Correlation Between TCM Syndromes Of Chronic Pelvic Pain And Quality Of Life, Anxiety And Depression In The Sequela Of Pelvic Inflammatory Diseases

Pelvic inflammatory disease is a common reproductive tract infection in women of childbearing age.If treatment is not complete,pelvic inflammatory disease sequelae will occur,including infertility,ectopic pregnancy,chronic pelvic pain and recurrent pelvic inflammatory disease.Which chronic pelvic pain,often in the tired,after sexual intercourse and before and after menstruation intensified,persistent refractory long-term troubled patients,the patient's physical and psychological caused a great burden.Chinese medicine in the treatment of pelvic inflammatory disease chronic pelvic pain in the fruitful,according to the characteristics of traditional Chinese medicine syndrome differentiation,research of TCM syndromes to a certain extent,lay the foundation for standardized treatment of traditional Chinese medicine.With the continuous understanding of pelvic inflammatory disease,the quality of life has been increasing in recent years,and the psychological status closely related to quality of life has been paid more and more attention.The aim of this study is to study the main TCM syndromes and the overall quality of life and anxiety and depression of chronic pelvic pain in pelvic inflammatory disease sequelae,and to explore the relationship between TCM syndromes and quality of life and anxiety and depression.Objective:To observe the composition of TCM syndromes in patients with chronic pelvic pain caused by pelvic inflammatory disease,to observe the quality of life and the mood changes of anxiety and depression in these patients,and to explore the relationship between TCM syndromes and quality of life Correlation and different TCM syndromes in patients with anxiety and depression.Targeted to guide clinical treatment,comprehensive and comprehensive intervention to help patients improve the quality of life,to provide the basis for personalized treatment.Methods:This study was conducted by cross-sectional study,collected from February 2016 to February 2017 in the Sino-Japanese Friendship Hospital,Shijingshan Chinese medicine hospital,Olympic Village Community Hospital of Chinese medicine gynecological diagnosis of pelvic inflammatory disease sequelae chronic pelvic pain A total of 99 cases of patients.(SAS),self-rating depression scale(SDS),and self-rating scale(SDS)were collected from the questionnaire.The questionnaire was collected from the questionnaire.Will be collected four diagnostic information for TCM classification,the use of clustering analysis method to determine the TCM syndromes.The higher the scores,the better the quality of life,the better the quality of life,and the difference between the quality of life,the anxiety and the depression of the patients and the normal population by using the single sample t test,and comparing the main syndrome type with the variance analysis Between the quality of life,anxiety and depression.Research result:1.The method of cluster analysis was used to divide the TCM syndromes of chronic pelvic pain in the sequelae of pelvic inflammatory disease.The proportion of kidney deficiency and blood stasis was the highest,accounting for 33.3%;24.2%qi deficiency and blood stasis syndrome 20.2%of stasis syndrome,cold coagulation and blood stasis syndrome and damp heat syndrome,the proportion of less,respectively,13.1%and 9.2%.The SF-36 scale in this study was lower than that in normal subjects.In the physiological function:kidney deficiency and blood stasis and qi stagnation and blood stasis were different(P=0.008),kidney deficiency and blood stasis syndrome and damp-heat blood stasis were different(P=0.006);role restrictions:kidney deficiency and blood stasis(P?0.048).There was a significant difference between the two groups(P=0.048).There was a significant difference between the two groups(P=0.048).The social function:cold coagulation and blood stasis syndrome(P=0.046);mental health:kidney deficiency and blood stasis syndrome and qi stagnation and blood stasis(P=0.036),kidney deficiency and blood stasis syndrome and cold coagulation blood stasis(P=0.009)are different;physiological health areas:kidney deficiency and blood stasis(P=0.013),qi deficiency and blood stasis syndrome and cold coagulation blood stasis syndrome(P=0.028)were different;general situation,energy,emotional function,mental health areas of the group no difference.3.(P<0.05).The score of self-rating anxiety scale(SAS)was higher than that of normal group(P=0.05),P=0.05(P<0.05)Type of anxiety and depression between the P values were greater than 0.05,no statistically significant.Analysis conclusion:1.pelvic inflammatory disease sequelae chronic pelvic pain patients common TCM syndromes can be divided into kidney deficiency and blood stasis,Qi and blood stasis,qi stagnation,cold coagulation and blood stasis and dampness and so on.2.pelvic inflammatory sequelae chronic chronic pelvic pain in patients with the quality of life than the average population decreased significantly.The quality of life of the main syndromes was analyzed:the score of physiological function score,the role restriction and the physical health was the lowest in the kidney deficiency and blood stasis syndrome;the blood stasis syndrome had the lowest score in the physical pain and social function;the blood stasis score in the mental health score lowest.In general,the lowest quality of kidney deficiency and blood stasis.3.There is no difference in anxiety or depression between different syndromes in patients with chronic pelvic pain.