功能失调性子宫出血患者中医证候分布规律的研究

Study on syndrome distribution law in the patients with dysfunctional uterine bleeding

目的探讨功能失调性子宫出血(简称功血)中医证候的分布规律。方法运用数理统计方法对532例功血患者的中医证候进行分析,总结归纳功血的中医证候分布规律。结果功血证候分布以阴虚血热证多见占19.2%,其次依次为气滞血瘀、肾阴虚、气血两虚、脾肾两虚、肝郁化热、脾虚、肾虚血瘀、气血两虚兼血瘀、气阴两虚、湿热。功血证候要素分布由高到低依次为阴虚、气虚、内热(实热、虚热)、血瘀、气滞、血虚、阳虚、内湿。功血发病率育龄期占69.2%、围绝经期为21.4%、青春期为9.4%。青春期功血以肾阴虚证多见占48%,育龄期功血以气滞血瘀证多见占23.9%,围绝经期功血以脾虚证多见占24.6%。结论用客观的方法分析功血中医证候的分布规律,可为功血中医临床辨证提供参考依据。

Objective It is to investigate syndrome distribution law in the patients with dysfunctional uterine bleeding （DUB）. Methods The syndromes of 532 patients with DUB were analyzed by mathematical statistics to summarize DUB TCM syndrome distribution laws. Results DUB syndrome distribution showed that deficiency of blood heat syndrome were more common （ 19.2% ） , followed by Qi stagnation, kidney, blood deficiency, spleen and kidney deficiency, liver heat, spleen, kid-ney blood stasis, blood deficiency and blood stasis, Qi, hot and humid. DUB syndrome elements distribution in descending order Yin, Qi, heat （heat and hot）, blood stasis, Qi stagnation, blood deficiency, Yang, wet. DUB incidence of child-bearing age （69.2%）, perimenopausal （21.4%）, adolescent （9.4%）. DUB adolescent syndrome was more common in kidney （48%） , child-bearing age with blood stasis DUB common （23.9%） , perimenopausal DUB spleen deficiency syndrome was more common （24.6%）. Conclusion Objective method can be used to analyze the distribution law of syndromes of DUB. thus to provide reference evidences for the clinical TCM syndrome differentiation.