长沙市男性不育症患者睾丸体积与中医体质类型分析

摘要

〔Abstract〕 Objective To investigate the relation of physical distribution characteristics, semen quality, testicle size of infertile patients with the TCM construction by the questionnaire TCM constitution of 344 cases of male infertility patients in Changsha, and the impact of the common causes of TCM constitution was analyzed. Methods According to the Chinese Medical Association in April 2009 to implement the Chinese Constitution Classification and Judgment" (ZYYXH / T157-2009), 344 cases of infertile men were identified their construction. combined with, We discuss the integrative medicine methods and ideas by combining with clinical statistical analysis of data. Results 17.4% Single biased constitution (as a biased constitution) accounted for 25.6%: Mixed biased constitution accounted for 57.0%. The overall physical type before ten were Yin-Yang harmony accounted for 17.4%, Damp-heat and Dphlegmatic-dampness accounted for 14.2%, Yang asthenia and Qi asthenia accounted for 9.59%, Damp-heat accounting for 8.43%; Yang Asthenia and Phlegmatic-dampness accounting for 6.69%. dphlegmatic-dampness and Qi asthenia,Damp-heat transfer all five cases, accounting for 5.81%; Qi asthenia accounted for 4.94%, Yang asthenia, accounted4.36%, forrespectively; Qi stagnation-Qi asthenia accounted for 3.49%. Conclusion From a single physical type to see except a peaceful quality, the Damp-heat and Qi asthenia is its main physical quality of the population type; composite type, although each compound is relatively dispersed, but still showed to Damp-heat as the main feature. The distribution of Yang asthenia andphlegmatic-dampness followed; the overall Yin asthenia, specially intrinsic nature,quality and stasis and disease are rarely. The constitution are Damp-heat and Yang asthenia mainly , where the Testicular volume is Less than 15 mL, the constitution is Yang asthenia and Dphlegmatic-dampness. while, in the normal volume, The constitution are Damp-heat, Dphlegmatic-dampness and Yin-Yang harmony mainly.%目的：通过对长沙市344例男性不育症患者进行中医体质的问卷调查，探讨男性不育症患者体质分布的特点及其精液质量、睾丸大小与中医体质的关系，分析常见病因对中医体质的影响。方法根据中华中医药学会《中医体质分类与判定》(ZYYXH／T157-2009)对344例不育男性进行体质辨识，结合临床资料进行统计分析，讨论中西医结合治疗的方法和思路。结果344例男性不育患者中平和体质占17.4％，单一偏颇体质(为一种偏颇体质者)占25.6％，混合偏颇体质占57.0％。总体体质类型前10位依次为平和质（17.4％）、湿热痰湿质（14.2％）、阳虚气虚质（9.59％）、湿热质（8.43％）、阳虚痰湿质（6.69％）、痰湿质（5.81％）、气虚湿热质（5.81％）、气虚质（4.94%）、阳虚质（4.36％）、气郁气虚质（3.49％）。结论从单一体质类型看除平和质外，湿热质和气虚质是不育患者的主要体质类型；复合类型中，虽然各复合型相对分散，但仍然表现以湿热复合类为主要特征，而阳虚、气虚、痰湿复合类次之的分布特征；而总体阴虚质、特禀质、血瘀质及其复合类都很少见；不育症患者不同睾丸体积的中医体质分布差异具有统计学意义。