Distribution and Characteristics of Traditional Chinese Medicine Syndrome Types in Patients with Pelvic Inflammatory Disease and Its Sequelae:An Analysis of 1601 Cases
Objective To investigate the distribution and characteristics of traditional Chinese medicine(TCM)syndrome types in patients with pelvic inflammatory disease(PID)or sequelae of pelvic inflammatory disease(SPID).Methods With The Affil-iated Hospital of Chengdu University of Traditional Chinese Medicine as the leading unit,across-sectional survey was conducted to investigate the characteristics of TCM syndrome types among 1 601 patients(874 patients with PID and 727 with SPID)from 22 hospitals in 17 provinces,autonomous regions,and municipalities directly under the Central Government.Results For the patients with PID,common syndrome types were damp-heat accumulation syndrome(40.96%),damp-heat and blood stasis syn-drome(30.32%),internal stasis and heat accumulation syndrome(10.64%),and heat toxin exuberance syndrome(7.89%).For the patients in the acute stage of recurrent pelvic inflammatory disease(RPID),damp-heat and blood stasis syndrome(22.39%)and Qi stagnation and blood stasis with damp-heat syndrome(22.39%)were common syndrome types,and for those with SPID(without acute exacerbation),damp-heat and blood stasis syndrome(38.52%)was the most common syndrome type.Damp-heat and blood stasis syndrome was a common syndrome type in chronic pelvic pain,RPID,and infertility.For pa-tients with PID,damp-heat accumulation syndrome and damp-heat and blood stasis syndrome had a relatively high distribution frequency in all regions,while internal stasis and heat accumulation syndrome and heat toxin exuberance syndrome had a rela-tively high distribution frequency in Southwest China.For patients with SPID,damp-heat and blood stasis syndrome and Qi stagnation and blood stasis syndrome are common syndrome types in the Southwest China,Central China,and South China;Qi deficiency and blood stasis syndrome had a relatively high distribution frequency in Central China and Northwest China,syn-drome of kidney deficiency and blood stasis had a relatively high distribution frequency in East China and North China,and cold-dampness stagnation syndrome had a relatively high distribution frequency in Northwest China and Northeast China.There were significant differences in regional distribution between TCM syndrome types(P<0.05).Conclusion There are certain rules in the distribution of TCM syndrome types in PID and SPID,with certain differences in regional distribution,which provides a ref-erence for treatment in accordance with local conditions and syndrome differentiation-based treatment in clinical practice.
Pelvic inflammatory diseaseSequelae of pelvic inflammatory diseaseTraditional Chinese medicine syndromeDis-tribution characteristicsCross-sectional survey