多囊卵巢综合征患者不同中医证型体质分布差异分析-刘颖华

15．32J．200344139－41．16．ⅠPCOS、J．20093189－191．17．J．2006131038－39．18．D．2014．19．J．201329121052－1056．20．J．2013452－53．21．PCOSJ．201541284－1287．22．－αJ．2013453161－164．23．PCOP450aromPAI－1J．200831235－37．24．J．201512222－224．25．D．2011．26．J．2016180－81．27．PCOSJ．2015355361－365．28PoretskyLClemonsJBogovichK．HyperinsulinemiaandhumanchorionicgonadotropinSynergisticallypromotethegrowthofovarianfollicularcystsinratsJ．Metabolism1992418903－910．29．J．201538529－36．30．J．201587790－793．35720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．20171820DOI10．13193/j．issn．1673-7717．2017．07．0501221．1500402．150040PCOSPCOS。201212—201512PCOS460139、116、139、66255205。1、、P＜0.052P＞0.052、、、、4P＜0.05P＞0.05χ2=6．31P＜0.05χ2=4．89P＜0.05χ2=5．86P＜0.05χ2=4．7P＜0.05。PCOSPCOSPCOSPCOS、。Ｒ711．75A1673-7717201707-1820-03ConstitutionDistributionCharacteristicsofPolycysticOvarySyndromeBetweenDifferentTCMTypesLIUYinghua1HOULihui2XUFang22017－02－12—201207001JDZX20120392014－091988－。1951－、。[e-mail]。028135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．201718211．HeilongjiangUniversityofChineseMedicineHarbin150040HeilongjiangChina2．DepartmnetofObstricsandGynecologyTheFirstAffiliatedHospitalHeilongjiangUniversityofChineseMedicineHarbin150040HeilongjiangChinaAbstractObjectiveToanalyzetherelativitybetweentheninedifferentconstitutionsandtheTCMsyndromesofP-COSandprovidenewevidenceforsyndromedifferentiationandtreatmentaswellasthepreventionofPCOS．MethodsAtotalof460PCOSpatientsweredividedintodifferentgroupsaccordingtosyndromedifferentiationofTCM．Ｒesults1Frequencyofphlegm－damnessconstitutionqi－deficiencyconstitutionandqi－depressionconstitutionwassignificantlydifferentinphlegm－damnesssyndromeandnonphlegm－damnesssyndromeP＜0.05．2Frequencyofphlegm－damnessconstitutionandqi－depressionconstitutionwasdifferentinfourgroupsP＜0.05．Frequencyofphlegm－damnessconstitutionwassignificantlyhigherinspleen－deficiencyandphlegm－dampnesssyndrometypephlegmandbloodstasissyndrometypethankidney－deficiencyandqi－depressiontypewhilethefrequencyofqi－depressioncon-stitutionwassignificantlyhigherinlatterthanintheformer．ConclusionThedistributionofconstitutionexistsdifferenceinTCMtypeswhichmaybetheimportantfactorsforthedifferenceofTCMtypesofPCOS．Itsuggestsanewwaytopre-ventandtreatPCOSwithadjustingconstitutions．Keywordspolycysticovarysyndromephlegm－damnessconstitutionqi－deficiencyconstitutionqi－depressionconstitutionpolycysticovarysyndromePCOS、、、“”、“”、“”、、。“”PCOS1。2－3。PCOSPCOS。11．1201212—201512460。PCOS20034123≥122～9mm＞10cm3。PCOS5460PCOS413911613966。255205。2009《》6。==－8/32×100≥4030－40＜30。≥608＜30≥608＜40。1．2Ex-celSPSS19．0。、χ2。P＜0.05。22．19460PCOS、、、18．69%、17．61%、15．65%、14．57%、、、9．13%、7．82%、7.61%、7．39%PCOS、、、。2．2。、、P＜0.05P＞0.05。1。2．3444。、4P＜0.054P＞0.05。2。、。χ2=6．31P＜0.051%5220．395521．57228．634116．082810．98166．27176．6731．18218．24209．762612．68125．854521．953919．02199．27199．2741．952110．24χ29．746．181．282．585．911．451．070．460．55P＜0．05＜0．05＞0．05＞0．05＜0．05＞0．05＞0．05＞0．05＞0．05128135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．2017182229%2920．862820．14128．632115．111510．7996．47117．9110．72139．352319．822723．28108．622017．241311．2176．0365．1721．7286．9139．351510．7996．472618．713122．30139．35128．6342．881611．51710．611116．6734．551928．79812．1269．09710．610057．58χ29．847．671．525．769．641．471．963．351．85P＜0．05＞0．05＞0．05＞0．05＜0．05＞0．05＞0．05＞0．05＞0．05X2=4．89P＜0.05。X2=5．86P＜0.05X2=4．7P＜0.05。3PCOS、、、30.6%、36.1%7。PCOS、、、8。PCOS、、、、、PCOS、、PCOS。PCOS。59－10。9。、11。PCOS、、、12－14。《》“……。……”。、P-COS。、、。、。PCOS、29%～50%15。16P-COS、PCOS、。、。7PCOS。14．6%PCOS。、。PCOS。PCOSPCOSPCOSPCOS、。1．“”J．2013339873－875．2．D．2012．3．J．201227123211－3213．4ＲotterdamESHＲE/ASＲM－SponsoredPCOSconsensuswork-shopgroup．Ｒevised2003consensusondiagnosticcriteriaandlong－termhealthrisksrelatedtopolycysticovarysyndromeP-COSJ．HumＲeprod200419141－47．5．J．2015311147－149．6．J．200944303－304．7．J．201429152389－2391．8．J．2013281831192－1193．9．J．20143110603－607．10．J．201128146－47．11．J．201552105－10712．J．2015491111－14．13．J．2014431237－39．14．J．200831110－13．15GreenwoodEAPaschLAShinkaiKetal．Putativeroleforin-sulinresistanceindepressionriskinpolycysticovarysyndromeJ．FertilSteril20151043707－714．16．J．2013374300－301．2281