摘要
目的:探讨宫腔粘连(IUA)的中医证候类型。方法:回顾性分析39例经宫腔镜确认的IUA患者中医四诊资料,进行辨证分析;检索有关IUA的中医辨证文献并总结,检索IUA中西医病理机制研究进展并综述;将IUA患者辨证结果与文献研究结果对比分析。结果:39例IUA患者症、舌、脉辨证以肾虚血瘀证为主,并有56.41%患者兼湿象;现代医学病理机制综述认为IUA发病与局部黏附有关,而中医对黏附认识与痰邪有关。结论:IUA的中医辨证以痰凝血瘀肾虚证为主。
Objective:To discuss the Chinese medicine syndrome type of intrauterine adhesions(IUA).Methods:A retrospective analysis was conducted for the information of Chinese medicine four examinations in 39 cases of patients with IUA confirmed by hysteroscopy,for which a syndrome differentiation analysis was made.Literature on Chinese medicine syndrome differentiation of IUA was retrieved and summarized,and research progress on the pathological mechanism of IUA in Chinese and western medicine was retrieved and reviewed.A comparative analysis was conducted for the results of syndrome differentiation in patients with IUA and those of literature research.Results:The main Chinese medicine syndrome types of 39 cases of patients with IUA were kidney deficiency and blood stasis based on syndrome differentiation in symptoms,tongue and pulse;among them,56.41%of patients were additionally manifested in dampness.According to the pathological mechanism in modern medicine,the onset of IUA was related to focal adhesions,while adhesions were relevant with phlegm-evil in Chinese medicine.Conclusion:The main Chinese medicine syndrome types of IUA were phlegm retention,kidney deficiency and blood stasis.
作者
侯建峰
林芳
卢丽波
HOU Jianfeng;LIN Fang;LU Libo
出处
《新中医》
CAS
2019年第6期26-28,共3页
New Chinese Medicine
基金
珠海市医疗卫生科技计划项目(20171009E030068)
关键词
宫腔粘连
肾虚
痰凝
血瘀
辨证
证候类型
Intrauterine adhesions
Kidney deficiency
Phlegm retention
Blood stasis
Syndrome differentiation
Syndrome type
