世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
12期
1672-1674,1678
,共4页
多囊卵巢综合征%证候%证候要素%文献研究
多囊卵巢綜閤徵%證候%證候要素%文獻研究
다낭란소종합정%증후%증후요소%문헌연구
PCOS%Syndrome%Syndrome elements%Literature research
目的：通过现代文献研究，分析 PCOS 中医证候及证候要素的分布特点，为建立 PCOS 的辨证规范提供依据。方法：对2002—2013年的临床研究文献进行检索，分为调查研究和干预研究2类，建立数据库进行统计分析。结果：1）纳入181篇文献，其中调查研究48篇，干预研究133篇；2）调查类文献中，原始辨证结果64种，涉及29种证候类型，出现频率在10％以上的依次为肾虚证、痰湿（浊）证、血瘀证、肝气郁结证和肾阳虚证；3）干预类研究文献中，原始辨证结果50种，涉及22种证候类型，出现频率在10％以上的依次为肾虚证、痰湿（浊）证和血瘀证；4）2类文献中，病位类证候要素出现频率在5％以上的均为肾、肝、脾；病性类证候要素出现频率在5％以上的均有虚、痰湿（浊）、血瘀、气滞、阳虚，另外，调查类文献中还有阴虚，干预类文献中有火（热）。结论：临床中，对 PCOS 的辨证结论虽繁杂、各异，但涉及的证候要素相对集中；本研究所归纳、提炼之证候要素，可为制订该病的临床辨证规范提供依据。
目的：通過現代文獻研究，分析 PCOS 中醫證候及證候要素的分佈特點，為建立 PCOS 的辨證規範提供依據。方法：對2002—2013年的臨床研究文獻進行檢索，分為調查研究和榦預研究2類，建立數據庫進行統計分析。結果：1）納入181篇文獻，其中調查研究48篇，榦預研究133篇；2）調查類文獻中，原始辨證結果64種，涉及29種證候類型，齣現頻率在10％以上的依次為腎虛證、痰濕（濁）證、血瘀證、肝氣鬱結證和腎暘虛證；3）榦預類研究文獻中，原始辨證結果50種，涉及22種證候類型，齣現頻率在10％以上的依次為腎虛證、痰濕（濁）證和血瘀證；4）2類文獻中，病位類證候要素齣現頻率在5％以上的均為腎、肝、脾；病性類證候要素齣現頻率在5％以上的均有虛、痰濕（濁）、血瘀、氣滯、暘虛，另外，調查類文獻中還有陰虛，榦預類文獻中有火（熱）。結論：臨床中，對 PCOS 的辨證結論雖繁雜、各異，但涉及的證候要素相對集中；本研究所歸納、提煉之證候要素，可為製訂該病的臨床辨證規範提供依據。
목적：통과현대문헌연구，분석 PCOS 중의증후급증후요소적분포특점，위건립 PCOS 적변증규범제공의거。방법：대2002—2013년적림상연구문헌진행검색，분위조사연구화간예연구2류，건립수거고진행통계분석。결과：1）납입181편문헌，기중조사연구48편，간예연구133편；2）조사류문헌중，원시변증결과64충，섭급29충증후류형，출현빈솔재10％이상적의차위신허증、담습（탁）증、혈어증、간기욱결증화신양허증；3）간예류연구문헌중，원시변증결과50충，섭급22충증후류형，출현빈솔재10％이상적의차위신허증、담습（탁）증화혈어증；4）2류문헌중，병위류증후요소출현빈솔재5％이상적균위신、간、비；병성류증후요소출현빈솔재5％이상적균유허、담습（탁）、혈어、기체、양허，령외，조사류문헌중환유음허，간예류문헌중유화（열）。결론：림상중，대 PCOS 적변증결론수번잡、각이，단섭급적증후요소상대집중；본연구소귀납、제련지증후요소，가위제정해병적림상변증규범제공의거。
Objective:To summarize the distribution law of TCMsyndromes and syndrome elements of PCOS and to provide evidence for accurate differentiation of PCOS by analyzing clinical literatures.Methods:We searched the clinical literatures on PCOS,built up a lit-erature data-base by Excel software and ana1yzed the data.Results:1)Among the included 181 articles,there were 48 survey litera-tures and 133 intervention literatures.2)Among the survey literatures,there were 64 kinds original diagnosis results,involving 29 kinds of syndromes.There were five kinds of syndromes whose frequency were more than 10%,namely kidney deficiency syndrome,phlegm-dampness syndrome,blood stasis syndrome,stagnation of liver qi syndrome and deficiency of kidney yang syndrome.3)Among interven-tion literatures,there were 50 kinds of original diagnosis results,involving 22 kinds of syndromes.There were three kinds of syndromes whose frequency were more than 10%,namely kidney deficiency syndrome,phlegm-dampness syndrome and blood stasis syndrome.4) In two kinds of literature,the syndrome elements were relatively uniform.The syndrome elements of disease location whose frequency were more than 10% were kidney,liver and spleen.The syndrome elements of disease nature whose frequency were more than 10%mainly were deficiency,phlegm dampness (turbidity),blood stasis,qi stagnation,deficiency of Yang.In addition,there were Yin in survey literatures and fire (heat)in intervention literatures.Conclusion:In clinical practice,the diagnosis results of PCOS are compli-cated and different,but the syndrome elements involved in the syndrome are relatively concentrated.In this study,the syndrome ele-ments which are summarized and refined,can provide the basis for clinical syndrome specification.
