多囊卵巢综合征患者不同中医证型体质分布差异分析
发布时间:2019-05-11 08:54
【摘要】:目的:分析不同证型间PCOS患者体质分布情况,探讨中医证型体质的分布差异,从中医体质角度为PCOS中医辨证论治和防治提供临床依据。方法:收集2012年12月—2015年12月黑龙江中医药大学附属第一医院妇科门诊PCOS患者共460例,分为脾虚痰湿型组(139例)、痰瘀互结型组(116例)、肾虚肝郁型组(139例)、肾虚血瘀型组(66例);脾虚痰湿及痰瘀互结型组属于痰湿型组(255例),肾虚肝郁及肾虚血瘀型属于非痰湿型组(205例)。结果:(1)痰湿质、气虚质、气郁质在痰湿型与非痰湿型间分布具有明显差异(P0.05),其余体质类型在2种证型间分布无明显差异(P0.05);(2)痰湿质、气郁质在脾虚痰湿、痰瘀互结、肾虚肝郁、肾虚血瘀4种证型间分布具有明显差异(P0.05),其余体质类型在四种中医证型间分布无明显差异(P0.05;痰湿质分布在脾虚痰湿型和肾虚肝郁型间χ~2=6.31,P0.05有统计学意义,痰瘀互结型和肾虚肝郁型间χ~2=4.89,P0.05有统计学意义;气郁质分布在脾虚痰湿型和肾虚肝郁型间χ~2=5.86,P0.05有统计学意义;痰瘀互结型与肾虚肝郁型间χ~2=4.7,P0.05有统计学意义。结论:不同证型的PCOS患者中医体质分布存在差异,中医体质可能是导致PCOS证型差异的重要因素,对于发生PCOS的高危人群,通过中医辨体质,及早进行调整,可以预防PCOS的发生、发展。
[Abstract]:Objective: to analyze the physique distribution of PCOS patients among different syndrome types, to explore the distribution difference of TCM syndrome constitution, and to provide clinical basis for TCM syndrome differentiation and treatment and prevention and treatment of PCOS from the point of view of traditional Chinese medicine constitution. Methods: a total of 460 patients with PCOS in gynecological clinic of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine from December 2012 to December 2015 were divided into spleen deficiency phlegm dampness type group (n = 139), phlegm and blood stasis type group (n = 116) and kidney deficiency and liver depression type group (n = 139). Kidney deficiency and blood stasis group (66 cases); The spleen deficiency phlegm dampness and phlegm stasis type belong to the phlegm dampness type group (255 cases), the kidney deficiency liver depression and kidney deficiency blood stasis type belong to the non phlegm dampness type group (205 cases). Results: (1) there were significant differences in the distribution of phlegm dampness, qi deficiency and qi stagnation between phlegm dampness type and non phlegm dampness type (P 0.05), but there was no significant difference in the distribution of other physique types between the two syndrome types (P 0.05). (2) there were significant differences in the distribution of phlegm dampness and qi stagnation among the four syndromes of spleen deficiency and phlegm dampness, phlegm and blood stasis, kidney deficiency and liver depression, kidney deficiency and blood stasis (P 0.05), but there was no significant difference in the distribution of other physique types among the four TCM syndromes (P0.05). Phlegm dampness was distributed between spleen deficiency and phlegm dampness type and kidney deficiency and liver depression type (蠂 ~ 2 鈮,
本文编号:2474363
[Abstract]:Objective: to analyze the physique distribution of PCOS patients among different syndrome types, to explore the distribution difference of TCM syndrome constitution, and to provide clinical basis for TCM syndrome differentiation and treatment and prevention and treatment of PCOS from the point of view of traditional Chinese medicine constitution. Methods: a total of 460 patients with PCOS in gynecological clinic of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine from December 2012 to December 2015 were divided into spleen deficiency phlegm dampness type group (n = 139), phlegm and blood stasis type group (n = 116) and kidney deficiency and liver depression type group (n = 139). Kidney deficiency and blood stasis group (66 cases); The spleen deficiency phlegm dampness and phlegm stasis type belong to the phlegm dampness type group (255 cases), the kidney deficiency liver depression and kidney deficiency blood stasis type belong to the non phlegm dampness type group (205 cases). Results: (1) there were significant differences in the distribution of phlegm dampness, qi deficiency and qi stagnation between phlegm dampness type and non phlegm dampness type (P 0.05), but there was no significant difference in the distribution of other physique types between the two syndrome types (P 0.05). (2) there were significant differences in the distribution of phlegm dampness and qi stagnation among the four syndromes of spleen deficiency and phlegm dampness, phlegm and blood stasis, kidney deficiency and liver depression, kidney deficiency and blood stasis (P 0.05), but there was no significant difference in the distribution of other physique types among the four TCM syndromes (P0.05). Phlegm dampness was distributed between spleen deficiency and phlegm dampness type and kidney deficiency and liver depression type (蠂 ~ 2 鈮,
本文编号:2474363
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