A Study Of Distributive Regulation Of TCM Syndromes Type And Meta-Analysis Of Related Risk Factors Of Tubal Factor Infertility In China

Objective:Through access to the chinese and English literatures nearly 15 years abour syndrome and risk factors of tubal factor infertility,Elucidate the common TCM tupes of tubal factor infertility.Meta-analysis is used to evaluate the incidence of tubal factor infertility common clinical risk factors and their associated main strength.Objective to systematically review and evaluate the risk factors of TFI and provide evidences for prevention.Methods:Pubmed,Sci Finder,Cochrane,CNKI,Wanfang database,VIP were searched for relevant literatures.At the same time books magazines also were searched which published after 2000 in the library of Henan University of Traditional Chinese Medicine.then according to the inclusion criteria and exclusion criteria screening and classify those literatures,and with the information point of TCM syndromes type and risk factors.Results: The final included 5 TCM syndromes type literature,The result for analysis: TCM holds that the main types of this disease is qi stagnation and blood stasis?renal deficiency and biood stasis?dampness and hotness obstruction.Of all,the type of qi stagnation and blood stasis account53.5%,the type of renal deficiency and biood stasis account18.5%,the type of dampness and hotness obstruction account17.3%.The final included 7 case-control literature,The result for Meta-analysis: 1.Pelvic inflammatory disease:the combined effect size OR was 5.44,95%CI(2.75,10.78),P<0.05,the difference was statistically significant.2.Artificial abortion: the combined effect size OR was 1.30,95%CI(0.98,1.74),P>0.05,the difference was no statistically significant.3.Appendicitis: the combined effect size OR was 3.23,95%CI(1.64,6.35),P<0.05,the difference was statistically significant.4.First-time sexual life<20 years old: the combined effect size OR was 3.46,95%CI(2.11,5.68),P<0.05,the difference was statistically significant.5.Ectopic pregnancy: the combined effect size OR was 7.80,95%CI(3.82,15.93),P<0.05,the difference was statistically significant.6.NG/CT/UU infection: the combined effect size OR was 6.68,95%CI(3.69,12.11),P<0.05,the difference was statistically significant.7.Tuberculosis: the combined effect size OR was 6.24,95%CI(2.81,13.85),P<0.05,the difference was statistically significant.Conclusion:In this study,the major types of TFI is qi stagnation and blood stasis?renal deficiency and biood stasis?dampness and hotness obstruction.the type of qi stagnation and blood stasis account53.5%,the type of renal deficiency and biood stasis account18.5%,the type of dampness and hotness obstruction account17.3%.The major risk factors of TFI for Meta-analysis: Pelvic inflammatory disease ?Appendicitis?First-time sexual life<20 years old ?Ectopic pregnancy ?NG/CT/UU infection ? Tuberculosis.contact strength from strong to weak was: Ectopic pregnancy ? NG/CT/UU infection ? Tuberculosis ? Pelvic inflammatory disease ?First-time sexual life<20 years old ?Appendicitis?Artificial abortion is not a risk factor for TFI.The above conclusions can be applied guide the perinatal health care and thus prevent the occurrence of the disease and development.