TCM Syndrome Of Chronic Pelvic Inflammatory Disease And Clinical Effects Of Law

ObjectiveChronic pelvic inflammatory disease by studying the distribution of syndromes, syndromes of the law, and prospective studies for clinical differentiation to provide the information upon which to draw; chronic pelvic inflammatory disease by age, gravidity, duration of disease, history of uterine operation research to understand the relationship between factors and effects, good for patients with chronic pelvic inflammatory disease awareness and prevention; through case law over the years of chronic pelvic inflammatory disease research to improve its clinical efficacy, increase the cure rate and reduce the relapse rate to improve the quality of life of patients.MethodThis study was retrospective, collected from 2005 to 2010, Guangzhou University of Traditional Chinese Medicine, First Affiliated Hospital, met the diagnostic criteria for chronic pelvic inflammatory disease cases of 315 patients hospitalized patients, induction-type distribution of the card, record their age, gravidity, duration, operating history of uterine and other information, application scoring criteria of chronic pelvic inflammatory disease, chronic pelvic inflammatory disease patients before and after treatment comparison points, the results of application of SPSS11.5 statistical software for data analysis.Results1. This study were collected from 2005 to 2010 met the diagnostic criteria of a total of 315 cases of chronic pelvic inflammatory disease with a mean age of 33.17 years,2.47 times of pregnancies, duration of 2.32 years and 2.25 times the number of uterine operation. Cases in which 90 cases of damp heat stasis Results, accounting for 28.57% of cases; blood stasis cases 183 cases,58.10 percent of the total disease; alpine stagnate in 12 cases,3. of total cases; 30 cases of qi deficiency and blood stasis, of the total 9.52% of cases. The chi-square test, each syndrome number of cases between any two there are statistically significant. Among them, the proportion of blood stasis type, followed by heat stasis junction.2. In respect of each factor:Descending order of the age distribution of Qi stagnation type (37.63±8.76), hot and humid stasis junction (32.14±8.14), Qi and Blood type (29.93±8.57), alpine stagnation type (27.33±6.30). Which blood stasis syndrome type with the other three there is statistical difference (P<0.05), damp heat stasis and stagnation junction, Qi and Blood There were significant differences (P<0.05). The distribution of pregnancies followed by the more to less qi and blood stasis type (2.64±2.02), blood stasis type (2.54±1.99), hot and humid stasis junction (2.32±1.62), alpine stagnation type (2.12±1.78), no significant difference by statistical analysis (P> 0.05).Course of distribution from long to short turn Qi stagnation type (3.16±2.95), Qi and Blood (1.23±1.75), hot and humid stasis junction (1.21±1.20), alpine stagnate (0.79±0.82). Which blood stasis syndrome type with the other three there is statistical difference (P<0.05).The distribution of operating history of uterine cavity by the more to less as follows:Qi and Blood (2.69±2.56), damp heat stasis junction (2.35±2.12), blood stasis type (2.15±1.86), alpine stagnate (2.01±1.63), the statistical analysis were not statistically different (P> 0.05).3. In this study,315 cases of chronic pelvic inflammatory disease, in the comprehensive effect, the total effective rate was 95.87%, of which heat stasis nodal effective rate was 96.67%,93.33% efficiency qi and blood stasis, cold stagnant efficiency 91.67% Qi stagnation efficiency 90.16%. Clinical symptoms in traditional Chinese medicine, the blood stasis syndrome type of traditional Chinese medicine cured 6.56%, effective in19.13%,64.48% effective, ineffective 9.84%, total effective rate 90.16%; heat recoveryTCM symptoms junction stasis 10.00%, effective in 22.22%, effective 64.44%, 3.33% is not valid, the total efficiency of 96.67%; qi deficiency blood stasis syndrome cure Chinese medicine 10.00%, effective in 20.00%,63.33% effective, ineffective 6.67%, total effective rate 93.33%; alpine stagnation 16.67% recovery TCM symptoms, Effective 33.33%,41.67% effective, ineffective 8.33%,91.67% total efficiency.4. Chronic pelvic inflammatory disease before and after treatment of the syndrome TCM syndrome score There were significant differences (P<0.05).5. The influencing factors and effect relationship:Age:26～35 years old which rate (96.53%) the highest, by chi-square test, with the other age groups were significantly different (P<0.05); pregnancies: The chi-square test, there was no significant difference in efficiency (P> 0.05); course:less than 1 year of which the rate (98.60%) the highest, by chi-square test, there are significant differences with the other course (P <0.05); cavity operating history:none of which the uterine cavity operation patients with a history of chronic pelvic inflammatory disease rate (98.78%) the highest number of operations with other intrauterine There were significant differences (P<0.05).Conclusion1. Guangzhou University of Traditional Chinese Medicine, First Affiliated Hospital of 2005-2010 in patients with chronic pelvic inflammatory disease syndrome ranged from more to less as follows:blood stasis type, heat stasis junction, Qi and Blood, cold stagnate type.2. In the different syndromes of chronic pelvic inflammatory disease patients, average age of patients with blood stasis type the most, become middle-aged women, followed by hot and humid in patients with stasis junction; blood stasis in patients with the longest duration. The distribution of syndrome pregnancies, no significant correlation between uterine operation.3. Use of Chinese medicine hospital comprehensive treatment of chronic pelvic inflammatory disease significantly, the syndrome symptoms improved after treatment, the total effective rate was 92.38%, of which heat stasis junction has the highest efficiency, followed by blood stasis type.4. The influencing factors and chronic pelvic inflammatory disease have a certain relationship, the shorter the duration, the fewer the number of uterine cavity operation, the better the effect, of which 26 to 35 year old patient the best effect.