| 【Objectives】To study the distribution characteristics of common TCM syndromes and constitutions in elderly women with infertility,and to explore the internal relationship between TCM syndromes and constitutions of this disease,as well as the relationship between them and influencing factors,in order to provide theoretical basis for the syndrome differentiation and prevention and treatment of infertility in elderly women.【Methods】This study adopted the method of clinical epidemiological investigation to collect the clinical data of infertile female patients aged≥35 years who visited the affiliated hospital of chengdu university of traditional Chinese medicine and the affiliated hospital of reproductive women and children of chengdu university of traditional Chinese medicine from 2019.2 to 2020.1.Select the patients who meet the standard,and improve the TCM syndromes,physique and related questionnaire(including general situation questionnaire,Pittsburgh sleep quality index,SDS depression self-assessment scale,anxiety self-assessment scale,etc.)on the premise of signing the informed consent,and input the original data into excel table after transformation,and then apply SPSS 25.0 statistical analysis software.【Results】1. In this survey,a total of 200 elderly female infertility patients were collected.The average age was 38.34±3.76 years.129 people with normal BMI accounted for64.5%,71 people with low or high BMI accounted for 35.5%,and the average BMI was 22.47±2.84kg/m~2.2. TCM syndrome type distribution:68 patients with liver stagnation syndrome accounted for 34.0%,52 patients with kidney deficiency syndrome accounted for26.0%,35 patients with phlegm dampness syndrome accounted for 17.5%,19 patients with qi and blood weakness syndrome accounted for 9.5%,14 patients with blood stasis syndrome accounted for 7.0%,7 patients with dampness and heat accumulation syndrome accounted for 3.5%,and 5 patients with cold coagulation and blood stasis syndrome accounted for 2.5%.Constitution distribution:most of the patients had a biased constitution,with 65 patients with qi stagnation quality accounting for 32.5%,30 patients with phlegm and dampness quality accounting for 15.0%,23 patients with Yin deficiency quality accounting for 11.5%,21 patients with qi deficiency quality accounting for 10.5%,17 patients with Yang deficiency quality accounting for 8.5%,16 patients with blood stasis quality accounting for 8.0%,6 patients with moist heat quality accounting for 3.0%,and 4 patients with special report quality accounting for2.0%.18 people with moderate quality accounted for 9.0%.3. sleep disorders accounted for 26 percent of 52 people;Anxiety of 46 people accounted for 33.0%;Eighty-five people were depressed,accounting for 42.5%.4.129 cases of first marriage accounted for 64.5%,71 cases of second marriage accounted for 35.5%.54 patients with primary infertility accounted for 27.0%,and146 patients with secondary infertility accounted for 73.0%.The course of infertility ranged from 1 to 20 years,with an average course of 5.34±3.40 years.5.60 patients with induced abortion accounted for 40.0%;Tubal infertility in 117people accounted for 58.5%;The 90 with a history of surgery accounted for 45.0%.6. Different TCM syndrome types and physical distributions differ in age,BMI,sleep quality,anxiety and depression,duration of illness,number of pregnancy,abortion,etc.(P<0.05),and in marital status,surgical status,orther tubal factors,etc There was no difference in terms(P>0.05).There was no difference in physical distribution between different TCM syndrome types(P>0.05).【Conclusions】1.The most common TCM syndromes of elderly female infertility patients were liver stagnation and kidney deficiency.Most of the constitution is biased constitution,more common for qi stagnation,phlegm wet.2.The distribution of TCM syndromes and constitutions in elderly female infertility patients is consistent,and the constitution of TCM can affect the type,nature and transformation of the syndromes.There are multiple corresponding relations between the two.3.The TCM syndrome type and constitution of infertility in elderly women may be related to the patient’s age,BMI,sleep quality,anxiety and depression,disease course,number of pregnancies,and induced abortion,but may have nothing to do with marital status,surgical condition,and orther fallopian tube factors. |
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