The Epidemiological Survey In Study Of Relativity Between Polycystic Ovary Syndrome, Constitution Of Traditional Chinese Medicine And Gestational Diabetes Mellitus

Objective: The purpose of this survey is to investigate the relativity between thepolycystic ovary syndrome(PCOS) and gestational diabetes mellitus,and to identify theconstitution types of Traditional Chinese Medicine of the PCOS women beforepregnancy,through which to find out the TCM constitutions distribution of the PCOS womenbefore pregnancy, and also to find out the constitution types of TCM that easily cause GDM,it provide evidence-based evidence for intervention and conditioning TCM constitution ofthe childbearing age women with PCOS,also provide reference for structuring perinatal caremodel created with TCM feature.Methods: Retrospective study method is used for this research, this research carry on asampling survey among the pregnant women that underwent regular perinatal care in firstaffiliated hospital of Henan University of Traditional Chinese Medicine from April2012toFebruary2013, selecting72cases of pregnant women with PCOS before pregnancy includedas the observation group, and randomly select the same period72cases of un-PCOSpregnant women before pregnancy as a control group. To investigate the selected pregnantwomen with GDM epidemiological questionnaire (see Appendix1), record the results,andtheir are typed into the SPSS and to establish the SPSS database. The χ2test and Fisher exacttest are used for the count data, the t test is sued for measurement data,Single sample k-s testis first used for measurement data to test its distribution is normal distribution.if it is normaldistribution,two independent sample t test is used for statistical analysis,if it dose not belongto the normal distribution,two independent sample nonparametric test is used for statisticalanalysis.Results:①The incidence of GDM for the pregnant women with PCOS beforepregnancy is36.1％,and the non-PCOS pregnancy is11.1％,from the two sets of incidenceby statistical analysis derived: P＝0.001＜0.05, with statistical significance;②The mostcommon constitution type of TCM of the pregnant women with PCOS before pregnancy isphlegm-dampness constitution, the following is yin asthenia constitution、stasis blood constitution、 yin-yang harmony constitution、 damp-heat constitution、 yang astheniaconstitution、 qi stagnation constitution、 qi asthenia constitution and allergicconstitution;③In the pregnant women with PCOS before pregnancy,the difference of thepregnant women with GDM and the pregnant women with non-GDM is statisticallysignificance,P＝0.032＜0.05;④In the pregnant women with PCOS before pregnancy,phlegm-dampness constitution people’s incidence of GDM is53.8％, people with yinasthenia constitution、 damp-heat constitution、 qi asthenia constitution、 stasis bloodconstitution、qi depression、yang asthenia constitution who’s incidence of GDM isrespectively19.2％,7.7％,7.7％,7.7％,3.8％.Conclusion:①The incidence of GDM for the pregnant women with PCOS beforepregnancy is significantly higher than the non-PCOS pregnant women before pregnancy,thetwo group are statistically significant;②P COS is high risk factor for GDM incidence;③Themost common constitution type of TCM of the pregnant women with PCOS beforepregnancy is phlegm-dampness constitution, followed by yin asthenia constitution、stasisblood constitution;④In the pregnant women with PCOS before pregnancy,the difference ofthe pregnant women with GDM and the pregnant women with non-GDM is statisticallysignificance;⑤p hlegm-dampness constitution of pregnant people with PCOS beforepregnancy is susceptible to GDM, followed by yin asthenia constitution;⑥phlegm-dampnessconstitution is one of the susceptible factors for GDM incidence.