A Preliminary Study On The Relationship Between Physical Constitution Of Some Women In Traditional Chinese Medicine And Perimenopausal Syndrome And Unhealthy Emotions In Guiyang City

Objection: To understand the distribution of TCM constitution,perimenopausal syndrome,perimenopausal anxiety and depression in some menopausal women in Guiyang City;to analyze the perimenopausal syndrome and anxiety and depression of women with different TCM constitutions and to explore the relationship between them.This paper analyzes the differences of perimenopause syndrome and unhealthy mood in women with different TCM constitutions,explore the TCM constitutional tendencies of them and preliminarily explores the correlation of the three,so as to provide ideas and methods for individual health management and in perimenopause women.Method:Using the method of cross-sectional survey,Taking the women who underwent Chinese Medicine and Mental Health Examination from March 2017 to December 2018 in the Health Management Center of the Affiliated Hospital of Guizhou Medical University as the survey object.The questionnaire included: the general demographics data,history of marriage,menstrual and pregnancy,improved Kupperman score sheet,TCM constitutional identification data and mental health assessment data in the CTM-PEM system.The database was built with EpiData3.0 software,and the data was analyzed by SPSS19.0 statistical software.The count data was descriptive statistical analysis by frequency method,the chi-square test was used to analyze the rate and composition ratio,rank sum test for data that does not conform to a normal distribution.Correlation analysis is used to describe therelationship between TCM constitution type and perimenopausal syndrome and anxiety and depression,and logistic regression is used to analyze the influencing factors of adverse emotions.Results:A total of 1250 cases of psychological assessment results,physical fitness assessment results,improved kupperman scores,and general information were obtained from the target population.1.Current situation survey:TCM constitution distribution:1250 cases of perimenopausal women,739 cases of peace constitution,accounting for 59.12% of the total number;511 cases of biased constitution,accounting for 40.88%;334 case of mixed constitution,65.36% of the number of people with a certain degree of biased constitution.Both the biased constitution and the mixed constitution are dominated by yang deficiency.The incidence of MPS: 1250 cases of perimenopausal women,a total of 877 cases of MPS,the incidence rate was 70.16%,the degree of occurrence was mild;the incidence of perimenopausal diseases in the top three is followed by fatigue(72.64%),insomnia(66.80%),bone,joint,muscle pain(64.72%).The incidence of peri-menopausal unhealthy emotions: 1250 cases of perimenopausal women,447 cases of depression and 256 cases of anxiety,the incidence rate was 35.76%,20.48%,the degree of occurrence was mild;203 Women with anxiety and depression,the comorbid rate was16.24%.2.Correlation analysis: MPS was affected by TCM constitution,and the degree of TCM constitution was positively correlated with the incidence of MPS(R=0.548,P<0.05).In addition,the corresponding analys is showed that the correlation between peace constitution with no MPS;the relationship between yang deficiency and mild MPS was strong;the relationship between qi deficiency,mixed constitution and moderate MPS was strong,and it was related to severe MPS.There were some differences in the perimenopausal symptoms of women with different TCM constitutions(P<0.05).Hot flashes and sweating occurred more frequently in women with phlegm-dampness;qi deficiency women were more prone to emotional problems;damp-heat constitution women is more prone to urinary tract infections.There were differences in the incidence of unhealthy mood among women with different TCMconstitutions(P<0.05),and the incidence of depression and anxiety in those with mixed constitution were higher,which were 54.19% and 46.11%,respectively.In addition,the corresponding analysis shows that the qi stagnation and the mixed constitution of the temperament have a certain correlation with the degree of depression,and the degree of phlegm-dampness,qi stagnation and mixed constitution and anxiety are related.Multivariate logistic regression analysis of perimenopausal unhealthy mood showed that hot flashes,dizziness,and palpitations were risk factors for anxiety and depression(OR>1,P<0.05);insomnia and skin ants were depressed risk factors(OR>1,P<0.05);biased constitution was a risk factor for anxiety(OR>1,P<0.05).Conclusion:1.Perimenopausal physical examination women have a higher incidence of biased constitution,and the degree of occurrence is more serious.Yang deficiency is in the majority with the biased constitution.2.The incidence of perimenopausal syndrome in women in Guiyang City is higher.The incidence of MPS in different TCM women is different.The TCM constitution determines the susceptibility and severity of perimenopausal symptoms and perimenopausal unhealthy mood.3.Different TCM constitutions have different menopausal unhealthy mood.Perimenopausal unhealthy mood are not only a single disease,but also a complex physiological process,which is the result of a combination of psychological and physical factors.4.It is necessary to establish a continuous and individualized TCM physical health management file for women in perimenopausal physical examination,and to give full play to the disciplinary advantages of TCM constitutional psychology,according to the TCM constitutional tendency of the perimenopausal syndrome and unhealthy mood,and the differences of perimenopausal syndrome,healthy management should be given to perimenopausal women of different constitutions.