基于“因子分析”探讨多囊卵巢综合征(排卵障碍)的证候要素分布

Based on“Factor Analysis”to Explore the Distribution of Syndrome Elements of Polycystic Ovary Syndrome(Ovulation Disorder)

目的初步探讨多囊卵巢综合征(Polycystic ovary syndrome,PCOS)(排卵障碍)的证候要素分布规律,以期为临床辨证提供依据。方法采集212例PCOS(排卵障碍)患者的中医四诊资料,建立数据库,采用因子分析方法,探讨其证候要素分布特点。结果共提取出16个公因子,涉及病性类证候要素10个,虚性以精亏、阳虚、阴虚为主,实性以气滞、痰(湿)、血瘀为主;病位类证候要素5个,以肾、肝、胞宫、脾、大肠为主。结论PCOS(排卵障碍)患者的病性类证候要素主要为精亏、气滞、痰(湿)、血瘀,病位类证候要素以肾、肝、胞宫、脾为主。

Objective To preliminary explore the distribution of syndrome elements of Polycystic ovary syndrome(PCOS)(ovulatory disorder)in order to provide aevidence for clinical syndrome differentiation.Methods A databaseestablishedby the data of 212 PCOS(ovulation dysfunction)patients with four diagnosis of traditional Chinese medicine.Factor analysis method was used to discuss the distribution characteristics of syndrome elements.Results A total of 16 common factors were extracted,involving 10 syndrome-related syndrome elements.Deficiency is mainly due to deficiencies,yang deficiency and yin deficiency,while solidity is mainly based on qi stagnation,phlegm(wet)and blood stasis.There are 5 elements of position syndrome,mainly kidney,liver,uterus and spleen.Conclusion PCOS(ovulation disorder)patients′pathological syndrome elements are mainly dystrophy,qi stagnation,phlegm(wet),and blood stasis.The pathological syndrome elements are mainly kidney,liver,cell palace,and spleen.