肾虚肝郁型卵巢功能减退患者的发病因素分析

Analysis of Pathogenic Factors of Depression Ovarian Dysfunction Patients with Kidney Deficiency and Liver Stagnation

目的分析肾虚肝郁型DOR患者致病的影响因素，为肾虚肝郁DOR的预防保健提供科学依据。方法选择2012年10月—2013年10月，于广州中医药大学第一附属医院妇科门诊、广东省第二中医院妇科门诊就诊，符合纳入标准者50例作为观察组。同期来本院体检的月经正常的，年龄在18～40岁之间的健康妇女50例作为健康对照组。观察组及健康对照组均采用统一信息登记表，专人面对面详细询问病史。结果（1）2组妇女身高、体重、BMI比较，差异无统计学意义（P〉0．05）。（2）熬夜、吸烟、饮酒的人数在观察组中明显高于健康对照组，经常锻炼的人数在观察组中明显低于健康对照组（P〈0．05）；精神紧张、长期抑郁、遭受重大刺激、易生气的人数在观察组中明显高于健康对照组（P〈0．05）；感觉压力大、经常出差、大专以上的人数在观察组中明显高于健康对照组，与同事关系融洽的人数在观察组中明显低于健康对照组（P〈0．05）。结论肾虚肝郁型DOR患者发病与社会、心理因素，生活习惯、文化程度等有关。

Objective： To analyze the pathogenic factors of depression ovarian dysfunction （DOR） patients with kidney deficiency and liver stagnation and provide scientific basis for the preventive health care for DOR. Methods： 50 patients visiting at gynecological clinics of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Guangdong Provincial Second Hospital of Traditional Chinese Medicine from October 2012 to October 2013 were selected as an observation group. 50 healthy women with normal menstruation between the ages from 18 to 40, who came to have medical examination in the same period, were taken as a control group. The persons in the two groups were registered in unified information form, and specially - assigned persons were arranged to enquire their de- tailed medical histories face to face. Results ： （ 1 ） When compared the height, weight and BMI of the two groups, the difference was not statistically significant （ P 〉 005 ）. （2） The number of people who stay up late, smoke and drink in the observation group was significantly larger than that of the control group while the number of people who regularly exercise in the observation group was significantly lower than that of the control group （P 〈 005 ）. The number of peo- pie who suffer from mental stress, long - term depression and great stimulus in the observation group was significantly larger than that of the control group （P 〈005）. The number of people who feel pressure, travel frequently and receivehigher education in the observation group was significantly larger than that of the control group. The number of people who have harmonious relationship with colleagues in the observation group was significantly lower than that of the control group （P 〈 005 ）. Conclusion ： The pathogenic factors of DOR patients with kidney deficiency and liver stagnation are related to social and psychological factors, lifestyle, and education and so on.