Emotional Factors And The Relationship Between The Incidence Of Premenstrual Syndrome

Premenstrual syndrome is one of the most concerned topics in the modern medical profession. Medical and life scientists have included it into the "nerve scientific challenges - 50 important questions to be answered in the next 10 years" In recent years, internationally PMS diagnosis and evaluation are gradually consistent ,the " Daily Record of Severity of Problems,(DRSP) " become diagnosis and treatment assessment tool. Purpose this research was to investigate the relationship between the incidence of PMS and emotional factors .Methods the study is divided into three parts:1. Literature Review: from the disease in ancient medical literature research, modern medicine in the etiology of the disease pathogenesis, treatment methods, West Medicine on the pathogenesis of the disease, treatment progress in respect of the Premenstrual Syndrome Recent research on Chinese and Western Medicine on a system.2. Status of investigation: Investigation of different groups, aged 19 to 45-year-old woman a total of 300 people, screening of patients diagnosed with PMS, analysis of the PMS incidence and characteristics of the main symptoms, and "life event scale", "Ai Senke personality score "investigation by PMS symptoms and related characteristics scale surveys on the incidence of the disease mechanism.3. Clinical Research: The current status of investigations in patients with PMS screening and diagnosis for the disease in severe classification of the 60 patients with complete two menstrual cycle, "the menstrual cycle symptoms daily self-evaluation form" and the "severity of the symptoms daily record Scale "(DRSP), and in accordance with the results fill out the" extent of PMS symptoms Rate Table, "and the second menstrual cycle of 19-25 days to complete blood. 22 patients given drug treatment Shugan Jieyu two menstrual cycle, a case into effect evaluation studies, in the treatment of patients after three menstrual cycle fill out the "extent of PMS symptoms Rate Table," "Self-day menstrual cycle symptoms evaluation form "and the" severity of the symptoms daily record Scale "(DRSP), and in the first three months of the cycle of 19-25 days to complete blood. By observing patients with clinical symptoms improve the situation, before and after treatment of patients with serum estradiol (E2) and progesterone (P), prolactin (PRL), 5 - serotonin (5 - HT), norepinephrine (NE) and epinephrine (E) level changes of emotional factors and the correlation between PMS.Results1. According to PMS diagnostic criteria, the status of the survey of 300 people, with 82 people diagnosed with PMS, the incidence of 27.3%. Through the relevant scale investigation and found that PMS patients with more morbidity study, work tension, pressure, menstrual and other offensive emotional factors.2. Clinical research, by 60 cases in patients with severe PMS "PMS symptoms extent points," and "menstrual cycle symptoms daily self-evaluation form" and the "severity of the symptoms daily record of scale", the team found that the majority of patients with mood Depression depression or low (65%) and emotional. angry angry (93.33%), irritability irritability (95%), anxiety or anxiety trouble worry (51.67%), breast pain or tenderness (71.67%), Wei Zhang gas or abdominal distention (85%), liver Qi stagnation card performance. Untried to angry emotion anger, irritability irritability, and other emotional performance of the most obvious. Confirmed liver Qi stagnation card is an important Syndrome PMS one.3. Shugan Jieyu application in the treatment of patients with clinical symptoms of PMS after marked improvement, which effectual three cases, accounting for 13.63 percent; effective 18 cases, accounting for 81.82%; invalid one cases, accounting for 4.55 percent. The total efficiency of 95.45 percent. "Degree of PMS symptoms points table" symptom score was reduced, the Shugan Jieyu medicine "by the former granule" PMS with the main clinical symptoms were significantly improved in order to drug test card, liver Qi stagnation is that the incidence PMS Pathogenesis important. After treatment serum E2 and P are higher than before treatment trends, PRL after treatment than before treatment is decreasing, serum 5 - HT, NE and E are lower than before treatment trends, the use Shugan Jieyu law speculate on the possible endocrine patients with PMS system and the nervous system have some role in the adjustment.4. Through computer SAS8.0 package linear regression analysis, the results: the level of sex hormones and neurotransmitters with a number of changes in the level of symptoms related to liver Qi stagnation, further confirms that emotional factors in the pathogenesis of the role of PMS.Conclusion more with the incidence of PMS study, work tension, pressure, menstrual offensive emotional impacts of the changes in relevant factors. Ganqiyuchi important is the incidence of PMS machine.