A Study Of Distributive Regulation Of TCM Syndrome Type On Infertility Induced By Oviduct Blockage

1 ObjectiveThe purpose of this study was to explore the syndrome influential factors and distributive regulation of TCM on infertility induced by oviduct blockage, and to establish foundation of diagnostic standardi zation on syndromes which is more objective, applicable and operable.2 MethodUsing retrospective study methods, 400 inpatients and outpatients in Guangdong TCM Hospital were observed. Their diseases, symptoms and signs were collected. The proportion among different TCM syndrome typ es were compared, and the relationship between the factors of oviduct blockage and syndrome types of TCM were studied by describing analysi s, chi square test, bivariate correlations, binary logistic regression.3 ResultsThe study showed that the syndrome of qi stagnation and blood sta sis was the most common syndrome, and work have close relationship wit h distribution of syndromes, and the difference was significant (P＜0.05), which was analyzed by chi square test. And there was no evidenc e manifested that age, culture, address had relationship with distrib ution of syndromes (P＞0.05). With individual-factor analysis, menstr ual cycle, parity, induced abortion frequency, and spontaneous abortio n had close relationship with distribution of syndromes (P＜0.05). Bu t menarche age, menstruation, parity, EP had no relationship with dist ribution of syndromes(P＞0.05)In anamnesis, PID, tuberculosis, endometri osis, UU/MH, CT, vulvovaginal candidiasis, BV, cervicitis, IUD, previous abd ominal operation, uterine cavity operation had no relationship with di stribution of syndromes (P＞0.05). All indexes were analyzed by the mu itivariable binary Logistic regression model. Work, endometriosis, appen dix operation, character, previous abdominal operation were the risk f actors related to the syndrome of qi stagnation and blood stasis(P＜0.05); disease course, work, culture, IUD, character, uterine cavity operati on, previous endometrios, caesarean section were the risk factors relat ed to he syndrome of kidney deficiency and blood stasis (P＜0.05); Wor k, IUD, previous abdominal operation, diet habit, disease course, appendix operation were the risk factors related to the syndrome of hot-damp and blood stasis. (P＜0.05) The syndrome of qi stagnation and blood st asis was positively correlated with pelvic endometriosis, oviry tumor (P＜0.05), the syndrome of kidney deficiency and blood stasis was pos itively correlated with pelvic adhensions, hydrosalpinx, tube obstructi on (P＜0.05), the syndrome of hot-damp and blood stasiswas positively correlated with was positively correlated with tube obstruction,(P＜0.05) but which were not so positively (r_p＜0.5)4 ConclusionThe study explored the relationship between factors which clinic doctors have been interested in and the distribution of syndromes. Th e results showed that the syndrome of qi stagnation and blood stasis was the most common syndrome, and work, menstrual cycle, gravidity, in duced abortion frequency, and spontaneous abortion had close relation ship with distribution of syndromes. Demographic sociology factor, men struation, obstetric histories, history of past illness, disease course, previous abdominal operation, uterine cavity operation, diet habit, char acter were the significant predictive factors for different syndroms of TCM, and different syndroms of TCM were positively correlated with the laparoscopic findings. The syndrome of qi stagnation and blood sta sis is the most common syndrome type in the infertility induced by ov iduct blockage.