Investigation And Study Of Constitution Types And Related Factors In Polycystic Ovary Syndrome

Purpose: This study,through the method of physique survey for the northern region of polycystic ovary syndrome(polycystic ovary syndrome,PCOS)in patients with Chinese medicine physique,life habit,BMI,and other relations between the risk factors associated with the disease.This study is expected to provide a basis for the future research on the diagnosis and treatment of PCOS in northern China.Materials and methods: A total of 279 patients diagnosed with PCOS were selected from the gynecology clinic of the affiliated hospital of liaoning university of traditional Chinese medicine from September 2017 to September 2019.Through the calculation of the general situation of the investigators and the constitution questionnaire,the results of the questionnaire were statistically analyzed according to the constitution criteria,and the constitution types and characteristics of PCOS patients were obtained.And the relationship between the susceptible constitution of PCOS patients and related influencing factors was obtained by analyzing the general situation.Results: 1.Surveyed in 279 cases of patients with PCOS body mass order from more to less is Yang deficiency type distribution of 78 cases(28%),phlegmy wet mass 42 cases(15%),qi depression mass 40 cases(14%),gentle temperament,36 cases(13.0%),Yin deficiency,24 patients(9%),hot and humid mass 22 cases(8%),deficiency of quality in 15 cases(5%),blood stasis,12 cases(4%),the great mass in 10 patients(4%).2.The co-constitution of 78 patients with Yang deficiency was 27% of qi deficiency(21)and 27% of qi stagnation(21);In 42 patients with phlegmy wet mass,qi stagnation(14 cases)was 33% and qi deficiency(8 cases)was 19%.;In 40 patients with qi stagnation,qi deficiency(20 cases)was 50% and Yang deficiency(10 cases)was 25%.3.The age distribution of the 279 PCOS patients was 14 to 20 years old in 48 cases(17%),21 to 27 years old in 71 cases(36%),28 to 34 years old in 101 cases(36%)in 35 to 41 years old in 39 cases(14%),and 42 to 49 years old in 20 cases(7%).Through X2 test between the body type and age distribution,P=0.39(> 0.05).It indicates that there is no statistical significance between TCM constitution type and age index of PCOS patients.4.The BMI distribution of the 138 PCOS patients was <18.5(36 cases)13%,18.5-22.9(81 cases)29%,23-24.9(53 cases)19%,25-29.9(55 cases)20%,and ≥30(54 cases)19%.Through X2 test between the body type and BMI distribution,P=0.001(< 0.05).It indicates that there is a statistical significance between TCM constitution type and BMI of PCOS patients.5.Among the 78 patients with Yang deficiency,obesity type(62 cases)was 79%,standard body weight(10 cases)was 13%,and underweight type(6 cases)was 9.5%.Among the 42 patients with phlegm-dampness,81% were obese(34 cases),9.5% were normal weight(4 cases),and the patients were unslenderized.Among the 40 patients qi-stagnations,37.5% were obese(15 cases),45% were normal weight(18 cases),and 17.5% were lean(7 cases).6.Period PCOS patients with disease(frequency greater than 20)have breast pain in 50%(128 cases),low back pain in 56%(140 cases),upset irritability 24%(66 cases),21%(59 cases)the lower abdomen pain,god exhausted body tired 17%(48 cases),diarrhea(40 cases)14%,13%(36 cases)cold and cold limbs,in low spirits 13%(36 cases),alvine ache 11%(30 cases),the lower abdomen pain 9%(26 cases),the lower abdomen pain acne 9%(26 cases),8%(22 cases)insomnia.Conclusion: 1.Through the investigation of the constitution type of polycystic ovary syndrome found that in PCOS patients,there were more Yang deficiency,followed by phlegm-dampness and qi stagnation.Yang deficiency quality is often combined with qi deficiency quality,qi stagnation quality,blood stasis quality.Phlegm-dampness quality often has qi stagnation quality,Yang deficiency quality.Qi stagnation quality often has qi deficiency quality,Yang deficiency quality.2.Through the investigation on the age of onset of polycystic ovary syndrome,it was found that the age of onset was mainly between 21 and 34 years old,but age had nothing to do with the type of constitution.This may be because this age group of patients is the main outpatient group.3.Through the investigation and study on BMI of polycystic ovary syndrome patients in northern China,it was found that 58% of the patients were overweight,with standard body weight accounting for 29% and underweight accounting for 13%.4.Through X2 test between the body type and BMI distribution,P=0.001(< 0.05).It indicates that there is a statistical significance between TCM constitution type and BMI of PCOS patients.The patients with yang-deficiency and phlegm-dampness were mainly obese PCOS.Qi stagnation of the main non-obese patients.5.The main menstrual symptoms associated with polycystic ovary syndrome are breast tenderness,back pain,irritability,lower abdomen tenderness,fatigue,diarrhea,etc.6.Patients with yang-deficiency,phlegm-dampness and stagnation should pay attention to the prevention of PCOS.They always should pay attention to cold warm,reasonable diet,proper exercise,regular work and rest,adjust the mood,do not disease prevention first,both Hyman,Chai defence.