摘要
目的:探讨产后非特异性下腰痛患者的证型特点及中医体质分布特征。方法:对183例产后腰痛患者(病例组)和138例产后健康者(对照组)进行中医体质问卷调查及证候分析,分析产后腰痛患者中医体质与证型关系。结果:两组间年龄、产程、产次、分娩方式的差异无统计意义(P>0.05)。与对照组相比,两组患者的中医体质类型以阳虚质、湿热质、阴虚质、气虚质为主,但平和体质类型的差异具有统计学意义(P<0.05)。同时发现产后妇女单一体质类型比较少见,均以一种体质类型为主兼夹多种类型体质;产后腰痛多以肾虚证型为主。结论:产后下腰痛患者较容易出现偏颇体质类型,以阳虚质、湿热质、阴虚质、气虚质体质类型为主;产后妇女单一体质类型比较少见,均为一种体质类型为主兼夹多种类型体质。肾虚是产后腰痛的主要病机。
Objective:To explore the syndrome characteristics and the TCM constitutional distribution of postpartum non-specific low back pain.Methods:Adopting the standard of classification and judgment of TCM constitution,a questionnaire survey was conducted among 183 postpartum low back pain patients(the case group)and 138 postpartum healthy persons(the control group),the correlation between TCM constitution and TCM syndrome were analyzed.Results:There was no statistical significance in age,birth process,parity and mode of delivery between the two groups.Compared with the control group,the TCM constitution types in the case group were mainly the Yangxu constitution(阳虚质),the Shire constitution(湿热质),and the Yinxu constitution(阴虚质)and the Qixu constitution(气虚质).But the difference of the Pinghe constitution(平和质)has statistical significance(P<0.05).At the same time,it is rare to find single body types in postpartum women,both are based on one type of body and sandwich multiple types of constitution.The Shenxu(肾虚)syndrome is mainly in postpartum NLBP.Conclusion:Patients with low back pain after delivery are more prone to biased constitution types.The types of TCM constitution in patients with postpartum low back pain are the Yangxu constitution,the Shire constitution,and the Yinxu constitution and the Qixu constitution.Single constitution type of postpartum women is relatively rare,all of them are one type of constitution with multiple types of constitution as the main body type.Shenxu is main pathogenesis of postpartum NLBP.
出处
《中医临床研究》
2020年第31期73-75,共3页
Clinical Journal Of Chinese Medicine
基金
广州市中医药和中西医结合科技项目(项目编号20182A011006)。
关键词
非特异性下腰痛
中医体质
产后
Non-specific low back pain
TCM constitution
Postpartum
