Pelvic Inflammatory Disease Syndrome Distribution And Evolution

Pelvic inflammatory disease (pelvic inflammatory disease, PID) are the most common gynecological, inflammation of one of the most important for a group on the reproductive tract infections, including endometritis, salpingitis, tubal ovarian abscess and pelvic peritonitis. In general, acute pelvic inflammatory disease refers to the micro-organisms from the vagina and cervix lining up tubes spread to endometrium, fallopian tubes and adjacent tissues caused by an inflammation of the reproductive tract; Chronic pelvic inflammatory disease refers to the after-effects of acute process, such as adhesion, scar and tubal obstruction. About 30% of infertility cases,50% of ectopic pregnancies, and many cases of chronic pelvic pain caused by their serious impact on women's health and quality of life. Western medical treatment of the main applications of antibiotics treatment, the acute phase inflammatory effect is better, but it is difficult for the treatment of chronic pelvic inflammatory disease. The traditional Chinese medicine according to syndrome differentiation and treatment to alleviate symptoms and signs in effect is significant, and the side effects.In this study of 145 hospitalized cases of acute pelvic inflammatory disease patients and 240 cases of patients with chronic pelvic inflammatory disease cases were retrospectively investigated.Objective:To study the various stages of the pathogenesis of pelvic inflammatory disease symptoms characteristics, the distribution of pelvic inflammatory disease TCM, to explore the evolution of the law, for Differential Treatment of pelvic inflammatory disease standardization of clinical research to provide some basis to guide clinical treatment, improve the efficacy.Methods:In general patients with pelvic inflammatory disease, symptoms and syndromes of the database, using descriptive statistical method for the distribution of pelvic inflammatory disease TCM, evolution law research.Conclusion:①Distribution of pelvic inflammatory disease symptoms: Acute pelvic inflammatory disease in order to humid stasis knot, poisoning caused by damp Yongsheng, Yongsheng poisoning caused by damp and blood stasis, and damp-heat internal-node Ecchymosis Accumulation five syndromes are more common. The disease in order to humid evil we can see each other formed a major pathological drug-based, toxic heat, damp heat, blood stasis as a standard, the sick nature of the case. Chronic pelvic inflammatory disease in order to alpine stasis knot, damp-heat stasis knot, Qi stagnation blood stasis, qi deficiency and blood stasis syndrome type 4 is more common. That the disease's illness marked sex-based virtual real, with congestion, cold dampness, damp heat, air stagnation, Qi as the main pathological basis for the incidence of blood stasis in which the central link, through the disease has always been. Junction with the hot and humid alpine Stasis Stasis junction was no significant difference in the overall proportion.②the course of pelvic inflammatory disease, the evolution of the law:Acute inflammatory phase to poisoning caused by damp and humid Accumulation Yongsheng main, sub-acute phase in order to humid stasis guitar-based, chronic pelvic inflammatory disease recurrence in acute poisoning caused by damp Yongsheng and blood stasis and damp-heat stasis node-based. Chronic pelvic inflammatory disease course in a year below to qi deficiency blood stasis and damp-heat stasis junction-based; course of 1-3 years in those with Qi stagnation blood stasis type and mostly alpine Stasis junction; course of more than 3 years alpine Stasis junction more common. To Qi stagnation blood stasis in patients with mild-type chronic pelvic inflammatory disease mainly in patients with moderate to damp-heat stasis and Qi stagnation blood stasis type junction are mostly in patients with severe alpine stasis and qi deficiency blood stasis junction majority. We can see that the initial incidence of pelvic inflammatory disease in order to humid pathogenic toxin-based, post-hot and humid nostalgia, blood stasis within the knot; The initial chronic phase to qi deficiency blood stasis and damp-heat stasis main junction, with the protracted course of disease, air stagnation characterized by marked stasis Hisao cold, sick a long time is true, the more mixed performance for the actual situation; When the chronic pelvic inflammatory disease in acute relapse, it was manifested as hot and humid toxic characteristics of the coexistence of evil and blood stasis. Lack of disease progression in patients with righteousness than the speed, serious condition. Acute exacerbation of chronic pelvic inflammatory disease and pelvic inflammatory disease with acute onset of the initial conditions no significant difference.