Study On The Distribution Characteristics Of TCM Syndrome Elements Of Pelvic Organ Prolapse Base On Different POP-Q

Objective:This project studied the distribution characteristics of TCM syndrome elements and related influencing factors in different quantitative staging of Pelvic Organ Prolapse Quantitative(POP-Q)staging method in female patients with Pelvic Organ Prolapse(POP),and analyzed their disease location and disease nature.According to the condition of syndrome elements,relevant influencing factors have been unearthed from the basic data of patients.It provides theoretical and clinical basis for POP in syndrome differentiation and treatment,in order to better guide the prevention,treatment and life intervention of POP-related diseases.It provides theoretical basis,clinical experience and reference ideas for the diagnosis and treatment of integrated Chinese and Western medicine.Methods:Under the guidance of syndrome differentiation theory,information collection,processing and analysis were carried out through four diagnostic methods,questionnaire survey,gynecological examination and related auxiliary examination and clinical data collection.The female patients with POP-Q were staged by POP-Q,and divided into groups according to different POP-Q staging.Then the TCM health status identification system was used to analyze the distribution characteristics of TCM syndrome elements of POP patients with different POP-Q staging,analyze the disease location and disease syndrome elements,and analyze them by using medical statistics,bioinformatics and other methods,so as to find out the related influence of pop patients with different POP-Q staging.1.The "Basic Information Form for Research Objects" and the "Four Clinic Information Collection Form" were used,and the questionnaire was used to collect the four clinic information and clinical data of POP female patients.The four-diagnosis information and clinical data of 138 female POP patients with different POP-Q stagings were sorted and recorded.2.Through gynecological examination and related auxiliary examinations,the patient’s POP-Q indexing situation has been understood and recorded.Divide POP patients with different POP-Q staging into groups,namely POP patients with POP-Q I staging are group A,POP patients with POP-Q II staging are group B,POP patients with POP-QⅢ staging are group C,and POP-Q IV POP patients with high staging are in the group D.3.Syndrome differentiation analysis has been used to study the distribution characteristics of medical syndromes,and the TCM health status identification system developed by the Syndrome Research Base of Fujian University of Traditional Chinese Medicine has been used to analyze the disease location,characteristics and distribution of disease syndromes in POP female patients.4.The distribution characteristics of TCM syndrome elements of POP patients with different POP-Q staging have been studied,and the relevant differences have been analyzed.Medical statistics,bioinformatics and other methods have been used,SPSS software,Excel spreadsheet screening,formula calculation,charts and other functions have been used to analyze and mine the relevant influencing factors of POP patients with different POP-Q staging from the basic data of patients.Results:1.General situation: A total of 138 POP patients were collected in the study.Including POP-QⅠ staging(group A)43 cases,POP-QⅡ staging(group B)35 cases,POP-QⅢ staging(group C)44 cases,POP-QⅣ staging(group D)16 cases.There were statistically significant differences in age,BMI,history of perineal laceration,new birth,and operation history among the groups of female POP with different POP-Q staging(P<0.05).In terms of parity,history of uterine fibroids,The difference between the history of hyperlipidemia and the history of hemorrhoids is not considered to be statistically significant(P>0.05).The patients in this study were mostly aged 36-49 years and 60-69 years old.The average of BMI was23.95,and the average of parity were about 2;the groups with different POP-Q staging were positively correlated with age,BMI,and parity(P<0.05),which was negatively correlated with the history of perineal laceration,hemorrhoids,new birth and surgery(P<0.05).2.The different grades of the contribution of syndrome factors of POP female patients have statistically significant differences in disease location syndrome factors such as kidney,spleen,liver,and uterus(P < 0.05).The differences in blood stasis,phlegm,and dampness were statistically significant(P<0.05),and the