| ObjectiveThis study using the physique survey scale for patients with polycystic ovary syndromes in the investigation of kashgar region,in patients with PCOS kashgar region of traditional Chinese medicine and physical fitness test,in order to make clear the region common TCM syndrome types in patients with PCOS distribution and constitution,and thus to the region of PCOS will provide theory guide the prevention and the treatment of patients with PCOS.MethodsA total of 100 patients diagnosed with PCOS were randomly selected from the first people's hospital of kashgar from June 2016 to June 2017.The diagnostic criteria of PCOS syndrome type refer to the TCM syndrome differentiation standards of single disease PCOS diagnosis and treatment scheme and path in the national clinical research base,combined with the grading quantization table of PCOS syndrome type and the four diagnostic information of TCM,the PCOS type is classified as spleen-deficiency phlegm-dampness syndrome,kidney-deficiency and liver-stagnation syndrome,phlegm-blood stasis syndrome and kidney-deficiency and blood-stasis syndrome.The status of patients was scored according to the constitution classification and judgment criteria issued by the Chinese society of traditional Chinese medicine.The scoring method was as follows:according to the questions answered by the respondents in the constitution classification and judgment criteria of traditional Chinese medicine,the original score and conversion score were calculated for each question according to grade 5,and the constitution type was determined according to the standards.Result(1)among the 100 PCOS patients investigated,the youngest age of menarche was 11 years old;The mean age of menarche was 14.12 years.A total of 79 people(79%)were aged between 13 and 15 years.Among them,there were 21 cases(21%)with menarche age of 13.A total of 35 cases(35%)were 14 years old.A total of 23 cases(23%)were 15 years old.(2)among the 100 PCOS patients investigated,the oldest was 48 years old,the youngest was 18 years old,and the average age was 30.45 years old,among which 55 patients were aged between 23 and 32 years old,accounting for 55%.The 100 PCOS patients were divided into 6 groups according to age,with a total of 12 patients aged between 18 and 22 years old,accounting for 12%.32 people aged 23-27,accounting for 32%;23 people aged between 28 and 32,accounting for 23%;A total of 5 persons aged 33-37 years old,accounting for 5%;20 people aged between 38 and 42,accounting for 20%;A total of 8 people aged 43-48 years old,accounting for 8%.(3)among the 100 PCOS patients investigated,37(37%)had a body mass index of no more than 19 BMI<24.There were 54 patients with BMI 24(54%),18 patients with BMI<34(18%),and 4 patients with BMI 34(4%).(4)among the 100 PCOS TCM syndromes investigated,kidney deficiency and liver stagnation syndrome accounted for 29%,followed by spleen deficiency and phlegm and coagulation syndrome(26%),phlegm and silt internode syndrome(24%),and kidney deficiency and blood stasis syndrome(21%).(5)after the recombination of the three main biased constitutions of phlegm-dampness,dampness-heat and qi stagnation,the subgroups are as follows:phlegm-dampness-qi stagnation,dampness-qi stagnation,phlegm-dampness-dampness-heat,phlegm-dampness-qi stagnation.There were 19 phlegm-damp-heat patients,accounting for 21.35%.There were 21 phlegm-dampness-qi stagnation patients,accounting for 23.60%.A total of 17 people(19.10%)were damp-heat-qi stagnation.There were 32 people with phlegm-dampness-dampness-qi stagnation,accounting for 35.96%.(6)the distribution of physical types of the 100 PCOS patients investigated was as follows:Yang deficiency and substance deficiency in 21 cases,accounting for 7.39%;A total of 23 cases(8.09%)were diagnosed with Yin deficiency.There were 32 cases of qi deficiency and qi deficiency,accounting for 11.27%.A total of 59 cases(20.77%)were phlegm-dampness.There were 42 cases of hot and humid,accounting for 14.79%.There were 33 cases of blood stasis,accounting for 11.62%.There were 13 cases(4.58%)with specific quality.There were 36 cases of qi stagnation,accounting for 12.69%.A total of 25 cases(8.80%)were mild.The constitution types of the 100 PCOS patients in this region were listed in order of proportion:phlegm-dampness,dampness-heat,qi stagnation,blood stasis,qi deficiency,calmness,Yin deficiency,Yang deficiency and intrinsic quality.(7)the main TCM constitutions of phlegm-dampness,dampness-heat and qi stagnation syndrome are respectively 27.37%,20%and 15.79%.The TCM constitution of kidney-deficiency and liver-stagnation syndrome is dominated by qi-stagnation,qi-def iciency and even-ness,all of which account for 15.25%.The main TCM constitutions of kidney deficiency and blood stasis syndrome are blood stasis,phlegm and dampness,accounting for 28.36%and 13.43%respectively.The main TCM constitutions of pixu phlegm-dampness syndrome are phlegm-dampness,dampness and heat,and qi-deficiency,accounting for 28.57%,20.90%and 14.29%respectively.Conclusion(1)the age span of the 100 PCOS patients investigated is large,and the youngest age of onset is 17 years old,indicating that the disease may occur in adolescence,and the prevention and treatment of PCOS should start from adolescence.Among the 100 PCOS patients investigated in this region,55%were aged between 23 and 32 years old,suggesting that the majority of PCOS patients in this region were at the age of childbearing.Patients aged 43-48 years account for 8%,suggesting that the incidence of PCOS in perimenopause women in this region is relatively low.(2)among the 100 PCOS patients investigated,54%are overweight,suggesting that obesity may be related to the incidence of PCOS,suggesting that the incidence of PCOS in this region can be reduced by adjusting diet structure and controlling body weight.(3)the TCM syndromes of the 100 PCOS patients investigated are in order of proportion:kidney deficiency and liver depression syndrome,spleen deficiency and phlegm and blood stasis syndrome,phlegm and blood stasis syndrome.(4)through the study of the constitution of 100 patients with PCOS analysis,found that the constitution is a clear bias,three main body is respectively:phlegmy wet,hot and humid,qi depression,most patients with PCOS is phlegmy wet,hot and humid and chi yu,the result of comprehensive shaping of many factors,suggest the pathogenesis of PCOS is associated with health,and physical fitness are adjustable,susceptible for early intervention,can reduce the incidence of PCOS.(5)the TCM constitution types of the 100 PCOS patients with phlegm-stasis syndrome were mainly phlegm-dampness and dampness-heat.The TCM constitution types of patients with kidney deficiency and liver stagnation syndrome are mainly qi stagnation and qi deficiency.The TCM constitution types of patients with kidney deficiency and blood stasis syndrome are mainly blood stasis and phlegm dampness.TCM constitution types of patients with spleen-deficiency phlegm-dampness syndrome are mainly phlegm-dampness and dampness-heat. |
PDF Full Text Request