Analysis Of Syndrome Factors Of Metrorrhagia And Correlation Study Of Patients' Depressio

Objective: The Traditional Chinese Medicine syndrome differentiation method is adopted,and the data support through the standardization of Traditional Chinese Medicine syndrome is used to explore the distribution law of Traditional Chinese Medicine syndrome,clarify the common location and nature,and then obtain the common syndrome,and provide clinical basis for the prevention and treatment of Traditional Chinese Medicine syndrome.Moreover,with the development of new bio-psychological-social medicine models,personal health and disease are the interaction of psychology,biology and sociology,and psychosocial factors are one of the main causes of disease.Depression is a common psychological disease in modern society.With the increase of life pressure,the prevalence of depression is increasing year by year,which constantly threatens people’s mental and physiological health.Therefore,this paper also explores the common evidence type of uterine bleeding and depression and the influencing factors of depression in uterine bleeding patients,which provides a basis for the treatment of diseases while focusing on regulating the psychological state of patients,better serves patients,and enriches the treatment ideas of clinicians.Materials and methods: In this study,a total of 189 patients met the inclusion criteria and were admitted to the Affiliated Hospital of Liaoning University of Chinese Medicine from May 2020 to November 2021.The basic data of patients were input into the syndrome differentiation database to obtain the location and nature of uterine bleeding,and the common types of uterine bleeding were obtained by cluster analysis.At the same time,combined with Self-rating depression scale(SDS)compiled by W.K.Zung,the scores of patients’ depression self-evaluation scale were input into the database,and the influencing factors of depression mood were analyzed by Logistic regression to explore the correlation between uterine bleeding and depression mood,as well as the unbiased tendency of depression mood among various syndrome types.Results:1.General situation:(1)Induced factors: including fatigue and emotional stimulation.Of the189 patients,30 had two causes,accounting for 15.9% of the total;24 patients due to fatigue,accounting for 12.7% of the total;43 patients due to emotional stimulation,accounting for22.8% of the total.(2)Constitution index(BMI): 90 patients in this study had normal BMI,accounting for 47.6% of the total,82 exceeded normal BMI,or 43.4% of the total;17 had low BMI,or 9.0% of the total.(3)Surgery history: 88 people had no previous surgical history,accounting for 46.6% of the total patients;77 people had previous gynecological surgery history,accounting for 40.7% of the total patients;the remaining 24 people had previous non-gynecological surgery history,accounting for 12.7%.History of(4)Uterine bleeding: 87 people had one or more previous uterine bleeding,and the number of patients with the first uterine bleeding was 102,accounting for 46.0% and 54.0% of the total number,respectively.(5)Genetic history: 33 patients,accounting for 17.5% of the total patients;the remaining 156 patients had no uterine bleeding.(6)Polycystic ovary syndrome(PCOS): out of189 patients,19 patients had a previous history of PCOS,or 10.1%;the remaining patients had no PCOS.2.The frequency was: Uterus(36.8%),liver(30.3%),kidney(13.4%),spleen(12.1%),heart(4.6%),and mind(2.7%).Among them,the frequency distribution of uterus,liver,kidney and splenosin was significantly higher than that of heart and mind(P <0.01),which was statistical different.3.Pathological evidence elements were arranged by occurrence frequency as:blood deficiency(15.9%),qi deficiency(14.9%),blood stasis(14.4%),blood deficiency(14.1%),qi stagnation(12.0%),Yang deficiency(10.4%),Yin deficiency(9.3%),wet(2.4%),blood fever(2.2%),cold(2.2%),Yang hyperactivity(1.2%),heat(0.4%),phlegm(0.3%),qi depression(0.1%).Among them,the frequency distribution of blood motility,qi deficiency,blood stasis,blood deficiency,qi stagnation,Yang deficiency and Yin deficiency was significantly higher than that of other pathological zhengxin(P <0.01),which was statistical different.4.The uterine bleeding patients are mainly in the form of complex disease syndrome,accounting for 89%.Among them,two combinations are more common,liver + uterus appeared most frequently,accounting for 46%;pathological evidence,empirical,mixed evidence,the most common,accounting for 73%.5.The combination of pathological location and pathological syndrome is complex.The main evidence types through cluster analysis are: uterine blood stasis syndrome(or liver depression blood stasis syndrome),temper deficiency syndrome,kidney Yang deficiency syndrome,uterine blood heat syndrome,and spleen and kidney Yang deficiency syndrome,which can provide some reference for clinical classification.Among them,uterine blood stasis(or liver stasis)was the largest,with 144,accounting for 76.2%.Followed by temper deficiency evidence,38 people,accounting for 20.1%.6.Factors affecting depression mood in uterine bleeding patients:(1)age,marriage,defecation,anemia,BMI,pregnancy times,cold and hot diet,dietary bias and no correlation with the occurrence of depression mood(P value> 0.05).Patients with(2)uterine bleeding included exercise(OR=3.846),stress(OR=9.48),sleep(OR=4.037),and appetite(OR=3.385)(P value <0.05).7.Correlation between depression mood and uterine bleeding:(1)In this study,47 patients with depression mood,24.9% of patients,142 patients,75.1%.(2)Depression mood and syndrome type(P=0.000 <0.05).Most of the patients with depression were uterine bleeding stasis(or liver stasis),accounting for 93.6%.Conclusion:1.General situation:(1)fatigue and(or)emotional stimulation are the inducing factors of uterine bleeding.(2)constitution index(BMI)abnormality is the influencing factor of uterine bleeding.(3)In this study,patients with a previous history of gynecological surgery had a tendency to develop uterine bleeding.(4)uterine bleeding has a certain recurrence rate.(5)There is no clear genetic history,but it has a genetic tendency.(6)uterine bleeding is one of the clinical manifestations of polycystic ovary syndrome.2.In evidence,It is mainly uterus,followed by liver,kidney and spleen,pathological evidence mainly blood movement,qi deficiency,blood stasis,blood deficiency,qi stagnation,Yang deficiency and Yin deficiency.3.The uterine bleeding disease site syndrome is mainly complex disease site;The most common occurrence in pathological syndrome.4.The combination of pathological location and pathological syndrome is complex,and the main evidence types through cluster analysis are: uterine blood stasis syndrome(or liver stasis syndrome),temper deficiency syndrome,kidney Yang deficiency syndrome,uterine blood heat syndrome,spleen and kidney Yang deficiency syndrome.Among them,the uterine blood stasis syndrome(or liver stasis stasis syndrome)is the most common,followed by the temper deficiency syndrome,which can provide a certain reference for clinical classification.5.Influencing factors of depressive mood :(1)depression mood is not related with age,marriage,defecation,anemia,BMI,pregnancy times,hot diet;(2)exercise,stress,sleep,and appetite are the influencing factors of depression mood.6.Correlation between depressive mood and uterine bleeding :(1)Patients with a uterine bleeding have a tendency to experience concurrent depression mood.(2)depression mood is correlated with syndrome type.Most of the patients with depression mood belong to uterine blood stasis(or liver stasis),that is,uterine blood stasis(or liver stasis)patients are more likely to develop depression mood.