Different Types Of Survey Of Quality Of Life In Patients With Polycystic Ovary Syndrome

Objective Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among premenopausal women, who often develop insulin resistance. The objective of the paper is explore correlation relationship between TCM syndrome and the QoL of PCOS patients, by screening the factor influencing the QoL of PCOS to open out the impersonal evidence for clinical treatment.Methods 88 patients diagnosed PCOS were enrolled in this study during, all of them were out patients in the department of TCM of the first affiliated hospital of Guangzhou University of Chinese Medicine. Divided 88 cases of PCOS into 4 different TCM syndrome groups:25 cases of asthenia of kidney type, 21 cases of phlegm-dampnes blockage type,12 cases of blood-stasis type and 29 cases of stagnation of liver qi type, measure their levels of testosterone(T), FSH, LH, PRL, E2, P and Such sociodemographic characteristics as age, sex, education, marital status, occupation, economic income, etc. were considered and the SF-36 Health Survey was used in this survey.Results (1) This survey, at the general information such as age, occupation, educational level, economic status, marriage, duration, there are no obvious differences between the comparison of different type of TCM syndrome in patients with PCOS.(2) phlegm-dampnes blockage type patients with PCOS have a higher body mass index than those patients of stagnation of liver qi type,blood-stasis type,asthenia of kidney type.(3) the quality of life between different syndromes Comparative analysis:the quality of life of phlegm-dampnes blockage type and stagnation of liver qi type patients with PCOS were significantly lower than blood-stasis type patients. In Physical Functioning, the score of phlegm-dampnes blockage type is significantly lower than stagnation of liver qi type,blood-stasis type and asthenia of kidney type. In Vitality, the score of phlegm-dampnes blockage type and stagnation of liver qi type are significantly lower than blood-stasis type and asthenia of kidney type. In Social Functioning, the score of phlegm-dampnes blockage type is significantly lower than blood-stasis type. In Role-Physical, Bodily Pain, General Health, Role-Emotional, Mental Health, different type of TCM syndrome in patients with PCOS, has no obvious difference between.(4) Daily life affect to quality of life:In Role-Physical,The survey hints the group of patients that without history of infertility have a lower score than the other two groups. The group of patients that have a longest duration of disease, have a higher score than the other two groups of short duration. In Role-Emotional,the patients with different infertility history have different affect on Role-Emotional. The group of patients that without a history of infertility have a lower score than the other two groups. The other six dimensions were not correlated to the daily life.Conclusion The quality of life is different between the PCOS patients that with different types of TCM syndromes. Therefore the process in the treatment of PCOS patients, in addition to TCM Differential Treatment should also focus on improving their psychological and social function, make the necessary psychological treatment and counseling, and adopt targeted individual treatment measures for the patients, to improve the effect of treatment and quality of life. For phlegm-dampnes blockage type patients should also emphasize the habits and customs with good nurturance, change unhealthy dietary structure, physical activity long-term adherence, weight loss and other comprehensive therapy.