老年盆腔炎性疾病后遗症反复发作的中医证候分布规律探析

发布时间：2018-12-16 16:57

【摘要】：目的:探讨老年盆腔炎性疾病后遗症反复发作的中医证候分布规律。方法:选择2013年3月—2015年12月53例老年盆腔炎性疾病后遗症反复发作患者为研究对象,30例非反复组盆腔炎患者为对照,采用临床流行病学调研方法,设计体质调查表、四诊信息采集表及发病相关因素调查表进行问卷调查,对临床症状、发病相关因素进行分析。结果:老年盆腔炎性疾病后遗症反复发作患者中医证型主要为湿热型、血瘀型,临床症状主要为下腹痛、腰骶酸痛、带下量多、月经不调等,与非反复组盆腔炎患者比较,差异有统计学意义(P0.05)。发病相关因素与慢性盆腔炎、性生活卫生、生殖道感染、流产次数、宫腔操作史等相关,与非反复组盆腔炎患者比较,差异无统计学意义(P0.05)。结论:老年盆腔炎性疾病后遗症反复发作患者证型为湿热型、血瘀型,临床症状主要为下腹痛、腰骶酸痛、带下量多、月经不调,发病于慢性盆腔炎、性生活卫生、生殖道感染、流产次数等有关。
[Abstract]:Objective: to investigate the distribution of TCM syndromes of the sequelae of pelvic inflammatory diseases in the elderly. Methods: from March 2013 to December 2015, 53 elderly patients with recurrent episodes of pelvic inflammatory disease and 30 patients with non-recurrent pelvic inflammatory disease were selected as study objects. The clinical symptoms and related factors were analyzed by questionnaire survey. Results: the main types of TCM syndromes were damp-heat type and blood stasis type, and the clinical symptoms were abdominal pain, lumbosacral soreness, low back sacral pain, low back pain, irregular menstruation and so on. The difference was statistically significant (P0.05). The related factors were correlated with chronic pelvic inflammatory disease, sexual hygiene, genital tract infection, times of abortion, history of uterine cavity operation and so on. There was no significant difference compared with non-recurrent group of patients with pelvic inflammatory disease (P0.05). Conclusion: the syndrome type of senile pelvic inflammatory disease sequelae is damp-heat type and blood stasis type. The clinical symptoms are mainly abdominal pain, lumbosacral acidalgia, low back sacral pain, large amount of belt, irregular menstruation, chronic pelvic inflammatory disease and hygienic sexual life, the main clinical symptoms are lower abdominal pain, lumbosacral acidalgia, irregular menstruation, chronic pelvic inflammatory disease. Genital tract infection, abortion, etc.
【作者单位】：山东中医药大学第一临床学院;山东中医药大学附属医院妇科;山东中医药大学附属医院生殖中心;
【基金】：国家自然科学基金(81373675)
【分类号】：R271.9

【相似文献】