长沙地区男性不育患者精索静脉宽度与中医体质类型相关性探讨

目的 通过对长沙地区男性不育患者进行中医体质的问卷调查,得出男性不育患者体质分布的特点及精索静脉宽度与中医体质的关系,分析常见病因对中医体质的影响,探讨中医药防治男性不育的新思路。方法 根据《中医体质分类与判定》（ZYYXH／T157-2009）对长沙地区344例不育男性进行中医体质判定,并分析精索静脉宽度与中医体质的相关性。结果 男性不育患者中平和体质占17.4%,单一偏颇体质占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%）。男性不育患者双侧精索静脉宽度与中医体质分布差异有统计学意义（P<0.01）。湿热质、痰湿质在精索静脉曲张所致男性不育患者中分布比例较高。结论 男性不育患者中,平和质、湿热质和气虚质是主要单一体质类型;复合类型中各型相对分散,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。湿热质、痰湿质与精索静脉曲张所致男性不育存在一定联系。

Correlation Analysis Between the Spermatic Vein Width and TCM Constitution of Infertile Patients in Changsha City

Objective Through the questionnaire survey of TCM Constitution of male infertility patients in Changsha, obtained the relationship between width of the spermatic vein and TCM Constitution, and the characteristics of male infertility patients with physical distribution,which helped to prevent and treat the male infertility. Methods According to the "Chinese Constitution Classification and Judgment" (ZYYXH/T157-2009), 344 cases of male infertility in Changsha were judged by TCM Constitution, then analyzed the correlation between the width of the spermatic vein and TCM Constitution. Results Flat constitution accounted for 17.4%; for a single biased constitution biased constitution accounted for 25.6%; the 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%, deficiency of Yang and Qi accounted for 9.59%, damp-heat accounted for 8.43%, Yang deficiency and phlegm-dampness accounted for 6.69%, phlegm-dampness accounted for 5.81%, Qi deficiency and phlegm-dampness accounted for 5.81%, Qi deficiency accounted for 4.94%, Yang deficiency accounted for 4.36%, Qi stagnation-Qi deficiency accounted for 3.49%. The diffrences between the width of the spermatic vein and TCM Constitution were statistically significant (P<0.01). The damp-heat and phlegm-dampness constitution had high distribution in male infertility. Conclusion Mild, damp-heat and phlegm-dampness and deficiency of Yang and Qi constitution are the main type of male infertility patients. Damp-heat complex type is the main feature, and followed by Yang deficiency, Qi deficiency, phlegm-dampness complex types. Damp-heat and phlegm-dampness constitution have some correlation with varicocele induced male infertility.