| Backgroud:Endometriosis (to call for short:EMT) is that possessing growthfunctional endometria which appear in other part of body-out of uteruscavern lining mucosa. Endometriosis, to a great extent, is those illnesscategory in TCM:algomenorrhea,swell,aciesis. EMT is frequentlyencountered disease and common disease in reproductive age Female. Whichdisease incidence submit manifest upgrading tendency, to reach 10％～15％.The percentage of EMT in ordinary department of gynecology operationsurpass 30％.Recently,there are more and more investigation about therelated risk factors of EMT. Refering to literature, we can find thatmany specialists consider that occurrence of EMT have something withmenstruation status,brood,marriage,familial inheritance,departmentof gynecology affection,character,civilization degree,contraceptionetc. Basing on summarizing predecessor' experience, contemporaryspecialist, combining together clinical practice, produced that bloodstasis is principal mechanism in morbidity of EMT. Type of syndrome ofTraditional Chinese medicine contain: stagnation of vital energy and bloodstasis,shi re yu zu hanning xue yu, shen xv xue yu, tan yu hu jie,qi xue xv ruo, ban shen xv sun.Purpose:To explore the suspect of association between endometriosis and manyvariety etiological factor, To aim at approaching the possible risk factorwhich can induce EMT. To prevent this illness providing possible evidence.Object and Method:This investigation adopt retrospective case-comparison method. Accordingto endometriosis' diagnostic criteria, which is provided《Thetraditional Chineseemedicine and new drug'linical research ofdirections principle》(1993),combining together research report about epidemiological EMT, we formulated investigation questionnaire ofcorrelation factor about it and deciding dysmenorrhoea'classifyquantity list. Using retrospective case-control study methods, sample 150of 2005.6-2006.12 guangdong province Chinese medicine yard case in clinicservice or in hospital, At 2:1 ratio observed in group, Sampling the samepediod to hospitalize,of race of people,a difference of not more than3 years of age. Recorded of cases of clinical information, including theGeneral projects. Use SPSS13.0 soft-ware establisment database. Use theFrequency distribution of the number of analysis, the X rays. Usingmethodof the frequency distribution of the number of analysis, the X~2 test,Logistic regression analysis, above-mentionded clinical data arestatistical analysis. And search risk factor resulting in EMT.Finding:1. Endometriosis type of syndrome characteristic of TCM.Frequency distribution analysis prompt:among those collected case ofEndometriosis, type of syndrome characteristic of TCM is blood stasis,at the same time, possessing shi re yu zu and qi zhi. The Possible reasonis that Guangzhou are in subtropical zone, where have so much moist,Rain and hot, resulting in occurrence of EMT. It lead to this type ofaggregation of distribution.2. Variability test between trial group and control group.Tier×line X~2 test manifest: between trial group and control group,there are differences among civilization degree,occupation type,breedingfoetus,reproductive age,family medical history of EMT,character,delivery pressure,menstruation dys—living habit,menstruation movement,operation of department of gynaecology and obstetrics,miscarriageinformation in group comparison. Which is sense in statistics. The restare not statistically significant3. correlation factor leading to EMTDescriptive statistics analysis indicate: civilization degree,occupation type,breeding foetus,reproductive age,family medicalhistory of EMT,character alteration,delivery pressure,menstruation todrink wine,menstruation movement,artificial abortion are concerned withoccurrence of endometriosis. Which is sense in statistics. The rest arenot statistically significant.Major characteristic of pattern of syndrome of TCM is syndrome of blood stasis., accompaniment of humid heat and qi zhi. Among Endometriosis ofcorrelation factor, child-bearing age older; family history of EMT; drinkwine are medium intensity Risk factor; emotion alteration is strong Riskfactor; delivery pressure is extreme strong Risk factor, breeding much;contraceptives birth controlling are protection factor. |
