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1、2008M11316 D Nov. 2008 Vo.l 31 No. 6 Journal of ShaanxiCollege ofTraditionalChineseM edicine # 11 #425xs5h*1* ;2 P2 u含热证者含脾虚证者 含肝郁证者含血瘀证者含血虚证者b且 2种证型组合的排卵型功血患者构成比最大b结论在中医理论指导下,保护脾胃和肾的功能,将有助于防止和减少排卵型功血的发生b1oM:排卵型功血;临床流行病学调查;证型分布ms|: R 271. 11 R 195. 4 DSM: A cI|: 1002- 168X( 2008) 06- 0011- 04Clinica
2、lEpidemiologicalsurveyonContributionLaw ofTCM SyndromePatternof425OvulatoryDysfunctionalUterineBleedingPatientsMaHuirong1 WangRuoguang2 YinXianghua2ZhaoXinguang2 YouZhaoling2( 1. HebeiM edicalUniversity, Hebe,i Shijiazhuang 050091; 2. Hunan University ofTCM, Changsha, Hubei720501)Abstract: Aim: to s
3、tudy contribution law ofTCM syndrome pattern of 425 ovulatory dysfunctional uterine bleedingpatients and provide scientific basis andmeasures to carry outTCM prevention and treatment. Method: cross- sectionalsurvey of clinical epidem iologywas used and questionnaire of TCM syndrome patterns were inv
4、estigated on 425 ovulatorydysfunctionaluterinebleeding patients tounderstand contribution law ofTCM syndromepatterns. Result: Among425 ovu-latory dysfunctionaluterine bleeding patients, constitutionalratio is: kidney deficiencypattern heat pattern spleen def-iciency pattern liver stagnation pattern
5、blood stasis pattern blood stasis pattern, and combination of two patterns aremore than any of the above. Conclusion: Under the guidance ofTCM theory, protection of spleen, stomach and kidneyfunction willbe helpful to prevent and reduce occurrence of vulatory dysfunctional uterine bleeding.Keywords:
6、 vulatory dysfunctional uterine bleeding, clinical epidem iology survey, contribution law of TCM syn-drome pattern.?0(DUB)e,/m7-0s,7&#=32hMb?hsxx,xDs,5hZ*:十一五国家科技支撑计划 ( 2007BA I20B016),湖南省教育厅重点项目 ( 05A031),湖南省博士后基金( 2007RS4020),湖南中医药大学中诊教研室资助( ZD200705)bTe:马惠荣( 1970- ),女,副教授,湖南中医药大学博士后研究人员,主要从事中医妇科证
7、候研究b D 2008M11316# 12 # Journalof ShaanxiCollege ofTraditionalChineseM edicine Nov. 2008 Vo.l 31 No. 6E,2007M425x5,%|sT/b1 ZE1. 1 病例来源 F425x(91),112007M1 12W2D0vBa=DaD0#28ra2graDDa8#FEgDaD0vDS#hb1. 2 纳入a排除标准1. 2. 1 纳入标准 DxS,?1D,iiA(,b1. 2. 2 排除标准 o|; ; D; OrzFb1. 3 中医辨证标准 DOS1ISE/S5SSSES#D5#s61#SED0
8、5B 3F 4FbnV1bV1 425例排卵型功血患者的各证型分布状况证型 频数 构成比(% )单一证型 122 28. 712种证型组合 235 55. 293种证型组合 63 14. 824种证型组合 5 1. 18合计 425 100. 002. 2. 2 425例有排卵型功血中单一证型分布状况B122,128. 71%b1vlGQ:/|/|Lb,/(/+/|+/)39,19. 18%;38,18. 94%bnV2bV2 425例排卵型功血患者的单一证型分布状况证型 频数 构成比(% ) 证型 频数 构成比(% )脾气虚 38 8. 94 实热 9 2. 12肾气虚 15 3. 53 虚
9、热 5 1. 18肾阴虚 14 3. 29 肝郁 4 0. 94肝郁化热 13 3. 06 湿热 3 0. 71肾阳虚 10 2. 35 血虚 1 0. 24血瘀 10 2. 352. 2. 3 425例有排卵型功血患者中 2种证型的分布状况 2F235,155. 29%b1vl:/|/=/|/e/=/|/|=/|L(A)/Lb,c/x(cY/F) 162,138. 1%,c(cYF)66,115. 5%,c(c2008M11316 D Nov. 2008 Vo.l 31 No. 6 Journal of ShaanxiCollege ofTraditionalChineseM edicine
10、 # 13 #YF)82,119. 3%;c|42,19. 88%;c16,13. 76%bnV3bV3 425例排卵型功血患者的 2证型组合的分布状况证型 频数构成比(% ) 证型 频数构成比(% ) 证型 频数构成比(% )肾气虚肝郁化热 37 8. 71 血虚实热 5 1. 18 肾阳虚脾气虚 2 0. 47肾阳虚血瘀 18 4. 24 肾气虚血瘀 5 1. 18 肾气虚血虚 2 0. 47肾气虚脾气虚 16 3. 76 肾气虚虚热 5 1. 18 肝郁血瘀 2 0. 47脾气虚虚热 16 3. 76 血瘀实热 5 1. 18 肝郁血虚 2 0. 47肾阴虚血瘀 13 3. 06 脾气虚
11、肝郁化热 5 1. 18 肾阴虚肝郁 2 0. 47肾阳虚血寒 11 2. 59 脾气虚血虚 4 0. 94 血瘀血寒 1 0. 24肾气虚肝郁 10 2. 35 脾气虚痰湿 4 0. 94 血虚血瘀 1 0. 24脾气虚肝郁 10 2. 35 肾阴虚脾气虚 4 0. 94 虚热痰湿 1 0. 24肾阴虚虚热 9 2. 12 肾阳虚血寒 3 0. 71 肾阴虚血虚 1 0. 24肾阴虚肝郁化热 8 1. 88 脾气虚血瘀 3 0. 71 肾阴虚痰湿 1 0. 24肾阴虚实(湿)热 8 1. 88 血瘀肝郁化热 2 0. 47 肝郁虚热 1 0. 24肾阳虚血虚 7 1. 65 虚热肝郁化热 2 0. 47 肝郁化热血寒 1 0. 24脾气虚实热 6 1. 41 实热痰湿 2 0. 472. 2. 4 425例有排卵型功血患者中3种证型组合的分布状况 3Fx63,914. 82%b1vl:/|=/|/|/|=/|=
