Changsha Puberty Pcos In Tcm Syndrome Type Distribution And The Analysis Of Related Factors

Purpose:Learn Chang sha urban adolescent female students of polycystic ovary syndrome (PCOS) TCM syndrome distribution laws, the discussion diagnosis’s and treatment’s rule and the personalization therapeutic schedule;the analysis puberty PCOS patient various Chinese medicines card’s morbidity factor, provides the reference for the clinical diagnosis and treatment.Methods:By stratified cluster sampling method in Chang sha urban 5000 randomly selected 14-20 years old secondary school students which has been menarche of conducted a questionnaire survey. Through the determination of sex hormone、fasting blood glucose and fasting insulin of menstrual disorders and B-type ultrasonic inspection further confirmed. Screening out PCOS cases studies to explore the possible pathogenic factors of TCM syndrome distribution.Result:1. Chang sha urban adolescent female students of (PCOS) TCM syndrome distribution laws to renal asthenia and blood stasis type most common, secondly liver depression and blood asthenia、spleen asthenia and sputum muddy (spleen)renal yang deficiency、qi stagnation and blood stasis type.2. The analysis of TCM syndrome and related factors:The main clinical indicators to chi-square test on the impact of adolescent polycystic ovary syndrome shows that the most important factor of polycystic ovary syndrome are menstrual less and obesity。Further multiple regression analysis of impact on the most important factors shows that renal asthenia and blood stasis type、liver depression and blood hot type and renal(spleen) yang deficiency type considered that menstrual less and obesity; Spleen asthenia and sputum muddy type considered that obesity is protective factors,statistically significant difference, regression coefficient b2=-2.520, corresponding odds ratiob OR2=exp(b2)=1.080> 1,P2=0.002. Menstrual less is risk factor, have statistically significant. Qi stagnation and blood stasis type considered that menstrual less is protective factor, statistically significant difference, regression coefficient b1=-2.1040, corresponding odds ratiob OR1=exp(b1)=1.122> 1,P2=0.014. obesity is risk factor, have statistically significant.Conclusion:The Chang sha urban adolescent female student of polycystic ovary syndrome (PCOS) TCM syndrome distribution laws is most common by renal asthenia and blood stasis type. This research thought the menstrual less and obesity is the most important factors for PCOS.