子宫肌瘤中医证素规律的临床研究

Clinical Research on Laws of TCM Syndrome Elements in Hysteromyoma

目的:探讨子宫肌瘤中医证素规律。方法:选择90例子宫肌瘤患者作为观察对象,采用证素辨证及积分方法进行临床观察。结果:①子宫肌瘤患者的病位主要存在于胞宫、肝、肾、脾。②子宫肌瘤虚证证素积分从高到低依次为阴虚、气虚、血虚、阳虚;阴虚、气虚积分显著高于血虚、阳虚积分(P<0.01)。③实证证素积分从高到低依次为血瘀、气滞、痰、寒、湿;血瘀积分显著高于气滞、痰、寒、湿积分(P<0.05～P<0.01)。结论:子宫肌瘤的发病源于血瘀,病性以实为主,日久可见虚实夹杂;实证证素以血瘀、气滞为主;虚证证素以阴虚、气虚为主;病位以胞宫、肝为先。

Objective ：To explore the laws of TCM syndrome elements in hysteromyoma. Methods ：90 hysteromyoma pa- tients were observed by syndrome elements differentiation and integral methods in clinic. Results The main locations of disease in hysteromyoma were uterus, liver,kidney and spleen. In asthenia syndromes, the integrals of syndrome ele- memts were gradually reduced from Yin deficiency to Qi deficiency to blood deficiency to Yany deficiency. The integrals of syndrome elements of Yin deficiency and Qi deficiency were significantly higher than that of blood deficiency and Yang deficiency respectively（ P 〈 O. 01 ）. In sthenia syndromes, the integrals of syndrome elememts were gradually reduced from blood stasis to Qi stagnation to phlegm to clod to dampness. The integrals of syndrome elememts of blood stasis were significantly higher than that of Qi stagnation, phlegm, clod and dampness respectively （ P 〈 O. 05 - P 〈 0.01 ）. Conclu- sion ： For hysteromyoma blood stasis was the basic pathological mechanisms. The nature of disease in hysteromyoma mainly was sthenia syndromes,when the patients＇condition developing the nature of disease became mixture of asthenia and sthe- nia. The sthenia syndrome in hysteromyoma is mainly of blood stasis and Qi stagnation. The asthenia syndromes in hyste- romyoma is mainly of Yin deficiency and Qi deficiency. The main locations of disease in hysteromyoma were uterus and liver.