慢性宫颈炎合并解脲支原体感染患者的中医证型研究

Study on TCM Syndrome Types in Patients with Infection of Ureaplasma Urealyticum and Chronic Cervicitis

目的:探讨慢性宫颈炎合并解脲支原体感染的中医证候分型特征,为长沙地区育龄期女性防治本病提供依据。方法:根据流行病学调查方法,对2013年1-12月在湖南中医药大学第一附属医院妇科门诊就诊的妇女进行问卷调查,并对影响其发病的诸多因素进行分析。结果:湿热下注证是慢性宫颈炎合并解脲支原体感染最常见的证型,其次是脾虚湿困证,气虚血瘀证位居第3;在一般的人口社会学因素当中,证型分布在不同年龄、饮食习惯、文化程度及职业方面比较,差异有统计学意义(P<0.05);在孕产史、不同避孕方式等因素中,证型分布在不同避孕方式、人流次数、生育次数、阴道或宫腔操作方面比较,差异有统计学意义(P<0.05)。结论:慢性宫颈炎合并解脲支原体感染最常见的证型是湿热下注证;其中医证型分布与多种因素相关,适龄女性应根据上述危险因素采取相应预防措施。

Objective： To discuss the different characteristics of TCM syndromes of Ureaplasma Urealyticum and Chronic Cervicitis, then to provide basis for the prevention and treatment of the disease for the reproductive-age women in Changsha.Methods： According to the epidemiological investigation method, the author investigated all the patients who have been visited the gynecological clinic in The First Affiliated Hospital of Hunan University of Chinese Medicine during Jan. 2013 to Dec.2013, and analyzed the multiple risk factors of the disease. Results： The most common syndrome of chronic cervicitis combined with UU infection is downward flow of dampness-heat, followed by accumulation of dampness due to deficiency of spleen-qi,and deficiency of vital energy causes blood stasis ranked third. There are obvious difference in TCM syndromes among different ages, dietary habits, degree of education and professions（P〈0.05）; The TCM syndrome distribution is different in different birth control methods, abortion frequency, births frequency, vagina or uterine cavity operation（ P〈0.05）.Conclusion： The most common syndrome of chronic cervicitis combined with UU infection is downward flow of dampness-heat, and the syndrome distribution is related with multiple factors. The reproductive-age women could take some measures to prevent the disease according to these risk factors.