慢性盆腔炎中医证候、体质分布及其相关因素分析

目的对慢性盆腔炎中医证候、体质分布及其相关因素进行分析。方法将2012年4月—2014年4月期间在该院诊断为慢性盆腔炎并接受治疗的60例患者作为研究组,另随机选取与患者年龄相近的60例健康女性作为对照组,研究患者的中医证候和两组女性的体质分布、其他相关因素。结果研究组中60例慢性盆腔炎患者中约有33.3%为肾虚血瘀证,约有21.7%的患者为湿热瘀结证,还有18.3%的患者为肝郁肾虚合并气滞血瘀证,另外气虚血瘀证和寒湿凝滞证患者分别占15.0%、11.7%;对照组的健康女性多为平和体质（73.3%）,而研究组慢性盆腔炎患者中瘀血体质（40.0%）和湿热体质（43.3%）的人数明显高于对照组（3.3%和1.7%）,且两组差异有统计学意义（P〈0.05）,两组中其他体质的女性的发病率则较低,差异无统计学意义（P〉0.05）;两组女性在经期进行性生活、阴道冲洗次数、避孕方式、宫腔操作次数和流产次数差异有统计学意义（P〈0.05）。结论慢性盆腔炎患者多为肾虚血瘀证,湿热体质和瘀血体质更容易发病,经期进行性生活、阴道冲洗次数、避孕方式、宫腔操作次数和流产次数也与慢性盆腔炎的发病密切相关。

Analysis of the TCM Syndrome,Physical Distribution and Other Relative Factors of Chronic Pelvic Inflammatory Disease

Objective To analyze the TCM syndrome, physical distribution and other relative factors of chronic pelvic inflammatory disease. Methods 60 cases diagnosed with chronic pelvic inflammatory disease and treated in our hospital from April 2012 to April 2014 were selected as the study group, and 60 cases healthy females with the similar age were randomly selected as the con- trol group. The TCM syndromes, physical distribution and other relevant factors of the two groups of females were studied. Results 33.3% of the 60 patients with chronic pelvic inflammation disease in the study group had kidney deficiency blood stasis, approxi- mate 21.7% had damp heat and blood stasis syndrome, 18.3% had liver depression and kidney deficiency with qi stagnation and blood stasis, in addition, patients with qi deficiency and blood stasis accounted for 15.0%, patients with cold damp stagnation syn- drome accounted for 11.7%. Most of the healthy women in the control group had moderate constitution （73.3%）, while in the pa- tients with chronic pelvic inflammatory disease in the study group, the number of patients with blood stasis constitution （40.0%） and that with damp heat constitution （43.3%） was much more than that in the control group（3.3% and 1.7%）, respectively, and the difference between the two groups had statistical significance （P〈0.05）. The morbidity of women with other constitution was low in both groups, there was no statistically significant difference between the two groups （P〉0.05）. The difference in the menstrual sex, vaginal irrigation times, the way of contraception, the uterine cavity operation times and the number of abortion between the two groups were statistically significant（P〈0.05）. Conclusion Most patients with chronic pelvic inflammatory disease have deficiency of kidney and blood stasis syndrome, patients with damp heat constitution or blood stasis constitution are more vulnerable to the dis- ease. Menstrual sex, vaginal irrigation times, the way of contraception, the uter