摘要
目的 探讨非肥胖型与肥胖型多囊卵巢综合征(PCOS)患者临床特征及中医证型分布规律。方法 纳入2020年12月1日—2021年12月31日首都医科大学附属北京中医医院妇科门诊306例PCOS患者,采用Excel2019建立数据库,采集患者年龄、学历、职业、体质量指数(BMI)、腰臀比(WHR)、家族史、生活方式(饮食、运动、心理状态)及中医症状等信息,根据BMI值分为非肥胖组(166例)和肥胖组(140例),研究两组PCOS患者的临床特征和中医证型分布规律。结果 (1)临床特征比较:非肥胖组中脑力劳动者比例高于肥胖组,肥胖组中WHR≥0.85者比例高于非肥胖组,差异有统计学意义(P<0.05);非肥胖组中饮食偏嗜辛辣、情绪不良及运动人群比例高于肥胖组,肥胖组饮食偏嗜油腻及甜食比例高于非肥胖组,差异有统计学意义(P<0.05);两组患者年龄、学历、家族史比较,差异无统计学意义(P>0.05)。(2)中医证型比较:306例PCOS患者中,非肥胖者166例(54.2%),其中肾虚肝郁证83例,所占比例最高,为50.0%;肥胖者140例(45.8%),脾虚痰湿证60例,所占比例最高,为42.9%。结论 非肥胖型PCOS患者脑力劳动、偏嗜辛辣及情绪不良者多,肾虚肝郁证是其主要证型;肥胖型PCOS患者WHR≥0.85、偏嗜油腻及甜食者多,脾虚痰湿证是其主要证型。据此可指导临床对非肥胖与肥胖型PCOS进行更具针对性的预防和治疗。
Objective To investigate the clinical characteristics and distribution pattern of TCM evidence patterns in patients with non-obese and obese polycystic ovary syndrome(PCOS).Methods A total of 306 patients with PCOS from December 1,2020 to December 31,2021 were included in the outpatient clinic of the Department of Gynecology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University.Excel 2019 was used to establish a database, and information on patients′ age, education, occupation, body mass index(BMI),waist-to-hip ratio(WHR),family history, lifestyle(diet, exercise, psychological status)and TCM symptoms were collected.The patients were divided into non-obese group(166 cases)and obese group(140 cases)according to the BMI value, and the clinical characteristics and distribution pattern of TCM symptoms of PCOS patients in both groups were studied.Results(1)The following results were obtained by comparing clinical characteristics.The proportion of cerebral workers in the non-obese group was higher than that in the obese group, and the proportion of people with WHR≥0.85 in the obese group was higher than that in the non-obese group, with statistically significant differences(P<0.05).The proportion of people with spicy diet, poor mood and exercise was higher in the non-obese group than that in the obese group, and the proportion of people with a diet with fatty and sweet food was higher in the obese group than that in the non-obese group, and the difference was statistically significant(P<0.05).The differences were not statistically significant when comparing the age, education and family history of the two groups(P>0.05).(2)The following results were obtained for the comparison of Chinese medical evidence.166 cases(54.2%)of 306 patients with PCOS were non-obese, of which 83 cases(50.0%)had kidney deficiency and liver depression evidence, accounting for the highest proportion.Among the 140 cases(45.8%)with obesity, there were 60 cases with spleen deficiency and phlegm-dampness evidence, accounting for the highest proportion of 42.9%.Conclusion: Non-obese PCOS patients had more cerebral work, preference for spices and emotional disorders, and the evidence of kidney deficiency and liver depression was the main type of evidence.Obese PCOS patients with WHR≥0.85,preference for fatty and sweet food, and spleen deficiency, phlegm and dampness were the main types of evidence.Accordingly, we can guide the clinical prevention and treatment of non-obese and obese PCOS.
作者
姜文娜
刘畅
孙艺玲
江玉敏
黄玉华
JIANG Wenna;LIU Chang;SUN Yiling;JIANG Yumin;HUANG Yuhua(Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University,Beijing 100010,China)
出处
《辽宁中医杂志》
CAS
2022年第12期80-84,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
北京市中医药管理局一般规划项目(JJ-2020-47)。
关键词
多囊卵巢综合征
非肥胖型
肥胖型
中医证型
polycystic ovary syndrome
non-obese type
obese type
traditional Chinese medicine evidence type
