional Chinese medicine constitution distribution in 922 infertility patients

作　　者：梅如冰 张迎春[1] 郑易炜 MEI Rubing;ZHANG Yingchun;ZHENG Yiwei(Maternal and Child Health Hospital of Hubei Province,Wuhan 430070,China;Affiliated Hospital of Hubei University of Chinese Medicine/Hubei Provincial Hospital of TCM,Wuhan 430000,China)

机构地区：[1]湖北省妇幼保健院,武汉430070 [2]湖北中医药大学附属医院/湖北省中医院,武汉430000

出　　处：《中华中医药杂志》2024年第7期3798-3801,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第六批全国老中医药专家学术经验继承工作项目(No.国中医药人教发[2017]29号)。

摘　　要：目的:探讨922例不孕症患者中医体质分布特点。方法:选取湖北省妇幼保健院中医科门诊中自2019年10月至2022年6月行中医体质辨识并诊断为不孕症的患者,记录患者一般情况,分析其中医体质分布情况及其与年龄、病程长短及不孕类型之间的关系。结果:阳虚质为不孕症患者所占比例最高的中医体质[27.33%(252/922)],其次为平和质、气郁质、湿热质等;不孕症患者兼夹体质较单一体质多见,兼夹体质又以阳虚质兼夹气郁质、气虚质最多;原发性不孕患者痰湿质占比较继发性不孕患者高(P<0.05),湿热质在21~27岁群体中占比最高(P<0.05),血瘀质在42~48岁群体中占比最高(P<0.05)。结论:阳虚质是不孕症的高发体质类型,不同体质的形成可能与不孕症类型、年龄有关。Objective:To investigate the distribution of traditional Chinese medicine(TCM)constitution in 922 infertility patients.Methods:The patients who were diagnosed as infertility by TCM constitution identification from October 2019 to June 2022 in the TCM Clinic of Maternity and Child Health Hospital of Hubei Province were selected,their general conditions were recorded,and the distribution of their TCM constitution and its relationship with age,duration and type of infertility was analyzed.Results:Yang deficiency was the highest proportion of infertility patients in TCM constitution[27.33%(252/922)],followed by calmness,qi depression and damp heat,etc..Infertility patients with double clip constitution were more common than single constitution,and the double clip constitution was mostly characterized by yang deficiency and qi depression,and qi deficiency.The proportion of phlegm dampness in primary infertility patients was higher than that in secondary infertility patients(P<0.05),the proportion of damp heat in 21-27 years old group was the highest(P<0.05),and the proportion of blood stasis in 42-48 years old group was the highest(P<0.05).Conclusion:Yang deficiency is a type of constitution with high incidence of infertility,and the formation of different constitutions may be related to the type and age of infertility.

关 键 词：不孕症 中医体质 治未病 阳虚质 气郁质 

分 类 号：R271.14[医药卫生—中医妇科学]