Analysis Of Clinical Characteristics Of Different Types Of TCM Syndrome Types In Polycystic Ovary Syndrome

Objective:To compare women with polycystic ovary syndrome (PCOS) anthropometric indexes of syndrome type of sex hormone levels and differences in lipid metabolism, and clinical characteristics of PCOS syndrome type of a view to the future TCM syndrome patients with PCOS clinical and therapeutic treatment has a certain significance.Methods:Rotterdam PCOS diagnostic criteria into the First Affiliated Hospital of Heilongjiang University of Chinese Medicine gynecology outpatient clinical research information system integration PCOS patients entered a total of 409 cases recorded history, anthropometric indexes, laboratory parameters, fill PCOS TCM symptom classification quantization table PCOS signs and external evaluation form. With SPSS 19.0 statistical software for the clinical features of PCOS syndrome type of statistical analysis.Result:(1)PCOS patients with TCM Distribution:Spleen phlegm accounted for 33.74%(138 cases), kidney Stagnation accounted for 27.38%(112 cases), phlegm syndrome accounted for 26.89%(110 cases), kidney and blood stasis certificate representing 11.98%(49 cases).(2)PCOS patients with different typing compare anthropometric indexes:Spleen phlegm, phlegm syndrome PCOS patients with SBP, DBP, weight, BMI, WC, HC, WHR was significantly higher than the stagnation of the liver and kidney, the kidney stasis syndrome; spleen phlegm, phlegm syndrome PCOS patients with acanthosis nigricans, the high incidence of excess fat in stagnation of the liver and kidney, kidney and blood stasis syndrome.(3)Comparison of PCOS patients with different TCM type sex hormone levels:the stagnation of the liver and kidney, kidney and blood stasis syndrome was significantly higher in patients with PCOS LH spleen phlegm, phlegm Syndrome; spleen phlegm, phlegm Syndrome SHBG PCOS patients was significantly lower than the stagnation of the liver and kidney, kidney and blood stasis syndrome; spleen phlegm, phlegm syndrome FAI PCOS patients is higher than the stagnation of the liver and kidney, kidney and blood stasis syndrome.(4)Comparison PCOS patients with different typing level of glucose and lipid metabolism:Spleen phlegm, phlegm syndrome FPG PCOS patients, FINS, HOMA-IR was significantly higher than the stagnation of the liver and kidney, kidney and blood stasis syndrome; spleen sputum dampness syndrome, phlegm syndrome TG PCOS patients, LDL-C, apoB, apoB/A1 was significantly higher than the stagnation of the liver and kidney, kidney and blood stasis syndrome; spleen phlegm, phlegm syndrome PCOS patients with HDL-C, apoAl significantly lower than the stagnation of the liver and kidney, kidney and blood stasis syndrome.Conclusion:(1)PCOS patients with spleen phlegm as the main syndromes.(2)Spleen phlegm, phlegm syndrome PCOS patients with abdominal obesity, its main clinical features.(3)There are differences between PCOS patients with different typing Sex Hormones:Spleen phlegm, phlegm syndrome PCOS patients to reduce SHBG, FAI elevated as the main feature; stagnation of the liver and kidney, kidney and blood stasis syndrome patients with PCOS LH and LH/FSH ratio increased as the main feature.(4)There are differences between PCOS patients with different typing glucose and lipid metabolism:Spleen phlegm, phlegm syndrome exist more serious phenomenon of lipid disorders in patients with PCOS.