【摘要】 目的：探讨不同年龄段胚胎停育患者中医症状与证素的分布特点。方法：以210例胚胎停育患者为研究对象，采用证素辨证方法获取证素及相应积分，分析低、中、高龄3个年龄段胚胎停育患者中医证素分布特点。结果：胚胎停育患者常见的临床表现为乳房胀（经前）、月经夹块、四肢凉、月经量少等；胚胎停育≥2次患者的年龄显著大于胚胎停育1次患者的年龄（P<0.05），且在中龄组和高龄组中的占比升高。低、中、高龄3组患者的病位证素均以肝、胞宫、肾为主，病性证素均以气滞、气虚、阳虚为主。结论：高龄是胚胎停育的重要因素，随年龄的增大胚胎停育风险增高；不同年龄段胚胎停育患者的主要病位均在肝、胞宫、肾，病性均以气滞、气虚、阳虚为主，表现为虚实夹杂的病理状态，肝郁气滞是胚胎停育患者的重要病理特点。更多还原

【Abstract】 Objective: To investigate the distribution characteristics of traditional Chinese medicine(TCM) symptoms and syndrome elements in patients with embryo damage in different ages groups. Methods: A total of 210 patients with embryo damage were selected as the research objects. Forensics and corresponding integrals were obtained by syndrome differentiation method to analyze the distribution characteristics of TCM syndrome elements in patients with embryo damage in three ages: low,middle and old. Results: The common clinical manifestations of the patients were breast distension(premenstrual), menstrual cramps, cold limbs, less menstrual volume, etc.. The age of the patients with ≥2 embryo damage was significantly higher than that of the patients with 1 embryo damage(P<0.05), and the proportion of the patients in the middle age group and the elderly group was increased. In the three groups of patients with low, middle and old age, the disease location syndrome elements were mainly liver, cell palace and kidney, and the disease syndrome elements were mainly qi stagnation, qi deficiency and yang deficiency.Conclusion: Old age is an important factor of embryo damage, and the risk of embryo damage increases with the increase of age. The main disease sites of patients with embryo damage in different age groups were liver, cellular palace and kidney, and the diseases were mainly qi stagnation, qi deficiency and yang deficiency. Liver qi stagnation was an important pathological characteristic of patients with embryo damage.更多还原