Study On The Correlation Between TCM Syndrome Types And Endometrial Receptivity In Polycystic Ovary Syndrome Infertilit

Objective: This study summarizes and analyzes the distribution of traditional Chinese medicine syndrome types,as well as the correlation between traditional Chinese medicine syndrome types and general clinical data,endometrial receptivity related indicators,and six items of sexual hormones,by collecting and organizing general clinical data,traditional Chinese medicine syndrome types,endometrial receptivity related indicators,and six items of sexual hormones of patients with polycystic ovary syndrome infertility.This further provides objective basis for the traditional Chinese medicine syndrome differentiation and treatment of PCOS infertility,Provide new ideas for the diagnosis and treatment of this disease through the integration of traditional Chinese and Western medicine.Methods: This study uses clinical research methods and collects traditional Chinese medicine observation,examination,examination,general information,and laboratory physical and chemical examinations of PCOS infertility patients who visited the gynecology clinic of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from January 2022 to December 2022 through clinical questionnaire surveys.The patients were divided into kidney deficiency group,liver stagnation and fire transformation group,qi stagnation and blood stasis group,and spleen deficiency and phlegm dampness group.The data were statistically calculated using medical statistical methods to analyze the distribution of these four syndrome types,as well as the syndrome types and the patients’ menarche age,menstrual cycle,infertility type,BMI,endometrial receptivity related indicators(endometrial thickness,endometrial classification,endometrial blood flow classification,uterine artery blood flow perfusion)Is there a correlation between six aspects such as sex hormones.Results:1.Among the 146 cases of PCOS infertility patients who participated in this study,kidney deficiency syndrome(33.6%)was the most common syndrome type,followed by spleen deficiency and phlegm dampness syndrome(27.4%),qi stagnation and blood stasis syndrome(23.3%),and liver stagnation and fire transformation syndrome(15.7%).2.The distribution of four traditional Chinese medicine syndrome types and BMI in 146 patients with PCOS infertility was statistically significant(P<0.05),and the BMI value of spleen deficiency phlegm dampness syndrome was higher than the other three syndrome types.There was no statistically significant difference in TCM syndrome types in terms of age at menarche,menstrual cycle,and infertility type(P>0.05).3.The four TCM syndromes of 146 cases of PCOS infertility had statistical significance in the distribution of endometrial thickness(P<0.05).There was no statistical significance between the distribution of the four TCM syndrome types and endometrial classification,endometrial blood flow perfusion classification,uterine artery blood flow perfusion(P>0.05).4.The distribution of four traditional Chinese medicine syndrome types in 146 infertility patients showed statistical significance in LH and T levels(P<0.05).The T level of spleen deficiency phlegm dampness syndrome was significantly higher than the other three syndrome types,while the LH level of spleen deficiency phlegm dampness syndrome was significantly lower than the other three syndrome types.The distribution of the four traditional Chinese medicine syndrome types showed no statistical significance in E2,PRL,and P(P>0.05).Conclusion:1.Kidney deficiency syndrome is the most common syndrome type in PCOS infertility patients,followed by spleen deficiency and phlegm dampness syndrome,qi stagnation and blood stasis syndrome,and liver stagnation and fire transformation syndrome.2.There is a correlation between the traditional Chinese medicine syndrome types of PCOS infertility patients and their BMI,specifically manifested as the spleen deficiency and phlegm dampness syndrome being more common in patients with high BMI.3.There is a correlation between traditional Chinese medicine syndrome types and endometrial thickness in patients with PCOS infertility.The specific manifestations are: the thin endometrial thickness is mainly characterized by kidney deficiency syndrome,while the thick endometrial thickness is mainly characterized by qi stagnation and blood stasis syndrome.4.There is a correlation between traditional Chinese medicine syndrome types and LH and T levels in patients with PCOS infertility.The specific manifestation is that the traditional Chinese medicine syndrome types of those with higher T values and lower LH values are more common in spleen deficiency and phlegm dampness syndrome.