【摘要】：目的:分析不同證型間PCOS患者體質(zhì)分布情況,探討中醫(yī)證型體質(zhì)的分布差異,從中醫(yī)體質(zhì)角度為PCOS中醫(yī)辨證論治和防治提供臨床依據(jù)。方法:收集2012年12月—2015年12月黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院婦科門診PCOS患者共460例,分為脾虛痰濕型組(139例)、痰瘀互結(jié)型組(116例)、腎虛肝郁型組(139例)、腎虛血瘀型組(66例);脾虛痰濕及痰瘀互結(jié)型組屬于痰濕型組(255例),腎虛肝郁及腎虛血瘀型屬于非痰濕型組(205例)。結(jié)果:(1)痰濕質(zhì)、氣虛質(zhì)、氣郁質(zhì)在痰濕型與非痰濕型間分布具有明顯差異(P0.05),其余體質(zhì)類型在2種證型間分布無明顯差異(P0.05);(2)痰濕質(zhì)、氣郁質(zhì)在脾虛痰濕、痰瘀互結(jié)、腎虛肝郁、腎虛血瘀4種證型間分布具有明顯差異(P0.05),其余體質(zhì)類型在四種中醫(yī)證型間分布無明顯差異(P0.05;痰濕質(zhì)分布在脾虛痰濕型和腎虛肝郁型間χ~2=6.31,P0.05有統(tǒng)計(jì)學(xué)意義,痰瘀互結(jié)型和腎虛肝郁型間χ~2=4.89,P0.05有統(tǒng)計(jì)學(xué)意義;氣郁質(zhì)分布在脾虛痰濕型和腎虛肝郁型間χ~2=5.86,P0.05有統(tǒng)計(jì)學(xué)意義;痰瘀互結(jié)型與腎虛肝郁型間χ~2=4.7,P0.05有統(tǒng)計(jì)學(xué)意義。結(jié)論:不同證型的PCOS患者中醫(yī)體質(zhì)分布存在差異,中醫(yī)體質(zhì)可能是導(dǎo)致PCOS證型差異的重要因素,對(duì)于發(fā)生PCOS的高危人群,通過中醫(yī)辨體質(zhì),及早進(jìn)行調(diào)整,可以預(yù)防PCOS的發(fā)生、發(fā)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，

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