Analysis of TCM syndrome distribution and influencing factors in 683 patientswith ovulatory dysfunction Abnormal uterine bleeding
683例排卵障碍性异常子宫出血患者中医证型分布及影响因素的分析

摘要

目的 探讨AUB-O患者中医证型的分布规律，分析各中医证型不同的影响因素，为异常子宫出血的临床研究和治疗提供基础。方法 选取2020年10月-2021年10月期间，于陕西中医药大学附属医院妇科因“排卵障碍性异常子宫出血”就诊的女性患者为研究对象，将符合标准的683例AUB-O患者进行中医辩证分型，用SPSS19.0分析各年龄、体重、孕产次、流产次对AUB-O中医证型的相关性分析。结论 683例AUB-O的患者中医证型占比重，肾阳虚证占比（28%）最多，肾阴虚证占比（24%）次之，实热证占比（8%）最少。年龄对排卵障碍性异常子宫出血中医证型相关性分析，P<0.05，有统计学意义。体重对排卵障碍性异常子宫出血中医证型相关性分析，P<0.05，有统计学意义。孕次、产次对排卵障碍性异常子宫出血中医证型相关性分析，P<0.05，有统计学意义；流产次对排卵障碍性异常子宫出血中医证型相关性分析，P＞0.05，无统计学意义。

Abstract

Objective To investigate the distribution of TCM syndrome types in patients with AUB-O and analyze the influencing factors of different TCM syndrome types, so as to provide a basis for clinical research and treatment of abnormal uterine bleeding.
Methods From October 2020 to October 2021, female patients treated for "abnormal uterine bleeding due to ovulation disorder" in the gynecology department of the Affiliated Hospital of Shaanxi University of Chinese Medicine were selected as the study objects, and 683 AUB-O patients who met the criteria were classified into TCM dialectical types. SPSS19.0 was used to analyze the correlation between age, weight, pregnancy time, abortion time and TCM syndrome type of AUB-O.
Conclusion   In 683 patients with AUB-O, TCM syndrome accounted for the proportion, the kidney Yang deficiency syndrome accounted for the most (28%), the kidney Yin deficiency syndrome accounted for the second (24%), and the excess heat syndrome accounted for the least (8%). The correlation analysis between age and TCM syndrome type of abnormal uterine bleeding with ovulation disorder was statistically significant (P<0.05). The correlation analysis of weight on the TCM syndrome type of abnormal uterine bleeding with ovulation disorder was statistically significant (P<0.05). The correlation analysis of pregnancy time and birth time on TCM syndrome type of abnormal uterine bleeding with ovulation disorder was statistically significant (P<0.05). Analysis of the correlation between the abortion time and the TCM syndrome type of abnormal uterine bleeding with ovulation disorder (P > 0.05), there was no statistical significance.