摘要
目的探讨子宫内膜异位症(EM)患者中医辨证分型与r-AFS分期的相关性。方法选取经腹腔镜病理证实为EM患者113例,术前进行中医症状观察及中医辨证分型,同时进行痛经程度评分,术中进行r-AFS分期。结果 113例EM患者证型多表现为气滞血瘀型(33.6%)和肾虚血瘀型(30.1%),症状多表现为小腹刺痛(63.7%)、腰骶酸痛(56.6%)和乳房胀痛(48.7%)。寒凝血瘀型主要分布在Ⅰ期,肾虚血瘀型和气虚血瘀型均以Ⅲ期为主,而气滞血瘀型和热郁血瘀型均以Ⅳ期为主。不同证型患者r-AFS分期差异有统计学意义(P<0.01);不同痛经程度患者r-AFS分期之间差异有统计学意义(P<0.05)。结论不同证型的EM患者r-AFS分期明显不同,痛经程度的增加与r-AFS分期有相关性。
Objective To explore the TCM syndromes of endometriosis （EM） patients and their correlation with the r-AFS stages. Methods Totally 113 EM cases proved by laparoscopic pathology were preoperatively diagnosed with TCM symptom observation and syndrome differentiation and scored for the dysmenorrhea severity, and intraoperatively differentiated with r-AFS staging. Results Most of the 113 EM cases were manifested as the syndromes of qi stagnation with blood stasis （33.6%） and kidney deficiency with blood stasis （30.1%）. The most common symptoms were stabbing pain in lower abdomen （63.7%）, soreness in lumbosacral region （56.6%）, and distending pain in breasts （48.7%）. The syndrome of cold coagulation with blood stasis was mainly distributed in the Stage Ⅰ, the syndromes of kidney deficiency with blood stasis and qi deficiency with blood stasis were mainly distributed in the Stage Ⅲ, however, the syndromes of qi stagnation with blood stasis and heat stagnation with blood stasis were mainly distributed in the Stage Ⅳ. The difference in the r-AFS stages of different syndromes was statistically significant （P0.01）, and the difference in the r-AFS stages of different dysmenorrhea severities was statistically significant （P0.05）. Conclusion The r-AFS stages of different syndromes of EM patients are significantly different, whilst the increase of dysmenorrhea severity is correlated with the r-AFS stages.
出处
《中医杂志》
CSCD
北大核心
2011年第23期2021-2023,共3页
Journal of Traditional Chinese Medicine
基金
上海市卫生局中医药科研基金资助项目(2008L015A)
