| ObjectiveChronic pelvic inflammatory disease refers to female genital organs such as the uterus, fallopian tubes, ovaries, uterine connective tissue, pelvic peritoneum, etc. The chronic inflammation, often by the evolution of acute pelvic inflammatory disease delay in treatment, or to inadequate treatment or patients with physical weakness, duration of protraction caused no significant history of acute onset, slow onset due to repeated illness. It is a common disease in gynecology, occur in sexually active and menstruating women. Pressure of modern social work, the proliferation of sexual life, the with repeated abortion drug flow, making a clear upward trend in the incidence of pelvic inflammatory disease brought about by the long-term chronic pelvic pain, infertility, or ectopic pregnancy, affected patients quality of life.According to U. S. data, high incidence of pelvic inflammatory disease aged15-25years old reported age of onset of25to40year-old patient in foreign countries, the incidence rate between30%and60%.16-year-old before the onset of sexual active women than later life chronic high incidence of pelvic inflammatory disease; frequency of sex, and the incidence of the disease was positively correlated with sexual health habits, unclean sexual intercourse (sex party suffering the disease can be transmitted through sexual contactor with pathogens) are associated with the incidence of chronic pelvic inflammatory disease. It is reported that using a condom, diaphragm or cervical cap of more than2years compared with women using the tool less than2years, pelvic inflammatory diseaserate decreases, rather than the tool contraception are susceptible to pelvic inflammatory disease; risk of long-term oral contraceptives compared with those not taking, the risk of pelvic inflammatory disease reduced by50%. The risk of pelvic inflammatory disease, comparing using the IUD rather than not using it increased from2.5to7.3times According to the World Health Organization estimates, the spread of sexually transmitted diseases result in an annual increase of330million patients with sexually transmitted diseases around the world, including10%to20%developed into chronic pelvic inflammatory diseasePrevention and treatment of chronic pelvic inflammatory disease, reduce the development of infertility, ectopic pregnancy, chronic pelvic pain and other complications is an urgent work in the future. Chinese medicine treatment efficacy, no drug resistance, the possibility of recurrence is small features With the concepts of health and medical model, as well as the improvement of people’s living standards, quality of life draws researchers more and more attention, and has been widely used. Quality of life is a comprehensive evaluation of the physical, psychological and social factors, can help clinicians determine the patients affected by which the disease is the most serious aspects, provides an effective and inexpensive method to help clinicians determine the treatment method and, designed to work with other means of phase combined through relieve symptoms and improve quality of life. Quality of life model has been widely used in a variety of chronic diseases and neoplastic diseases, as an end-point evaluation, and has been the growing importance of the domestic and foreign scholars. In clinical practice, the determination of the quality of life that can help clinicians in diagnosing a patient affected by which the disease the most serious aspects, to determine treatment; lack of health resources in some developing countries, treatment aims to relieve symptoms and improve quality of life effective and inexpensively, with other means of combining the quality of life table can also help medical researchers to evaluate the therapeutic process changes in the quality of lifeThe research found that women with chronic pelvic inflammatory disease in physical functioning, general health, vitality, social functioning and mental health scores as chronic pain intensifies decline Chronic pelvic pain can cause the quality of life of patients, the quality of marriage and sexual function decreased significantly, when part of the prognosis of patients with chronic pelvic inflammatory disease is only part of the recovery, treatment is to relieve symptoms, rather than the means to cure the disease, quality of life table is meaningful, therefore, the research through different syndromes in patients with chronic pelvic inflammatory disease etiology pathogenesis, symptoms and quality of life as summarized research on the quality of life of different syndromes in patients with chronic pelvic inflammatory disease, the use of statistical methods, careful analysis with the Chinese dialectical, seeking treatment for chronic pelvic inflammatory disease and to improve the quality of life specific method, in addition to the primary disease, the overall analysis of the quality of life of patients with the disease as an evaluation supplement for the future, in addition to the main symptom, more comprehensive treatment, provide better quality of life for each dialectical therapy, help to play the advantages of Chinese medicine treatmentContent and MethodsQuality of life (QoL), the origin of the United States in the1930s, the beginning is only a sociological indicators; In1993at the World Health organization (WHO) in Geneva defined quality of life:refer to different culture and value system of the individual, their goals, expectations, standards and concerns things the living conditions of experience-This is a broad concept connotation, which contains the individual’s physical health, psychological state, independence, social relationships, personal beliefs and relationship with the surrounding environment. Under this definition, the quality of life refers to the individual’s subjective evaluation, self-evaluation which is rooted in the cultural, social environment. According to the above definition, the World Health Organization (WHO) has developed a scale, including different questions, covering different areas and aspects related to the quality of lifeSurvival scale questionnaire with the World Health Organization Quality of Life BREF Chinese version (WHO-BREF) was measured by calculating the patients with chronic pelvic inflammatory disease each entry score, various fields of statistics and entry score is statistically significant, indicating chronic pelvic the survival of patients with inflammatory scale conditions. WHOQOL-BREF scale Chinese version of the26entries, each entry has five options, score from good to bad (or very