differences in solid disease syndromes in Qi stagnation,blood stasis,phlegm,and dampness were statistically significant(P<0.05).3.According to the frequency,the common pathological factors of POP female patients are:kidney,uterus,spleen,liver,heart,mind,large intestine,muscles and bones.The disease location syndrome elements of group A are: kidney,liver,spleen,uterus,heart,mind;the disease location syndrome factors of group B: kidney,liver,uterus,spleen,heart,mind,muscles and bones;group C disease The location syndrome elements are: kidney,uterus,liver,spleen,mind,heart,and large intestine;the location syndrome elements of group D are:kidney,uterus,liver,spleen,and heart.The difference of the disease location syndrome element "liver" between the groups with different POP-Q staging was statistically significant(P<0.05).4.According to the frequency,the common solid disease syndromes of POP female patients are: stagnation of Qi,blood stasis,phlegm,dampness,heat,cold,hyperactivity of Yang,and deficiency of essence.The syndromes of solid disease in group A are: stagnation of Qi,blood stasis,phlegm,and dampness;the syndromes of solid disease in group B are: stagnation of Qi,blood stasis,dampness,sputum;the syndromes of solid disease in group C are: Qi stagnation,blood stasis,phlegm,and dampness;solid disease syndrome elements in group D are:stagnation of Qi,blood stasis,phlegm,and dampness.5.According to the frequency,the frequency of deficiency syndromes of common female patients with POP is: Qi deficiency,Yang deficiency,Yin deficiency,blood deficiency,insufficiency of Qi,and Qi depression.The syndromes of deficiency and venereal diseases in group A are: Qi deficiency,Yang deficiency,Yin deficiency,insufficiency of Qi,blood deficiency,and Qi depression;The syndrome factors of deficiency and venereal diseases in group B are: Qi deficiency,Yang deficiency,Yin deficiency,blood deficiency,and Qi.Insufficiency and Qi sinking;The syndromes of deficiency and disease in group C are: Qi deficiency,Yang deficiency,Yin deficiency,blood deficiency,Qi depression,and insufficiency of Qi;The syndromes of deficiency and disease in group D are: Qi deficiency,Yang deficiency,Qi Sinking,Yin deficiency,and blood deficiency.There are statistically significant differences in the disease syndrome factors "Qi sinking" and "Qi not solid" in different POP-Q staging(P<0.05).6.In the distribution of common syndrome element combination properties(deficiency syndrome element,solid syndrome element,deficiency and excess syndrome element)in common female patients with POP,the distribution of different types of syndrome element combinations is based on deficiency syndrome element and deficiency syndrome element combination.Mainly distributed.Conclusion:1.The distribution of syndrome elements in POP patients with different POP-Q staging is different to some extent.2.There were significant differences in age,BMI,pregnancy and delivery among POP patients with different POP-Q.3.The Syndrome of POP-Q I staging POP patients were Kidney,Liver,Spleen,Uterus,Heart and Mind.The Syndrome of Pop-Q I staging POP patients were Qi stagnation,Blood stasis,Phlegm,Dampness,Qi deficiency,Yang deficiency,Yin deficiency,Qi deficiency,Blood deficiency and Qi depression The Syndrome of Pop-Q II POP were Kidney,Liver,Uterus,Spleen,Heart,Heart and large intestine,Muscle and Bone.The Syndrome were Qi stagnation,Blood stasis,Dampness,Phlegm,Qi deficiency,Yang deficiency,Yin deficiency,Blood deficiency,Qi deficiency and Qi Depression The Syndrome of POP-Q III POP were Kidney,Uterus,Liver,Spleen,Heart,Heart and large intestine.The Syndrome of POP-Q III was Qi stagnation,Blood stasis,Phlegm,Dampness,Qi deficiency,Yang deficiency,Yin deficiency,Blood deficiency,Qi depression and Qi deficiency The Syndrome types of POP-Q IV POP patients are Kidney,Uterus,Liver,Spleen and Heart.The Syndrome types of POP-Q IV POP patients are Qi stagnation,Blood Stasis,Phlegm,Dampness,Qi deficiency,Yang deficiency,Qi depression,Yin deficiency and Blood deficiency.4.The pathologies of POP with different POP-Q staging were deficiency syndrome and deficiency-excess syndrome.The pathological properties of POPs with different POP-Q staging are deficiency syndrome and deficiency-excess syndrome.Among them,the proportion of deficiency diseases of POP-QⅠ staging to POP-QⅢ staging is continuously increasing,and the proportion of deficiency and excess diseases is continuously decreasing;POP-Q IV staging of deficiency and excess The proportion of mixed disease is higher than before.