Suspected Of Polycystic Ovary Syndrome TCM Syndrome Type Distribution Of The Research

Background:Polycystic ovary syndrome (polycystic ovary syndrome，PCOS) is acommon gynecologic endocrine disease period of women of childbearing age. Medicalassociation2008European society for human Reproduction and Embryology (ESHRE)and the American Society for Reproductive Medicine (ASRM) presents theRotterdam(Rotterdam) standard is the industry recognized diagnostic criteria，the standardis set by the European and American countries，its basis is also aimed at Europe and theUnited States population. But a large number of studies have shown that Europe and theUnited States and Asian people race obvious racial differences，such as serum androgenlevel， clinical manifestations， high androgen metabolism，etc.，so the diagnosis standardof the Chinese people are work is imperative. In July2011in the Chinese medicalassociation of gynecologic endocrine group specialists，approved by the ministry of healthissued "polycystic ovary syndrome diagnostic criteria" and in December2011，the Chinesestandard based on the related literature and evidence-based medical research for Chinesepeople. The standard for the first time put forward the concept of "suspected PCOS"，aredifferent from previous PCOS diagnostic.Objective:Suspected polycystic ovary syndrome clinical characteristic，pathogenesisand TCM syndrome distribution，for clinical diagnosis and TCM syndrome of this researchprovide a scientific basis and detailed information.Methods: Clinical study of150cases of suspected patients with PCOS，usingliterature research， epidemiological investigation， expert consultation method andcombining the system clustering analysis sums up the characteristics of TCM syndrometypes of suspected PCOS patients，for patients with the model group，use the statistical methods such as descriptive analysis，chi-square test，for each card type group of thepatient’s general condition，hairy grade，acne，endocrine，such as comparing analysis，of each index and the relationship between TCM syndrome types were analyzed.Results：1. Clinical investigation，according to the results of the suspected patientswith PCOS acne rating，78cases (52.01%) no acne，hirsutism score＜7points，namely thehairy patients in137patients (91.34%); Syndromes was2. The results of the surveyshowed that most patients with kidney deficiency，a total of64cases (42.66%)，followedby phlegm dampness syndromes pixu (spleen deficient)47cases (31.33%)，20cases ofkidney blood stasis syndrome (13.33%)，liver depression and qi stagnation syndrome14cases (9.33%) and other card type5cases (3.33%);3. The suspected patients with PCOSage between24to35years old，24～29years old，67cases (44.67﹪)，30～35years old，48cases (32﹪)，namely the childbearing age women; Cultural degree distribution ofuniversity or above the level of85cases (56.67%)，professional distribution is givenpriority to with staff，a total of64cases (42.67%);4. Suspected patients with PCOSendocrine features: luteinizing hormone (LH) average of mIU/ml (10.95±6.99mm)，luteinizing hormone/follicle hormone (LH/FSH) average (1.61±1.04)，dehydroepiandrosterone sulfated (DHEAS) average value (239.36±70.28) ug/dl， whichall was increased; Estradiol (E2) average value (47.21±31.17) pg/ml，follicular hormone(FSH) average value for mIU/ml (7.02±1.83mm)，testosterone (T) average value (0.53±0.19） ng/ml，prolactin (PRL) average of（17.38±24.14）ng/ml，progesterone (P)，average value (0.62±0.54）ng/ml; For each card type endocrine comparison betweengroups，there was no statistically significant difference (P>0.05).Conclusions:The suspected patients with PCOS disease is given priority to withchildbearing age women，highly educated people，or career in staff and other patientsincidence is higher; Clinical symptoms of patients according to the survey， hairy and acnescores are not high; TCM syndrome type distribution is given priority to with kidneydeficiency， followed by pixu (spleen deficient) phlegm dampness syndrome， kidney andblood stasis，liver depression and qi stagnation syndrome， less other card type; EndocrineT，LH/FSH，DHEAS associated with kidney deficiency，E2and Passociated with phlegmdampness syndromes pixu (spleen deficient) type，PRL and LH and liver depression and qi stagnation syndrome; Endocrine comparison among different syndrome group，therewas no statistically significant difference (P>0.05).