多囊卵巢综合征证候规律初探

Exploration on Syndromes Differentiation of Polycystic Ovary Syndrome

目的:探讨多囊卵巢综合征(PCOS)患者证候与证型的分布规律,以指导临床用药。方法:对419例PCOS患者进行问卷调查,运用SPSS16.0及模糊聚类法对其证候证型进行统计分析。结果:临床症状以肾虚与肝郁的表现为主,单证分型从高到低依次为肝郁型、肾虚型、脾虚型、痰湿型及血瘀型。结论:PCOS发病以肾虚为本,肝郁为标,肝、脾、肾三脏功能失调,痰瘀阻滞胞脉所致。临床当以补肾为根本,佐以疏肝健脾,或活血、化痰。

Objective： To investigated the disuibution of symptoms and syndrome differentiation on polycystic ovary syndrome（PCOS）,then to make a better therapy.Methods：To questioned the symptoms of 419 women with PCOS,then researehing the rale of distribtaion by means of SPSS 16.0 and grey cluster analysis. Results：The most presentation of 419 patients were the symptoms of stagnation of liver-QI and renal deficiency;The 5 signal syndromes were stagnation of liver-QI （34.61%）,renal deficiency（23.15%）.splenic asthenia（20.76%）, phlegm-damp type （12.89%）,btood stasis type（7.40%）,Conelusion：The TCM cause,pathogenesis of PCOS was that the dysfunction of the kidnev,liver and spleen serves as the primary factor,blood stasis and sputum dampness serves as the secondary factor;so when treat it,we should invigorate the kidney;assistant to disperse the depressed liver-energy and invigorate the spleen, or promoting blood flow,dissipating phlegm.