多囊卵巢综合征3种常见中医证型卵巢血流动力学参数的对比分析

  目的：探讨多囊卵巢综合征患者的卵巢血流动力学参数与中医证型之间可能存在的联系,为本病的中医辨证分型提供客观依据  方法：纳入符合多囊卵巢综合征西医诊断标准,且中医辨证分型为肾虚型、痰湿阻滞型、气滞血瘀型的患者178例,超声检测各型患者卵巢阻力指数及搏动指数,分析不同中医证型之间的差异  结果：痰湿阻滞型、肾虚型与气滞血瘀型比较,卵巢阻力指数及搏动指数差异有统计学意义(P<0.05),气滞血瘀型明显高于肾虚型和痰湿阻滞型；痰湿阻滞型与肾虚型比较,各指标差异均无统计学意义(P>0.05)  结论：多囊卵巢综合征患者卵巢血流动力学参数中的卵巢阻力指数及搏动指数与中医证型有一定的关系,可以为本病的中医辨证分型提供参考。

Comparative analysis on three common TCM syndromes in patients with polycystic ovary syndrome ovarian blood flow parameters

  Objective:To discusses the possible link between ovarian blood flow parameters of patients with polycystic ovary syndrome and TCM syndrome,which aims at providing a scientific basis for the syndrome differentiation of traditional Chinese medicine treatment of this disease  Methods:There were 178 patients in this experiment with polycystic ovary syndrome diagnostic criteria of western medicine and can be classified into kidney deficiency type, phlegmy wet block type and qi stagnancy and blood stasis type on the criteria of Chinese medicine. Ovarian resistance index and pulse index were tested with method of ultrasonic measuring and the differences of different TCM syndrome were analyzed  Results:There was significant difference in ovarian resistance index and pulse index between the three TCM syndromes(P<0.05), and the indexes of kidney deficiency type and phlegmy wet block type were higher than that of qi stagnancy and blood stasis type; there was no statistical significance between kidney deficiency type and phlegmy wet block type(P>0.05)  Conclusion:There were certain relationships between ovarian blood flow parameters (ovarian resistance index and pulse index) of patients with polycystic ovary syndrome and TCM syndrome which can provide a scientific basis for the syndrome differentiation of traditional Chinese medicine treatment of this disease.