基于中医经络健康检测仪对盆腔炎性疾病后遗症慢性盆腔痛体质判断的研究

Research on diagnosis of TCM constitution of pelvic inflammatory disease sequelae chronic pelvic pain based on TCM meridian health detector

目的研究盆腔炎性疾病后遗症慢性盆腔痛患者的体质分布特点,探讨不同体质与中医经络健康检测仪(TDS)检测值的关系。方法选取2018年6月—2019年5月于广东省中医院接受治疗的80例慢性盆腔痛患者为患者组,以同期健康女性80例为健康组,比较2组中医体质类型分布及其评分,统计不同体质类型患者TDS检测值,分析不同体质类型与TDS检测值的关系。结果患者组前4位体质类型分别为阳虚质27例(33.75%)、气虚质19例(23.75%)、气郁质13例(16.25%)、湿热质12例(15.00%),健康组前4位体质类型分别为平和质21例(26.25%)、气虚质16例(20.00%)、气郁质13例(16.25%)、阳虚质13例(16.25%),2组体质类型比较差异有统计学意义(P<0.05);患者组阳虚质转化分明显高于健康组(P<0.05),2组其他体质类型体质转化分比较差异均无统计学意义(P均>0.05)。患者前4位体质类型TDS值:阳虚质28.00~44.00,气虚质22.00~55.00,气郁质34.00~73.00,湿热质53.00~110.00;阳虚质、气虚质、气郁质及湿热质患者12个经络TDS检测值比较差异均有统计学意义(P均<0.05),气郁质及湿热质患者各经络TDS检测值高于阳虚质、气虚质患者。结论慢性盆腔痛体质类型以阳虚质、气虚质、湿热质及气郁质多见,阳虚质是慢性盆腔痛患者的主要体质;TDS或可用于体质类型辨别,指导慢性盆腔痛疾病诊治。

Objective It is to study the distribution characteristics of traditional Chinese medicine(TCM)constitution in patients with sequelae of pelvic inflammatory disease chronic pelvic pain,and to discuss the relationship between different TCM constitution and the measured value of the TCM meridian health detector.Methods Eighty patients with chronic pelvic pain who were treated in Guangdong provincial Hospital of Traditional Chinese Medicine from June 2018 to May 2019 were selected as the patient group,and 80 healthy women during the same period were selected as the healthy group,the type distribution and scores of TCM constitution were compared between the two groups,the test values of the TCM meridian health detector of patients with different TCM constitution were counted,and the relationship between different constitution and the test values were analyzed.Results The first 4 constitution types in the patient group were 27 cases(33.75%)with Yang deficiency constitution,19 cases(23.75%)with Qi deficiency constitution,13 cases(16.25%)with Qi stagnation constitution,and 12 cases(15.00%)with damp-heat constitution.The first 4 constitution types of the healthy group were 21 cases(26.25%)with mild constitution,16 cases(20.00%)with Qi deficiency constitution,13 cases(16.25%)with Qi depression constitution,13 cases(16.25%)with yang deficiency constitution,the difference in the TCM constitution was statistically significant between the two groups(P<0.05).The transformation score of Yang-deficiency constitution in the patient group was significantly higher than that of the control group(P<0.05),and there was no statistically significant difference in the transformation scores of other constitution types between the two groups(all P>0.05).The test values of the TCM meridian health detector of the first 4 constitution types in the patient group:Yang-deficiency constitution 28.00-44.00,Qi-deficiency constitution 22.00-55.00,Qi-stagnation constitution 34.00-73.00,damp-heat constitution 53.00-110.00.The differences in the test values of the 12 meridians of patients of Yang-deficiency constitution,Qi-deficiency constitution,Qi-stagnation constitution,and damp-heat constitution were statistically significant(all P<0.05),the test valuesof each meridian in patients with Qi-stagnation constitution and damp-heat constitution were higher than those of Yang-deficiency constitution and Qi-deficiency constitution.Conclusion The constitution types of chronic pelvic pain are more common in yang deficiency,Qi deficiency,damp-heat and Qi stagnation.Yang deficiency constitution is the main constitution of patients with chronic pelvic pain;TCM meridian health detector may be used to distinguish TCM constitution and guide the diagnosis and treatment of chronic pelvic pain.