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Distribution Of TCM Syndromes And Analysis Of Reproductive Hormones In Polycystic Ovary Syndrome

Posted on:2016-12-02Degree:MasterType:Thesis
Country:ChinaCandidate:L P PuFull Text:PDF
GTID:2134330482472857Subject:TCM gynecology
Abstract/Summary:PDF Full Text Request
The TCM Syndrome distributions of Polycystic ovary syndrome are preliminarily discussed in this paper,which provide data support for the treatment on PCOS and its syndrome based on differentiation. Analysis of sex hormone levels, islet function and thyroid function status of PCOS patients, lay a foundation for prevention and control of PCOS. The correlations of main TCM syndrome and body mass index,sex hormone levels,as well as insulin resistance are explored, which provide a new starting point for the clinical treatment with Chinese medicine.[methods]By the method of clinical epidemiological investigation,425 cases of patients with polycystic ovary syndrome who included in the standard have been surveyed. All the results of the survey using the SPSS 17.0 statistical software for statistical analysis.[results]1.425 cases of patients with PCOS main TCM syndrome types are:Shen deficiency with liver depression and blockage with phlegm-damp (24.94%), Shen deficiency with liver depression (20.71%), Shen deficiency with liver depression and blood stasis nd blockage with phlegm-damp (10.35%). Among them, cases with Shen deficiency are the most type(95.53%), the main TCM syndrome is the excessive and the deficiency syndrome (95.53%),Composite model accounts for the vast majority (98.35%)2. PCOS patients with increased PRL accounte for 8.33%, increased T accounte for 26.54%,LH/FSH>2 accounte for 61.21%. Comparison of non-obese group and obesity group of FSH, LH, LH/FSH,non-obese group is higher than the obese,the difference was statistically significant (P< 0.05), Comparison of non-obese group and obesity group of E2、T、PRL,there was no statistically significant difference (P> 0.05).3. PCOS patients with overweight account for 36.00%, polycystic ovary change account for 79.61%, thyroid dysfunction account for 15.79%, insulin resistance account for 31.58%. Comparison of non-obese group and obesity group of FINS、 2hINS、FPG、HOMA-IR, obese group is higher than the non-obese,the difference was statistically significant (P< 0.05),Comparison of non-obese group and obesity group of 2hPBG,there was no statistically significant difference (P> 0.05).4. Comparison of BMI、LH/FSH、PRL、T、HOMA-IR in PCOS mainly TCM syndrome type groups, BMI:Shen deficiency with liver depression and blockage with phlegm-damp,Shen deficiency with liver depression and blood stasis and blockage with phlegm-damp compared with Shen deficiency with liver depression and blood stasis, Shen deficiency with liver depression,the difference was statistically significant (P< 0.05),Compared Shen deficiency with liver depression and blockage with phlegm-damp with Shen deficiency with liver depression and blood stasis and blockage with phlegm-damp,there was no statistically significant difference (P> 0.05),comparison between The rest of the syndromes groups,there was no statistically significant difference (P> 0.05). LH/FSH、PRL、T、HOMA-IR:Between Shen deficiency with liver depression and blockage with phlegm-damp,Shen deficiency with liver depression and blood stasis,Shen deficiency with liver depression,Shen deficiency with liver depression and blood stasis and blockage with phlegm-damp compared with each other, there was no statistically significant difference (P> 0.05).[conclusion]l.This study preliminarily concluded that 425 patients with polycystic ovary syndrome are surveyed, followed by the main TCM syndrome phlegm block kidney liver depression, kidney liver stagnation and blood stasis, kidney liver depression, kidney liver stagnation and blood stasis phlegm block,disease resistance to the inclusion of the actual situation Lord; document type distribution to kidney deficiency syndrome occurs most frequently.2.PCOS patients may have slightly increased PRL and thyroid dysfunction,FSH,LH and LH/FSH correlated with BMI, FSH nonobese group, LH and LH/FSH levels higher than the obese group,INS,2hINS, FPG, HOMA-IR correlated with BMI, obesity, insulin resistance in PCOS patients more susceptible,kidney liver depression and phlegm block, kidney liver stagnation and blood stasis phlegm block correlated with BMI, BMI values compared to other syndromes more high,the main TCM syndromes of the disease may be associated with LH/FSH, PRL, T, HOMA-IR correlation does not exist.
Keywords/Search Tags:PCOS, syndromes, insulin resistance, thyroid hormone, sex hormone
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