CAJ | 학술논문

目的：对慢性盆腔炎中医证候、体质分布及其相关因素进行分析。方法将2012年4月-2014年4月期间在该院诊断为慢性盆腔炎并接受治疗的60例患者作为研究组，另随机选取与患者年龄相近的60例健康女性作为对照组，研究患者的中医证候和两组女性的体质分布、其他相关因素。结果研究组中60例慢性盆腔炎患者中约有33.3%为肾虚血瘀证，约有21.7%的患者为湿热瘀结证，还有18.3%的患者为肝郁肾虚合并气滞血瘀证，另外气虚血瘀证和寒湿凝滞证患者分别占15.0%、11.7%﹔对照组的健康女性多为平和体质(73.3%），而研究组慢性盆腔炎患者中瘀血体质(40.0%）和湿热体质(43.3%）的人数明显高于对照组(3.3%和1.7%），且两组差异有统计学意义(P<0.05），两组中其他体质的女性的发病率则较低，差异无统计学意义(P>0.05）﹔两组女性在经期进行性生活、阴道冲洗次数、避孕方式、宫腔操作次数和流产次数差异有统计学意义(P<0.05）。结论慢性盆腔炎患者多为肾虚血瘀证，湿热体质和瘀血体质更容易发病，经期进行性生活、阴道冲洗次数、避孕方式、宫腔操作次数和流产次数也与慢性盆腔炎的发病密切相关。
목적：대만성분강염중의증후、체질분포급기상관인소진행분석。방법장2012년4월-2014년4월기간재해원진단위만성분강염병접수치료적60례환자작위연구조，령수궤선취여환자년령상근적60례건강녀성작위대조조，연구환자적중의증후화량조녀성적체질분포、기타상관인소。결과연구조중60례만성분강염환자중약유33.3%위신허혈어증，약유21.7%적환자위습열어결증，환유18.3%적환자위간욱신허합병기체혈어증，령외기허혈어증화한습응체증환자분별점15.0%、11.7%﹔대조조적건강녀성다위평화체질(73.3%），이연구조만성분강염환자중어혈체질(40.0%）화습열체질(43.3%）적인수명현고우대조조(3.3%화1.7%），차량조차이유통계학의의(P<0.05），량조중기타체질적녀성적발병솔칙교저，차이무통계학의의(P>0.05）﹔량조녀성재경기진행성생활、음도충세차수、피잉방식、궁강조작차수화유산차수차이유통계학의의(P<0.05）。결론만성분강염환자다위신허혈어증，습열체질화어혈체질경용역발병，경기진행성생활、음도충세차수、피잉방식、궁강조작차수화유산차수야여만성분강염적발병밀절상관。
Objective To analyze the TCM syndrome, physical distribution and other relative factors of chronic pelvic inflammatory disease. Methods 60 cases diagnosed with chronic pelvic inflammatory disease and treated in our hospital from April 2012 to April 2014 were selected as the study group, and 60 cases healthy females with the similar age were randomly selected as the con-trol group. The TCM syndromes, physical distribution and other relevant factors of the two groups of females were studied. Results 33.3%of the 60 patients with chronic pelvic inflammation disease in the study group had kidney deficiency blood stasis, approxi-mate 21.7% had damp heat and blood stasis syndrome, 18.3% had liver depression and kidney deficiency with qi stagnation and blood stasis, in addition, patients with qi deficiency and blood stasis accounted for 15.0%, patients with cold damp stagnation syn-drome accounted for 11.7%. Most of the healthy women in the control group had moderate constitution (73.3%), while in the pa-tients with chronic pelvic inflammatory disease in the study group, the number of patients with blood stasis constitution (40.0%) and that with damp heat constitution (43.3%) was much more than that in the control group(3.3% and 1.7%), respectively, and the difference between the two groups had statistical significance (P<0.05). The morbidity of women with other constitution was low in both groups, there was no statistically significant difference between the two groups (P>0.05). The difference in the menstrual sex, vaginal irrigation times, the way of contraception, the uterine cavity operation times and the number of abortion between the two groups were statistically significant(P<0.05). Conclusion Most patients with chronic pelvic inflammatory disease have deficiency of kidney and blood stasis syndrome, patients with damp heat constitution or blood stasis constitution are more vulnerable to the dis-ease. Menstrual sex, vaginal irrigation times, the way of contraception, the uterine cavity operation times and the number of abor-tion are also closely related to the incidence of chronic pelvic inflammatory disease.