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子宫脱垂患者中医证型调查研究*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2018年04期
页码:
47-50
栏目:
临床研究
出版日期:
2019-03-25

文章信息/Info

Title:
Investigation of TCM Syndrome Types in Patients with Uterine Prolapse
文章编号:
1000 - 2723(2018)04 - 0047 - 04
作者:
杨碧蓉蒋国静△马庆良周华
(上海中医药大学附属曙光医院妇产科,上海 201203)
Author(s):
YANG Birong JIANG Guojing MA Qingliang ZHOU Hua
(Department of Obstetrics and Gynecology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)
关键词:
子宫脱垂 中医证型 病情 辨证治疗
Keywords:
uterine prolapse TCM syndrome disease condition dialectical treatment
分类号:
R271.9
DOI:
10.19288/j.cnki.issn.1000-2723.2018.04.010
文献标识码:
A
摘要:
目的探讨子宫脱垂患者中医证型规律,为临床准确辨证治疗和预防提供客观依据。方法采用回顾性研究,将75例子宫脱垂患者进行问卷调查。将所有患者按年龄分组,分为≥70岁组、60~69岁组、<60岁组3组,对比各组患者子宫脱垂分度;将患者分为气虚型组、肾虚型组、湿热型组,对比各组子宫脱垂程度和患者年龄分布。给予辨证论治。结果75例患者不同年龄组中,子宫脱垂程度从高至低依次为≥70岁组、60~69岁组、<60岁组,差异有统计学意义(P<0.05)。不同证型组中子宫脱垂程度占比差异无统计学意义(P>0.05)。不同证型组年龄分布差异无统计学意义(P>0.05)。结论子宫脱垂患者最常见中医证型为气虚型和肾虚型,湿热型少见;年龄越大则子宫脱垂分度越高,中医证型与年龄和西医分度无关;准确辨证治疗能有效改善病情,但严重者仍需要手术治疗。
Abstract:
Objective To analyze the pattern of traditional Chinese medicine(TCM) syndrome in patients with uterine prolapse so as to provide objective basis for clinical treatment and prevention. Methods A retrospective study was conducted in 75 patients with uterine prolapse. All the patients were divided into three groups according to age: over 70 years old group, 60~69 years old group, and less than 60 years old. the uterine prolapse grading of each group was compared, and the patients were divided into Qi deficiency group, kidney deficiency group and damp-heat group. the degree of uterine prolapse and age distribution of each group were compared. give treatment based on differentiation of symptoms and signs. Results In different age groups, the degree of uterine prolapse from high to low was ≥70-year-old group, 60~69-year-old group and<60-year-old group. The difference was statistically significant(P<0.05). There was no significant difference in the degree of uterine prolapse among different syndrome groups(P>0.05). There was no statistically significant difference in the age distribution of the patients in each group(P>0.05). Conclusion The most common TCM syndromes in patients with uterine prolapse were qi deficiency and kidney deficiency. Damp-heat type was rare. In addition, some patients with kidney deficiency type are also spleen deficiency type. The grade of prolapse was positively related with age. While TCM syndrome type had no relationship with patients’age and prolapse grading. Accurate dialectical treatment could effectively improve the condition of uterine prolapse. But severe prolapse cases still required surgery.

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备注/Memo

备注/Memo:
收稿日期: 2018 - 08- 06
*基金项目: 国家自然科学基金(81302997);上海市科学技术委员会科研计划项目(15401931400)
第一作者简介: 杨碧蓉(1986-),女,硕士,主治医师,研究方向:中西医结合治疗妇科病。
△通信作者: 蒋国静,E-mail:x18104515088@yeah.net
更新日期/Last Update: 2018-10-30