satisfied to very dissatisfied) assignedal to5, but number3,4, and26entry is the reverse entry. In addition, family friction, loss of quality of life and self-assessment score each area has its own rating. Subjective feelings of the patients in four areas (physical, psychological, social relationships, environment) as well as their overall quality of life, general health status evaluated. Scores can range according to the formula, the5-point scale in four areas score converted into percentile (self-assessment quality of life score is the percentage system), the lower the score, the worse the quality of life. Interviews is taken as a measurement, questionnaire is filled in by the clinician or patient themselves, lower education level or quality of life entries do not understand the questions would have the interpretation by the clinician. Prior to the formal research, training was provided to the key measurement personnel of the main survey methods and precautions to ensure the consistency of the measurement. After the questionnaire completed, interviewer conduct a comprehensive inspection and verification. Re-interview the survey, if in doubt. All the original data after verification, organized and calculation accuracy will then use SPSS to analysis. Double check is adopted to ensure the accuracy of the entry。Collected, from, July2012to February2013, the gynecological outpatient of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, the patients with chronic pelvic inflammatory disease, those,who were accordance to the diagnostic, inclusion and exclusion criteria,were selected into the standard set of200patients. According to the specific clinical manifestations, reference materials<<Chinese new drug clinical research guidelines>> syndrome type are grouped into Group of dampness-poison stagnation, Group of blood stasis-poison stagnation, Group of heat-dampness stagnation, Group of damp-heat-blood stasis accumulation, Group of qi stagnation and blood stasis, and Group of cold-dampness stagnation. To record the condition of the patients, by WHOQOL-BREF scale survey form, in four areas of quality of life in the physiological, psychological, social, environmental, and then the collected information and data to explore different TCM syndrome and quality of life of patients with chronic pelvic inflammatory disease.Results:1Among different syndromes in patients with chronic pelvic inflammatory disease, total average score of Group of blood stasis-poison stagnation and Group of qi stagnation and blood stasish is minimum. Separate different areas in the field of physiological, Group of heat-dampness stagnation had the lowest score. In the field of mental, Group of cold-dampness stagnation score the lowest. In the field of social areas, Group of cold-dampness stagnation score the lowest. In the environmental field, the lowest score is the Group of dampness-poison stagnation2In self-assessment, the Group of blood stasis-poison stagnation patients with chronic pelvic inflammatory disease in quality of life feelings and physical health score lowest, visible subjective feelings of the worst3in the field of physiology, Group of dampness-poison stagnation, Group of blood stasis-poison stagnation and Group of qi stagnation and blood stasis in medical dependence and pain reduced the quality of life;Apart from the Group of cold-dampness stagnation, medical dependence, energy, sleep and pain of all others groups reduce the slow pelvic inflammatory disease quality of life in this area4in the field of psychology, the Group of dampness-poison stagnation, Group of blood stasis-poison stagnation and Group of qi stagnation and blood stasis in the sense of attention and negative impact lower the quality of life; attention and enjoyment of life in Group of heat-dampness stagnation, Group of damp-heat-blood stasis accumulation affect the quality of life is low,. Group of cold-dampness stagnation affect the quality of life in terms of attention and appearance. In general, attention and negative sense of the different syndromes of chronic pelvic inflammatory disease (except Group of cold-dampness stagnation) reduce the quality of life in this area5in the social sphere, sex life with different syndromes of chronic pelvic inflammatory patients reduce the quality of life in this area.6in the field of the environment, the health care of patients with chronic pelvic inflammatory disease in Group of dampness-poison stagnation got the lowest score; Group of blood stasis-poison stagnation, Group of heat-dampness stagnation patients with the lowest score in economic conditions; damp-heat-blood stasis accumulation and cold-dampness stagnation in patients with the lowest score of the leisure activities; qi stagnation and blood stasis in patients with the lowest score in the everyday sense of security. Environmental factors without unity, different syndromes in patients with chronic pelvic inflammatory disease is being affected by different environmental factors on the quality of life.Conclusion 1Different syndromes in patients with chronic pelvic inflammatory disease in different areas of the quality of life has its own specificity and correlation.2different syndromes in patients with chronic pelvic inflammatory disease generally had low quality of life.3Group of dampness-poison stagnation of chronic pelvic inflammatory disease in patients with the lowest score of satisfaction with the quality of life in the medical dependence and pain, a sense of attention and negative, sex life, and health care services.4Group of blood stasis-poison stagnation results the lowest score in the feelings of quality of life and self-health status, medical needs and pain, a sense of attention and negative, sexual and economic conditions of quality of life.5Group of heat-dampness stagnation results the lowest score of quality of life in medical dependence and energy, attention and enjoyment of life, sex life and economic conditions.6Group of damp-heat-blood stasis accumulation results the lowest score of quality of lif in the medical dependence and energy, attention and enjoyment of life, sex life and active leisure opportunities.7Group of qi stagnation and blood stasis results a minimum score of qual ity of lifein medical dependence and pain, attention and negative sense, sex life and day-to-day sense of security.8Group of cold-dampness stagnation results the lowest score of quality of life in medical dependence and energy, attention and appearance, sex life and opportunity for active. |
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