勃起功能障碍中医体质学规律研究

目的研究勃起功能障碍(ED)与体质的关系.方法采用整群抽样和横断面研究与病例-对照研究方法进行研究.结果根据1 564例横断面研究样本和962例病例-对照研究样本的ED流行病学资料分析,结果提示,平和质体质对ED的发生起保护作用,实性体质和虚性体质是导致ED发生的体质基础;≤30岁的忧郁质者、31～50岁的湿热质者、＞50岁的痰湿质者、31岁以上的瘀血质者患ED的比例较高;肝郁肾虚证、肝郁脾虚证、肝郁气滞证、肝郁胆怯证、肝郁化火证常见于忧郁质者,肝肾阴虚证、肾阴虚证、心肾不交证、肝阴不足证常见于阴虚质者,湿热下注证、肝经湿热证、脾胃湿热证、湿热夹瘀证、阴虚湿热证常见于湿热质者,脾肾两虚证、肝肾阳虚证常见于阳虚质者,痰湿内盛证、肝郁痰凝证常见于痰湿质者,气滞血瘀证常见于瘀血质者.结论ED与体质有关,ED体质类型与年龄有关,ED证候与体质类型有关.

Regularity study on erectile dysfunction and biotypology of Chinese medicine

Objective To study the relationship between erectile dysfunction (ED) and the constitutions.(Method The) methods of group-sampling, cross-sectional study and case-control study were used in this research. Results According to the epidemiological analysis on 1564 samples of cross-sectional study and 962 samples of case-control study, the results showed that the gentle type of constitution had a protective effect on ED, sthenia type and asthenia type were the material bases of ED, melancholia type below the age of 30, dampness-heat type at ages of 31-50, phlegm-dampness type over the age of 50 and blood stasis type over the age of 31 had a higher morbidity of ED. The syndromes of liver depression and kidney deficiency, liver depression and spleen asthenia, liver depression and qi stagnation, liver depression and gallbladder-qi deficiency, and liver depression transforming into fire were common in the melancholia type. The syndromes of deficiency of liver-kidney yin, kidney-yin deficiency, disharmony between heart and kidney, and liver-yin insufficiency were common in yin asthenia type. The syndromes of downward flow of dampness-heat, dampness-heat of liver meridian, dampness-heat in spleen and stomach, dampness-heat combined with stasis, and dampness-heat due to yin deficiency were common in dampness-heat type. The syndromes of deficiency of both spleen and kidney, and deficiency of liver-kidney yang were common in yang asthenia type. The syndromes of abundant phlegm-dampness, and liver depression and phlegm stasis were common in phlegm-dampness type. The syndrome of qi stagnation and blood stasis was common in blood-stasis type. Conclusion ED is related to the constitutions. The constitutional types of ED is related to ages, and the syndrome manifestations of ED is related to the constitutional types.