痛经的中医分型与性激素的关系

The relation between traditional Chinese medicine symptom of dysmenorrhea and sex hormone

目的:观察痛经的中医分型与女性激素的关系,通过性激素这个客观的指标来判定中医的辨证分型。方法:共观察病例212例,共剔除32例,按照中医辩证分型分为:气滞血瘀型、湿热瘀阻型、寒湿凝滞型、阳虚内寒型、气血虚弱型、肝肾虚亏型,分别比较各组间促卵泡成熟激素(FSH)、促黄体生成激素(LH)、催乳素(PRL)、雌二醇(E_2)、孕酮(P)的水平有无差异。结果:在月经的1～7 d内测定FSH、LH、PRL、E_2、P值,结果表明,LH、PRL、P在6组之间无统计学差异;肝肾虚亏型的FSH与其它5型相比均有统计学差异(P<0.005);而其他5型之间的FSH均无统计学差异。气滞血瘀型的E_2与其它5型相比均有统计学差异(P<0.005);而其他5型之间的E_2比较均无统计学差异。结论:气滞血瘀型的E_2水平均明显高于其他4型.肝肾虚亏型的FSH明显高于其他4型,说明E_2的水平与气滞血瘀型有关,FSH的水平与肝肾虚亏型有关。

Objective： To study the relation between traditional Chinese medicine symptom of dysmenorrhea and sex hormone. Methods： One hundred eighty casese with dysmenorrhea typed were with Chinese medicine symptom into six groups. Qizhixueyu, Shireyuzu, Hanshiningzhi, Yangxuneihan, Qixuexuruo, and Ganshenxukui, and the divergence between the sex hormone such as FSH, LH, PRL, E2, and P in the six groups were compared separately. Results： During the period of menses dysmenorrhea from the 1-7 days to menstruation. The FSH levels of Ganshenxukui group was obviously higher than those in other groups, the difference had statistics significance （P 〈0. 005） ; The E2 levels of Qizhixueyu group was obviously higher than those in other groups, the difference had statistics significance （P〈0. 005）. Conclusion： High level of E2 Qizhixuey type of dysmenorrhea, and high level of FSH in Ganshenxukui type were observed. Its clinical value should be further studied in the future.