摘要
目的:探讨昆明地区慢性前列腺炎(Chronic Prostatitis,CP)合并支原体感染的中医证候分布规律。方法:选择2016年1月至2017年6月就诊于云南省中医医院泌尿男科门诊就诊的昆明本地居民,确诊为CP的1 186例患者,其中381例合并支原体感染,并进行中医证候学问卷调查,分析381例患者证候分布特征及规律。结果:381例患者实性体质居多,分别为湿热质(82.68%),瘀血质(8.40%),阴虚质(7.35%)及阳虚质(1.57%)。381例患者最常见的泌尿生殖系症状为尿道灼热瘙痒(87.93%)、尿频(83.02%)、尿痛(73.49%),而出现早泄(9.91%)及阳痿(5.51%)的可能性最小。381例患者以舌质红(86.68%)为主,其次为淡红(8.92%);舌苔则以黄腻苔居多(78.74%),其次为薄白苔(8.92%);舌体适中最多(82.68%);舌下脉络以正常居多(91.60%),其次有32例舌边瘀斑瘀点,占8.40%。381例患者以弦脉居多,其次是滑脉,再次是正常脉象。381例患者中湿热下注证有315例,气滞血瘀证32例,肝肾阴虚证28例,肾阳不足证为6例。结论:慢性前列腺炎合并支原体感染的常见中医证型为湿热下注证与气滞血瘀证。
Objective： To probe into the distribution regularity of TCM syndromes of chronic prostatitis（ CP） combined with mycoplasma infection in Kunming area.Methods： From January 2016 to June 2017,1186 cases of CP who were diagnosed in Urology Outpatient Clinic of Yunnan Provincial Hospital of Traditional Chinese Medicine were chosen,and among of them,381 were combined with mycoplasma infection,and a questionnaire survey of TCM syndrome was conducted to analyze the characteristics and regularity of the syndrome distribution in 381 cases.Results： The majority of 381 patients had solid constitution,including dampheat type（ 82.68%）,blood stasis type（ 8.40%）,yin deficiency type（ 7.35%） and yang deficiency（ 1.57%）.The most common symptoms of urogenital system in 381 cases were urethral pruritus（ 87.93%）,frequency of urine（ 83.02%）,and urinary pain（ 73.49%）,while the possibility of premature ejaculation（ 9.91%） and impotence（ 5.51%） were the least.In terms of tongue proper,381 cases were mainly red（ 86.68%）,followed by light red（ 8.92%）.The tongue coating was mostly yellowish and sticky（ 78.74%）,followed by thin white coating（ 8.92%）.The tongue body was mostly moderate（ 82.68%）.The hypoglossal choroid was normal（ 91.60%）,followed by 32 cases of tongue bruises and ecchymosis,accounting for 8.40%.The 381 cases mostly had string pulse,followed by slippery pulse,and normal pulse.Among 381 cases,315 had syndrome of downward attack of damp-heat,32 had qi stagnation and blood stasis syndrome,28 had deficiency of liver and kidney yin,and 6 had deficiency of kidney yang.Conclusion： The common TCM syndrome types of chronic prostatitis mycoplasma infection are syndrome of downward attack of damp-heat; qi stagnation and blood stasis syndrome.
作者
张明强
李焱风
王定国
李杰
杨毅坚
ZHANG Ming-qiang;LI Yan-feng;WANG Ding-guo;LI Jie;YANG Yi-jian(Yunnan Provincial Hospital of Traditional Chinese Medicine,First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine,Kunming,Yunnan,China,650021)
出处
《河南中医》
2018年第9期1396-1399,共4页
Henan Traditional Chinese Medicine
基金
云南省应用基础研究计划自筹项目(编号:2013FZ201)
关键词
慢性前列腺炎
支原体感染
湿热下注证
气滞血瘀证
肝肾阴虚证
肾阳不足证
chronic prostatitis
mycoplasma infection
syndrome of downward attack of damp-heat
qi stagnation and blood stasis syndrome
deficiency of liver and kidney yin
deficiency of kidney yang
