Analysis On TCM Syndrome And Related Factors Of Anovulatory Abnormal Uterine Bleeding In Perimenopause

Objective: This study took perimenopausal patients with abnormal anovulatory uterine bleeding as the research object,and explored the distribution of TCM syndromes of abnormal anovulatory uterine bleeding during perimenopausal period and its relationship with related factors,so as to provide reference for clinical syndrome differentiation and treatment.Methods: Consulting relevant literature,combined with the expert opinion,the design of traditional Chinese medicine clinical observation record and standards,on the basis of diagnosis,and exclusion criteria,elected in October 2018-October 2020 in the affiliated hospital of shandong university of TCM gynecology outpatient or hospitalization of the menopausal transition abnormal uterine bleeding,100 cases of patients with anovulatory type,fill in clinical observation record,of traditional Chinese medicine and in accordance with the standard of traditional Chinese medicine for selected patients,data collection,statistics,then using SPSS 23.0 for selected patients with TCM syndrome type and the observation indexes were analyzed.Results: 1.The proportion of TCM syndrome types in perimenopausal anovulatory abnormal uterine bleeding patients from high to low was as follows: 36 cases of qi deficiency and blood stasis syndrome(36%),21 cases of > syndrome of spleen deficiency(21%),18 cases of BBB>ndrome of kidney deficiency(18%),14 cases of BBB2 s>ome of blood stasis syndrome(14%),11 cases of BBB3 synd> of blood heat(11%).2.(1)From high to low,the proportion of blood loss in the main symptoms was as follows: 59patients(59%)had more blood loss(>)and 21 patients(21%)had normal menstrual volume(BBB0)and 20 patients(20%)had less blood loss(BBB>.(2)The bleeding color ranged from high to low: light red(57 cases),dark red(25 cases),bright red(18 cases),and dark red(25 cases).(3)The bleeding texture ranged from high to low: there were 67 cases(67%)of blood clots,23 cases(23%)of > without clots,and 10 cases(10%)of BBB>th thick texture.(4)The amount of bleeding was correlated with the thickness of endometrium(EM),and the amount of hemoglobin(Hb)was correlated with the amount of bleeding.3.There was no correlation between TCM syndromes and patients’ age,occupation,body mass index(BMI),waist-hip ratio,history of irregular menstruation,pregnancy,EM thickness and Hb;TCM syndrome type and patients with the number of abortion,menstrual period has no bad habits,there is no contraceptive ring correlation.4.Patients with large amount of bleeding are more likely to suffer from qi deficiency and blood stasis syndrome;The amount of blood loss,the existence of IUD,the existence of bad living habits during menstruation and the number of abortions had no correlation with spleen deficiency syndrome.Patients with no bad habits during menstruation and ≥3 times of abortion had higher possibility of kidney deficiency syndrome.Patients with less blood loss and bad living habits during menstruation had higher possibility of blood stasis syndrome.Patients with IUDs are more likely to have blood fever syndrome.5.In the analysis of the relationship between various related factors,there was no significant correlation between patient age and Hb;There was no correlation between Hb and the history of menstrual irregularity.Conclusion: 1.The most common syndrome type in perimenopausal anovulatory abnormal uterine bleeding patients is the syndrome of qi deficiency and blood stasis;2.The patients with high blood loss accounted for the largest proportion,59%.The blood loss was correlated with EM thickness,and Hb was correlated with the blood loss.3.TCM syndromes are correlated with the number of abortions,the existence of bad living habits during menstruation and the existence of IUD;4.Patients with large amount of bleeding are more likely to suffer from qi deficiency and blood stasis syndrome;Patients with no bad habits during menstruation and ≥3 times of abortion had higher possibility of kidney deficiency syndrome.Patients with less blood loss and bad living habits during menstruation had higher possibility of blood stasis syndrome.Patients with IUDs are more likely to have blood fever syndrome.