关键词: 不明原因复发性流产, D型人格, 证候, 肾虚

Abstract: Objective　To investigate the prevalence of type D personality and distribution of TCM syndromes in patients with unexplained recurrent spontaneous abortion（URSA）.Methods From First Affiliated Hospital，Heilongjiang University of Chinese Medicine，we enrolled 200 outpatients and inpatients with URSA（study group），and 200 patients with childbearing history（≥1 time） and other diseases（control group） during January 2013 to February 2014.Type D Scale-14（DS14） was used to assess the prevalence of type D personality in both groups.On the basis of literature review and expert consultation，we developed the "Diagnostic Criteria of TCM Syndromes for Unexplained Recurrent Spontaneous Abortion" and used it to assess the TCM syndromes in the study group.Results　Compared with the control group，the study group demonstrated higher prevalence of type D personality〔59.0%（118/200） vs 15.5%（31/200），P<0.05〕，and higher mean scores of DS14 and its two dimensions（negative affectivity and social inhibition）（P<0.05）.The top common TCM syndromes in the study group were simple kidney deficiency（101 cases，50.5%） and kidney deficiency and liver stagnation（39 cases，19.5%）.In the 118 URSA patients with type D personality，the TCM syndromes found were simple kidney deficiency（85 cases，72.0%），kidney deficiency and liver stagnation（29 cases，24.6%） and blood stasis（4 cases，3.4%）.Conclusion　URSA patients are prone to have type D personality.In URSA patients with type D personality，simple kidney deficiency is the main TCM syndrome.

Key words: Unexplained recurrent spontaneous abortion, Type D personality, Symptom complex, Kidney deficiency