多囊卵巢综合征中医证候与中医体质关系研究

Correlation of traditional Chinese medicine syndrome and traditional Chinese medicine constitution in patients with polycystic ovary syndrome

关键词:  多囊卵巢综合征  中医证候  中医体质

Key words:  polycystic ovary syndrome  traditional Chinese medicine constitution  traditional Chinese medicine syndrome

摘要:

[目的]观察多囊卵巢综合征患者中医证候与中医体质的关系。[方法]选取黑龙江中医药大学附属第一医院妇科门诊收集的多囊卵巢综合征患者病例，对患者进行中医证候分型和中医体质判定，观察分析不同证候类型的多囊卵巢综合征患者中医体质分布是否存在差异。[结果]共收集263例符合纳入标准及排除标准的多囊卵巢综合征患者。中医证候分型以脾虚痰湿证居多，83例，占31.6%，其次为肾虚肝郁证77例，占29.3%；痰瘀互结证70例，占26.6%、肾虚血瘀证33例，占12.5%。中医体质以气虚质（74例，28.1%）、血瘀质（53例，20.2%）、痰湿质（51例，19.4%）3种体质占主要比例。4种中医证候的中医体质分布差异均有统计学意义，脾虚痰湿证以气虚质和痰湿质为主要体质；肾虚肝郁证的体质以气虚质及气郁质为多；痰瘀互结证中以血瘀质和痰湿质占主要比例；肾虚血瘀证中血瘀质和气虚质为主要体质。[结论]多囊卵巢综合征不同中医证候间中医体质分布存在差异，中医体质的特异性影响中医证候的类型。

Abstract:

[Objective] To observe the correlation of traditional Chinese medicine (TCM) syndrome and TCM constitution in patients with polycystic ovary syndrome (PCOS).[Methods] PCOS patients were collected from the out-patient in department of gynecology of First Affiliated Hospital of Heilongjiang University of Chinese Medicine. TCM constitution types and TCM syndromes were identified for all cases. It was observed that whether or not different TCM syndromes were distributed in different TCM constitution types.[Results] Two hundred and sixty-three cases of PCOS who were in accordance with the inclusion and exclusion criteria were selected. The main TCM syndrome types were syndrome of phlegm-dampness due to spleen deficiency (83 cases, 31.6%), syndrome of kidney deficiency and liver stagnation(77cases, 29.3%), syndrome of intermingled phlegm and blood stasis (70 cases, 26.6%) and syndrome of kidney deficiency and blood stasis (33 cases, 12.5%). The main TCM constitution types were qi deficiency constitution (74 cases, 28.1%), blood-stasis constitution (53 cases, 20.2%) and phlegm-dampness constitution (51 cases, 19.4%).All of the three TCM syndromes had statistical differences in the distributions of TCM constitutions. The syndrome of phlegm-dampness was mainly distributed in qi deficiency constitution and phlegm-dampness constitution. The syndrome of kidney deficiency and liver stagnation was mainly distributed in qi deficiency constitution and qi depression constitution. The syndrome of intermingled phlegm and blood stasis was mainly distributed in blood-stasis constitution and phlegm dampness constitution. The syndrome of kidney deficiency and blood stasis was mainly distributed in blood stasis constitution and qi deficiency constitution.[Conclusion] Different TCM syndromes of PCOS have difference in the distribution of TCM constitution types. The specific of TCM Constitution effect TCM syndrome types.