陈艾丽 冉青珍

【摘 要】 目的：调查女性慢性盆腔疼痛的体质及生活因素，分析两者的相关性，为防治女性慢性盆腔疼痛提供辅助方法。方法：采用《中医体质分类与判定》标准调查表、自拟的相关生活因素调查表收集数据，对调查结果进行统计分析。结果：慢性盆腔疼痛患者常见体质类型以阳虚质、气虚质、平和质和湿热质为最多见。阳虚质、气虚质组患者经常晚睡、睡眠质量差；气虚质组患者以脑力劳动为主，容易抑郁，参加运动较少；湿热质组患者偏嗜肥甘厚腻食物较明显。结论：女性慢性盆腔疼痛患者呈现偏颇体质聚集现象，一些不良生活习惯或情绪因素与特定体质的形成有一定关系，临床可以从干预生活因素的方面寻求防治女性慢性盆腔疼痛的有效方法。

【关键词】 慢性盆腔疼痛；中医体质；相关因素

【中图分类号】R223 【文献标志码】 A【文章编号】1007-8517（2018）06-0004-03

Abstract：Objective To investigate life factors and common constitutions of Chronic Pelvic Pain （CPP） in women， and analyze the possible correlations between them in order to provide an auxiliary method for the prevention and treatment of CPP. Methods We collect datas by using self-designed questionnaire and physical questionnaire and do statistic analysis for the survey Results Result The common constitutions of CPP are yang-deficiency type， qi-deficiency type， moderate type and damp heat type orderly. Some Patients often sleep late and have poor quality of sleep in the patients of yang-deficiency type and qi-deficiency type. The qi-deficiency type patients are prone to depression and have no interest in things. The patients of qi-deficiency type are given priority to mental work and feel stressed and less exercise. Patients of damp heat type Like fat and greasy food very much. Conclusion There is gathered phenomenon of biased constitution in patients with CPP. The formation of certain constitution is related to some bad life habits or emotional factors. In clinic practice， we can intervene on life factors to find effective therapies.

Keywords：Chronic Pelvic Pain；Chinese Medicine Constitution；Correlative Factor

慢性盆腔疼痛（ Chronic Pelvic Pain，CPP） 是指非周期性，持續达6个月以上（也有认为达3个月以上），对非阿片类药物治疗无效的盆腔疼痛[1]。患者以反复或持续不解的盆腔疼痛为主诉就诊。“止痛”是患者的主要诉求。但由于该症涉及的病种较多、诊断复杂，临床疗效欠佳。近年来中医体质学说已经被运用在多种疾病的预防及辨证诊治中，将其引入慢性盆腔疼痛的诊断与治疗，以期为广大患者提供更有效的防治措施。

1 资料与方法

1.1 研究对象 2012年2月至2013年2月期间以“下腹疼痛”为主诉在广东省中医院妇科门诊及住院部就诊的患者。……