安徽中医药大学学报2024,Vol.43Issue(1) :16-21.DOI:10.3969/j.issn.2095-7246.2023.00.000

1601例盆腔炎性疾病及其后遗症患者中医证型分布特征

Distribution and Characteristics of Traditional Chinese Medicine Syndrome Types in Patients with Pelvic Inflammatory Disease and Its Sequelae:An Analysis of 1601 Cases

罗艺苹 李茂雅 魏绍斌 王霞 蔡福梅 甘雨玉 陈雨舟
安徽中医药大学学报2024,Vol.43Issue(1) :16-21.DOI:10.3969/j.issn.2095-7246.2023.00.000

1601例盆腔炎性疾病及其后遗症患者中医证型分布特征

Distribution and Characteristics of Traditional Chinese Medicine Syndrome Types in Patients with Pelvic Inflammatory Disease and Its Sequelae:An Analysis of 1601 Cases

罗艺苹 1李茂雅 1魏绍斌 1王霞 1蔡福梅 1甘雨玉 1陈雨舟1
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作者信息

  • 1. 成都中医药大学附属医院,四川 成都 610075
  • 折叠

摘要

目的 探究盆腔炎性疾病(pelvic inflammatory disease,PID)和盆腔炎性疾病后遗症(sequelae of pelvic in-flammatory disease,SPID)患者中医证型分布特征.方法 以成都中医药大学附属医院为牵头单位,通过横断面调查,对全国17个省、自治区、直辖市的22家医院的1 601例PID和SPID患者(其中PID患者874例,SPID患者727例)的中医证候特征进行分析.结果 PID以湿热蕴结证(占40.96%)、湿热瘀结证(占30.32%)、瘀热内结证(占10.64%)、热毒炽盛证(占7.89%)为常见证型;盆腔炎性疾病反复发作急性期以湿热瘀结证(占22.39%)、气滞血瘀夹湿热证(占22.39%)为常见证型;SPID非急性加重期以湿热瘀结证(占38.52%)为常见证型;其中慢性盆腔疼痛、盆腔炎性疾病反复发作、不孕症以湿热瘀结证为常见证型.PID患者湿热蕴结证、湿热瘀结证在所有地区的分布频率均较高,瘀热内结证、热毒炽盛证在西南地区分布较多;SPID患者的证型中,西南、华中、华南地区以湿热瘀结证、气滞血瘀证较多见,气虚血瘀证在华中、西北地区分布频率较高,肾虚血瘀证在华东、华北地区分布频率较高,寒湿凝滞证在西北、东北地区分布较多;中医证型与地区分布的差异有统计学意义(P<0.05).结论 PID和SPID中医证型分布具有一定规律性,地区分布存在一定差异性,可为临床因地制宜地辨证治疗PID提供一定的参考依据.

Abstract

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.

关键词

盆腔炎性疾病/盆腔炎性疾病后遗症/中医证候/分布特征/横断面调查

Key words

Pelvic inflammatory disease/Sequelae of pelvic inflammatory disease/Traditional Chinese medicine syndrome/Dis-tribution characteristics/Cross-sectional survey

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基金项目

国家自然科学基金项目(82174431)

国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)

出版年

2024
安徽中医药大学学报
安徽中医学院

安徽中医药大学学报

CSTPCD
影响因子:0.796
ISSN:2095-7246
参考文献量9
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