Analysis Of Risk Factors And TCM Syndromes Of Endometrial Polyps

Objective: To study the clinical data of 168 patients with endometrial polyps and 60 cases of normal endometrium,endocrine characteristics analysis,aims to further explore the risk factors of EP,and the TCM syndrome and its preliminary summary,to explore the TCM syndrome type and age,body mass index,the correlation between the endocrine.For the TCM treatment and early prevention to provide an objective basis.Methods: the first part: 60 cases collected from December 2014 to December 2016 in the second people's Hospital of Hunan province Wang Ruoguang medical studio in168 patients with EP and normal endometrium,the general clinical data,data of 6hormones were collected,establish information database,were analyzed using SPSS17.0 statistical software,analysis of risk in patients with EP.The second part: the syndrome differentiation of 168 cases of EP patients were enrolled according to the diagnostic standard of Chinese medicine were divided into qi stagnation and blood stasis,Qi deficiency and blood stasis of damp heat,blood stasis,phlegm and blood stasis,yin deficiency and blood stasis syndrome type five,clinical symptoms of the TCM Syndrome distribution characteristics of EP,the five syndromes with age,body mass index the correlation and endocrine,deepen the understanding of EP pathogenesis of traditional Chinese medicine.Results: the first part: 1.the survey in Hunan Province,the local people,the minimum age of 19 years,the maximum age of 53 years,mean age 32.76 ± 5.667 years of age,more concentrated in the 30~39 years old age at menarche;minimum 9years,maximum 18 years old,the average age of menarche was 13.02±1.365 years old,the majority concentrated in the 12~14 years of life;the average age of 8.06±5.446,the minimum age of 19 years of asexual life history,the longest life span of 30 years.The risk factors with high body mass index,operation history of uterine and related disease history.2.sex hormone levels in proliferating,sex hormone case group and control group arein the normal range of early follicular phase,but the level of E2 in case group was higher than the control group,the difference was statistically significant(P<0.05),other basic sex hormone levels were not statistically significant.In the first 6~8 days after ovulation.Measuring the female,progesterone,estradiol were significantly higher than the control group(P<0.05),the difference was statistically significant;cases of progesterone levels,P/E2 ratio was significantly lower than the control group(P<0.05),the difference was statistically significant.The second part: 1.in TCM syndrome,qi stagnation and blood stasis type in 40 cases,accounting for 23.81%,Qi deficiency and blood stasis type in 34 cases,accounting for 20.23%,phlegm and blood stasis type in 49 cases,accounting for 29.17%,damp heat and blood stasis in 28 cases,accounting for 16.67%,Yin deficiency and blood stasis type in 17 cases,accounting for 10.12%.in correlation analysis,age,have correlation between the distribution of BMI and TCM syndrome.2.in five TCM syndromes,phlegm and blood stasis type of serum level of T was higher than that of qi stagnation and blood stasis and dampness and blood stasis,blood stasis wet serum T level was higher in Qi stagnation and blood stasis,there was significant difference(P<0.01);phlegm and blood stasis type of serum level of FSH was higher than that of wet blood stasis and blood stasis type,the difference was statistically significant(P<0.05).Between the five syndromes of serum LH,PRL,E2,P level of 22,the difference was not statistically significant(P>0.05).Conclusion: the onset age of EP more concentrated in the 30~39 years;the risk factors for overweight,artificial abortion and related disease,such as breast hyperplasia,uterine fibroids,hyperlipidemia;TCM syndrome type can be divided into phlegm and blood stasis,qi stagnation and blood stasis,Qi deficiency and blood stasis,blood stasis and damp heat and yin deficiency and blood stasis type the five type,phlegm and blood stasis type is more common,yin deficiency and blood stasis type mainly in perimenopausal patients with.EP age,has certain correlation with the distribution of body mass index and TCM syndrome type,20~29 years old with qi stagnation and blood stasis type is more common,30~39 years old with phlegm and blood stasis were more common over the age of 40 Qi deficiency and blood stasis is more common,45~5 At the age of 0 years,yin deficiency and blood stasis were more common.In the early follicular phase,estradiol was in a state of high restriction for along time.In the luteal phase,estrogen was too high and progesterone was relatively insufficient.It was the endocrine factor of EP.