成都地区多囊卵巢综合征临床特征研究及与中医证型的相关性分析-study on clinical characteristics of polycystic ovary syndrome in chengdu and its correlation with tcm syndrome types.docx

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2018-06-04 发布于上海
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成都地区多囊卵巢综合征临床特征研究及与中医证型的相关性分析-study on clinical characteristics of polycystic ovary syndrome in chengdu and its correlation with tcm syndrome types.docx

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成都地区多囊卵巢综合征临床特征研究及与中医证型的相关性分析-study on clinical characteristics of polycystic ovary syndrome in chengdu and its correlation with tcm syndrome types

AbstractObjectiveThispaperaimstorevealcorrelationbetweenclinicalfeaturesandTCMsyndromeofPCOSpatientsintheChengduareasoastosummarizeitsgeneralrulesandprovideobjectivebasisforclinicalsyndromedifferentiationsandtreatmentsofthisdisease.MethodsThispapercomplieswiththeclinicalresearchmethodforsectionalstudyand142PCOSpatientsmeetinginclusioncriteriaofcasesaresurveyed;changesofclinicalfeaturesofthepatientsshallbeanalyzedandobservedbasedontheresultsofinvestigation,andsyndromedifferentiationsincludinggroupsofkidney-yangdeficiency,groupsofkidney-yindeficiency,groupsofkidney-yinyangdoubledeficiency,groupofkidneydeficiencyandbloodstasis,groupsofliver-qistagnation,groupsofbloodstasis,groupsofspleen-deficiencyandphlegmstagnationandgroupsofshallbedividedaccordingtorelevantdiagnosisstandards,statisticalanalysesshallbemadetosummarizethegeneralrulesandobtainrelevantconclusions.Results(1)constituentratioofPCOSpatientswithparameniaandinfertilityinChengduisrelativelyhigher,accountingfor81.69%and43.66%respectively;incidencerateofhighandrogenisaround28.87%,butconstituentratiosofhypertrichiasis,acneandacanthosisnigricansarelower,being22.54%、16.90%and2.11%respectively;ovaryvolumeexpandslightlywithapercentofonly51.41%;constituentratiosofobesityandHINS,constituentratioofpolycysticovaryandLH/FSHratiorespectivelyincreasesby44.37%,27.46%,89.44%and57.75%.（2）TCMsyndromeof142PCOSpatientsintheChengduareaaremostlywithkidney-yangdeficiency,whichisbasicallyduetokidneydeficiency,andtemporarilycausedbyfunctionaldisturbanceofthekidney,liverandspleenaswellasbloodstasisandturbidphlegm.（3）clinicalfeatureswithstatisticalsignificancetoPCOSTCMsyndromedifferentiationareobtainedbychi-squaretest:menstrualdisorderandPCOofPCOSpatientswithkidney-yangdeficiencyintheChengduareaisextremelymorefrequentthanthatofothersyndromedifferentiationsgroups（P〈0.05）;LH/FSHratio(≥2)ofPCOSpatientswithkidney-yangdeficiencyandliver-qistagnationintheChengduareaismuchhigherthanthoseofothersyndromedifferentiationsgroups（P〈0.01），butnodiffere