多囊卵巢综合征与输卵管阻塞患者心理障碍及中医证型分布比较研究

目的：探讨多囊卵巢综合征（PCOS）与输卵管阻塞患者心理健康状况的差别及两者间中医证型分布有无不同。方法：采用＂症状自评量表＂（SCL-90）、汉密尔顿抑郁量表（HAMD）、汉密尔顿抑郁量表（HAMA）对93例PCOS和89例输卵管阻塞女性不育患者进行心理测评。中医辨证两组间按肾阴虚、肾阳虚、痰湿、血瘀不同分布进行比较。结果：SCL-90其他项目因子分经统计学处理两组患者间差异不显著,但PCOS患者强迫因子分高于输卵管阻塞患者,出现轻度强迫症状的比例较输卵管阻塞患者为多,具有显著统计学差异（P〈0.05）;而抑郁因子分则输卵管阻塞患者显著高于多囊卵巢综合征患者（P〈0.01）,HAMD检测提示输卵管阻塞患者出现严重抑郁者多于多囊卵巢综合征患者（P〈0.05）。而中医证型分布中PCOS肾阴虚证及血瘀证较多见;具体分型以肾阴虚兼痰瘀证和肾阴虚兼血瘀证多于输卵管阻塞患者组。结论：PCOS与输卵管阻塞患者心理障碍各具特点,具有生殖内分泌异常的PCOS患者心理障碍异于输卵管阻塞患者,以强迫症状多见,而中医辨证肾阴虚证及血瘀证较多。

The Comparative Study of Psychological Barriers and TCM Syndromes between the Patients with Polycystic Ovary Syndrome and Oviduct Obstruction

Objective： To investigate whether the mental health status and TCM syndrome type distribution are different between the patients with polycystic ovary syndrome（ PCOS） and with oviduct obstructive.Method： Using ＂SCL-90＂,HAMD and HAMA to evaluate psychological stauus for blocking female infertile patients. Among them 93 cases were of PCOS and 89 cases were of oviduct obstructive.TCM syndrome differentiation were compared between the two groups according to the deficiency of kidney yin,kidney yang deficiency,and phlegm,blood stasis of different distributions. Result： Other projects in SCL-90 were not significantly different,but the forcing factors and the mild obsessive-compulsive symptoms proportion of the PCOS group were much higher than the tubal obstruction group（ P〈0.05）. What＇s more,the HAMD detection prompts that fallopian tube obstruction patients got a higher percentage to have serious depression than those patients with PCOS（ P〈0.05）. The PCOS kidney yin deficiency and blood stasis were more common TCM syndrome type distribution. Specifically,the kidney yin deficiency and stagnation of phlegm and blood stasis and kidney deficiency and blood stasis in PCOS patients group were higher than the oviduct obstructive group. Conclusion： PCOS and oviduct obstruction patients have different metal disorder characteristics. PCOS patients,with reproductive endocrine abnormalities,have a higher tendency to obsessive-compulsive symptoms. Kidney yin deficiency and blood stasis syndrome are more common in PCOS patients according to TCM syndrome differentiation.