| Objective: This study is mainly to explore the related factors of pelvic organ prolapse in the past five years,and analyze the characteristics of pelvic organ prolapse,and guide the preparation of questionnaires to provide reference basis;The prevalence and risk factors of pelvic organ prolapse in Taiyuan city were discussed by epidemiological method.On this basis,understanding the distribution of traditional Chinese medicine constitution of patients with pelvic organ prolapse in Taiyuan city,for the treatment and prevention of pelvic organ prolapse.Methods: Through the retrieval of the literature data of pelvic organ prolapse in recent 5 years,according to the inclusion and exclusion criteria,statistical analysis,combined with the etiology and pathology of pelvic organ prolapse,summarized the relevant influencing factors,and designed the questionnaire.Results:1.literature research1.1 The distribution of influencing factors: in all the 36 articles included in the literature,after screening,there were a total of 31 factors,the total frequency was 266 times.The main factors related to pelvic organ prolapse(frequency = 10),a total of 9;the frequency of frequency from more to less as follows: age(29,10.9%),and the number of vaginal deliveries(28,10.5%),menopause(22,8.3%),body mass index(BMI)(21,7.9%),pregnancy(pregnancy)(17,6.4%),constipation(16,6%),delivery mode(14,5.3%),chronic cough(14,5.3%),occupation(heavy)(11,4.1%).1.2 the influencing factors of high risk factors were 7(frequency ≥ 10),the frequency of vaginal delivery was: parity and vaginal delivery(25,12.6%),age(22,11.1%),body mass index(BMI)(21,11.6%),menopausal(13,6.5%),pregnancy(12,6.0%),chronic cough(10,5.0%).1.2 There are 7 factors affecting the analysis of risk factors was 1.2(frequency =10),the frequency of frequency from high to low: production times and vaginal delivery times(25,12.6%),age(22,11.1%),body mass index(BMI)(21,11.6%),menopause(17 second,8.5%),constipation(13,6.5%),pregnancy(pregnancy)(12,6%),chronic cough(10,5%).1.3 By the analysis of the relevant factors in the first 16 are age,parity and vaginal delivery times,body mass index(BMI),mode of delivery,dystocia,menopause,hysterectomy,constipation,chronic cough,hypertension,diabetes mellitus,abortion times(more than 2),vaginal trauma,perineal laceration,neonatal weight,Occupation(heavy physical strength).2.clinical study2.1 epidemiological investigation of pelvic organ prolapse in Taiyuan: a total of1800 cases were investigated,with a recovery rate of 100%,a total of 36,with an effective rate of 1737,and the effective rate of the questionnaire was 96.5%.Among them,there were 380 cases of POP,the prevalence was 21.88%.Ages 20-29 POP prevalence was 36,the prevalence rate was 11.92%(36/302),POP of 48 patients with30-39 years of age,the prevalence rate was 16.84%(48/285),POP of 60 patients with40-49 years of age,the prevalence rate was 19.61%(60/306),66 patients POP in aged50-59 the illness rate was 19.71%(66/335),aged 60-69 in the incidence of POP was80,the prevalence rate was 26.23%(80/305),the population over the age of 70 in 90,the incidence rate of 44.12%(90/204).It can be seen that the higher the age,the higher the incidence of POP(trend chi square 2=86.016,P<0.01).In 380 patients with POP,the ratio of I,II,III-IV and vaginal wall prolapse was(76/380),43.95%(167/380),and(),25.26%(96/380),respectively(41/380).20-29 years old and 30-39 years old of prolapse of I degrees,the proportion was 30.26%(23/76),50-59 and60-69 years old people prolapse degree is II,the ratio was 27.54%(46/167),28.74%(48/176),more than 70 years of age more than 60.42% degrees of prolapse(58/96),prolapse with age increased(P<0.05).17 pelvic organ prolapse(age)may be the risk factors for the chi square test,screened 14 risk factors with statistical significance(P<0.05): age,BMI,occupation,mode of delivery,multiple delivery,neonatal weight,maximum age of menopause,menopause high blood pressure,diabetes,chronic constipation,cultural degree family per capital income,history of pelvic surgery,3had no statistical significance(P >0.05): marital status,ethnicity,chronic cough.2.2 Clinical study on TCM constitution characteristics of patients with pelvic organ prolapsePelvic organ prolapse patients constitution type from high to low: Qi deficiency,Yang deficiency,qi stagnation,phlegm and dampness,blood stasis,hot and humid,yin deficiency quality,peace and quality,special quality.Patients of different ages inthe physical distribution of traditional Chinese medicine 20-29 and 30-39 years old with qi stagnation,phlegm,over 50 years old with Qi deficiency and yang deficiency,by rank sum test(H test(Kruskal-Wallis),the difference was statistically significant.Conclusion:1.screening literature after a reasonable standard,the correlation factors of common disease are age,parity and vaginal delivery times,menopause,BMI,pregnancy(pregnancy),mode of delivery,constipation,chronic cough,occupation(physical);the risk factors for occurrence of vaginal delivery and the number,age,body mass index(BMI),constipation,menopause,pregnancy(pregnancy)and chronic cough.2.the results of this survey: the incidence of POP was 21.88%.The older,the higher the incidence of POP,the degree of prolapse is also increasing.Analysis of relevant factors in line with the literature.3.Related to the occurrence and development of TCM Constitution POP,POP common constitution is Qi deficiency,Yang deficiency,qi stagnation;different age,TCM constitution types have different characteristics,in general,are under 50 years old with qi stagnation,phlegm,over 50 years old with Qi deficiency and yang deficiency the main. |
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