江苏地区多囊卵巢综合征中医证型分布规律及与饮食失宜相关性的临床研究

Clinical study of area of Jiangsu province of polycystic ovarian syndrome correlation distribution of traditional Chinese medicine syndrome type and improper diet

多囊卵巢综合征(PCOS)是目前国内外妇产科学研究的热门疾病之一,中医药在临床上对该病的治疗有其优势性。该研究采用描述性研究的临床流行病学调查研究方法,通过对江苏地区确诊PCOS的401例患者进行中医证型观察及饮食失宜情况调查,探究其中医证型分布规律及与饮食失宜因素的相关性,为该病的进一步病因学探究提供临床依据。该病的中医证型分布是以肾虚证、痰湿阻滞证、气滞血瘀证、肝经湿热证及由4种基本证型相兼形成的复合证型构成,且以复合兼夹证型为主(占60.85%);结合中医虚实辨证分析,本病以纯实证证型为主(占46.88%),其次为虚实夹杂证(占45.39%),纯虚证较少见。饮食失宜因素与该病发病有相关性,其中不同饮食失宜情况与中医证型分布呈显著性相关。痰湿阻滞证是该病的主要证型,饮食失宜因素与PCOS中医各证型分布相关性如下:偏食肥甘油腻者以痰湿阻滞的基本证型为主,肾虚型基本证型较少;偏食辛辣刺激者以气滞血瘀的基本证型为主;贪凉喜冷者以气滞血瘀的基本证型为主;有节食减肥史者以痰湿阻滞型为主。

Polycystic ovary syndrome（PCOS） is one of the most popular diseases in obstetrics and gynecology research at internal and abroad at present,traditional Chinese medicine（TCM）in the clinical treatment of the disease have the advantage.Clinical epidemiological study of descriptive research method this research adopts investigation,observation of TCM syndromes and improper diet through 401 cases in Jiangsu Province confirmed PCOS patients,to explore the relationship between TCM syndrome type distribution and improper diet factors,and to provide the clinical basis for further etiology of this disease research.TCM syndrome type distribution of the disease is kidney deficiency,phlegm stagnation syndrome,qi stagnation and blood stasis syndrome,syndrome of dampness heat of liver channel and is composed of 4 basic syndromes and formed complex syndrome,and the composite and syndrome type（60.85%）; combined with the analysis of traditional Chinese medicine dialectical,Pure empirical syndrome this disease（46.88%）,followed by the actual card（45.39%）,pure deficiency is rare.Improper diet factors associated with the disease,in which improper diet with different TCM syndrome type distribution significantly related.Stagnation of phlegm dampness syndrome is the main syndrome of the disease type,improper diet factors and every syndrome PCOS type distribution is as follows： the partial eclipse fatness greasy with basic syndromes of phlegm dampness stagnation of kidney deficiency syndrome,the nephrasthenia syndrome is less; eating spicy stimulation by basic syndromes of stagnation of Qi and blood stasis; eating cold people the basic certificate type of qi stagnation and blood stasis; The diet of patients are more prone to stagnation of phlegm dampness syndrome.