乳腺增生病中医体质类型调查分析

Epidemiological Survey on the Constitution of Traditional Chinese Medicine in Patients with Cyclomastopathy

目的:探讨乳腺增生病及其证候与中医体质的相关性。方法:采用非匹配病例-对照研究方法,运用中医体质量表进行中医体质调查。调查对象472例,其中乳腺增生病例组336例,非乳腺增生对照组136例。结果:病例组中医体质类型分布依次为气郁质(31.85%)、平和质(22.32%)、气虚质(12.2%)、阴虚质(11.01%)、阳虚质(9.52%)、瘀血质(4.76%)、湿热质(3.27%)、特禀质(2.68%)、痰湿质(2.38%),与对照组比较,差异有统计学意义(P<0.01)。336例乳腺增生病中,肝郁气滞证、痰瘀互结证和冲任失调证分别为195(58.04%),87(25.89%),54(16.07%)例。不同证型的中医体质分布差异有统计学意义(P<0.01)。肝郁气滞证和痰瘀互结证患者均以气郁质为主,气郁质比例分别为37.95%和29.89%;冲任失调证患者则以平和质和气虚质为主,分别占22.22%和20.37%。结论:乳腺增生病发病及其发病后的证候类型与体质相关。

Objective： To explore the correlation between cyclomastopathy and its syndrome types and constitution of traditional Chinese medicine （TCM）. Methods： A non-matching case-control study was employed, and the TCM constitution of eyclomastopathy patients and volunteers was investigated using Constitution Scale in Chinese Medicine （CSCM）. Of 472 participants, 336 were in cyclomastopathy group, and another 136 in healthy control group. Results： The type of TCM constitution in cylcomastopathy group was sequentially Qi-stagnation constitution （31.85%）, balanced constitution （22. 32%）, Qi-deficiency constitution （12. 2%）, Yin-deficiency constitution （11. 01%）, Yang-deficiency constitution （9. 52%）, bloodstasis constitution （ 4. 7 6% ） , dampheat constitution （ 3. 2 7% ） , inherited special constitution （ 2.68% ）and phlegm-dampness constitution （2. 38%）. This proportional distribution were statistically different from that in healthy control group（P〈0. 01）. Of 336 cases of cyclomastopathy, 195 （58. 04%）, 87 （25.89%） and 54 （16. 07%） were diagnosed as liver-Qi stagnation syndrome, phlegm and blood stasis syndrome and disharmony syndrome of chong channel and ten channel, respectively. There was statistical difference in the proportional distribution of syndrome types among constitution types（P〈0.01）. Patients with liver-Qi stagnation syndrome and phlegm and blood stasis syndrome were characterized by Qi-stagnation constitution, the proportion of Qi-stagnation constitution was 37.95%and 29.89% respectively. Patients with disharmony syndrome of Chong channel and Ren channel were characterized by balance constitution and Qi-stagnation constitution, the proportion was 22.22% and 20. 37%, respectively. Conclusion： The onset of cyclomastoPathy and the syndrome types after the onset are related to TCM constitution.