The Correlation Study Between The Evolution Of TCM Constitution During Pregnancy And Gestational Diabetes Mellitus

Objective:Based on the theory of TCM Constitution,to regularly in Fujian traditional Chinese Medicine University Affiliated Second People’s Hospital of prenatal examinations of pregnant women as the research object,the TCM Constitution on the study subjects,selected according to gestational diabetes mellitus of pregnant women and the same diagnostic criteria of prenatal pregnant women,analysis and evolution of constitution in Chinese medicine during pregnancy the type of distribution,to investigate the relationship between pregnancy and physical evolution of GDM,and provide a theoretical basis for TCM Prevention of gestational diabetes.methods:In this study,the cases from January 2016 to December 2016 in Fujian traditional Chinese Medicine University Affiliated Second People’s hospital diagnosed in early pregnancy in our hospital,regular prenatal examinations of pregnant women.All pregnant women with "demographic situation table" general data acquisition,and respectively in early pregnancy(about 12 weeks of pregnancy),middle(about 24 of gestation weeks)and late(about 37 weeks of gestation)by "Chinese medicine scale"to judge the constitutional types of Chinese medicine.All pregnant women in pregnancy 24～28 weeks 75g oral glucose tolerance test(OGTT),according to the inclusion criteria were selected according to the diagnosis criteria of GDM pregnant women as the study group(GDM group),over the same period of pregnancy pregnant women of pregnant women as control group,analysis and evolution of pregnancy physique type of TCM,to explore the evolution of the relationship between body mas s during pregnancy and GDM.Results:1.Study collected a total of 531 cases,there were 104 cases in study group,427 cases in the control group.The study group and the control group gestational age,BMI before pregnancy,diet,exercise habits,family history of diabetes and history of GDM distribution is different(P<0.05).The study group and the control group of gestational age and the mode of delivery distribution there is no difference.2.Maternal physical evolution:①The study group in early pregnancy to late pregnancy did not change the constitution of pregnant women accounted for 63.46%,the physical change of the pregnant women accounted for 36.54%.in early pregnancy,the most common type of Constitution for Phlegm-wetness type,to not change the Constitution in late pregnancy pregnant women accounted for 95.83%,the physical changes of pregnant women accounted for 4.17%.Of late gestation is the most common type of Constitution for Phlegm-wetness type,early pregnancy to late pregnancy were Phlegm-wetness type of pregnant women in late pregnancy accounted for 74.19%,the physical transformation for Phlegm-wetness type pregnant women accounted for 25.81%,the early pregnancy body mainly Yin-deficiency type,accounting for 12.9%②The control group in early pregnancy to late pregnancy did not change the constitution of pregnant women accounted for 75.18%,the physical change of the pregnant women accounted for 24.82%.in early pregnancy,the most common type of Constitution for Gentleness type,to not change the Constitution in late pregnancy pregnant women accounted for 85.42%,the physical changes of pregnant women accounted for 14.58%,the main change is Yin-deficiency type,accounting for 7.29%.The most common type of Constitution for late pregnancy and early pregnancy,to late pregnancy are Gentleness type of pregnant women in late pregnancy accounted for 98.8%,the physical transition to Gentleness type of pregnant women accounted for 1.2%.3.Correlation between TCM Constitution Types and GDM during pregnancy in early pregnancy:a study group of Phlegm-wetness type,accounted for 23.08%,the control group with Gentleness type early pregnancy,accounting for 22.48%,two groups of Phlegm-wetness type difference was statistically significant(P=0.000);the study group in the second trimester of Phlegm-wetness type,accounted for 26.92%,control the second trimester group of Gentleness type,accounting for 24.59%,two groups of Phlegm-wetness type difference was statistically significant(P=0.000);the study group in late pregnancy to Phlegm-wetness type,accounted for 29.81%,the control group in late pregnancy Gentleness type,accounting for 19.44%,two groups the difference between Phlegm-wetness type was statistically significant(P=0.000).Conclusion:1.Gestational age of 30 years old,pre pregnancy overweight,sweets,greasy diet,no exercise habits,family history of diabetes and GDM history of pregnant women and the incidence of GDM.2.The evolution of Constitution:a study of early pregnancy group of pregnant women with Phlegm-wetness type constitution,most to late pregnancy is still mainly Phlegm-wetness type(95.83%);the study group of pregnant women with Phlegm-wetness type,mainly by the early pregnancy for the transformation of Phlegm-wetness type and Yin-deficiency type in pregnant women and(87.10%).The control group of pregnant women with Gentleness type early,most to late pregnancy is still dominated by the Gentleness type constitution(85.42%),partially transformed into Yin-deficiency type(7.29%);the control group maternal Gentleness type,mainly composed of early pregnancy for the transformation of Gentleness type(98.8%).3.The pregnancy of TCM Constitution related with GDM,Phlegm-wetness type susceptible GDM constitution,combined with the trend of GDM pregnant women’s physique,in order to reduce the incidence of gestational diabetes mellitus and provide a theoretical basis.