| Objective:To study the epidemiological data of non-puerperal mastitis,analyze the characteristics of syndrome differentiation and type classification of non-puerperal mastitis,and further analyze the relationship between the distribution of TCM syndromes and epidemiological data of non-puerperal mastitis on this basis,to provide a certain basis for clinical differentiation.Methods:A lot of literature,the epidemiological survey and the collection form of syndromes,collection of Yunnan university of traditional Chinese medicine the first affiliated hospital between January 2022 and December 2022 were not breast-feeding mastitis in patients with a variety of clinical data.EXCEL was used to summarize the data,and SPSS26.0 was used for statistical analysis.Results:1.The general data of 257 NPM patients were as follows:patients aged 25～44years accounted for the largest proportion(66.1%),followed by those aged 35～44years(20.2%);The proportion of BMI in normal patients(18.5kg/m~2～23.9kg/m~2)(46.3%)was slightly higher than that in overweight and obese patients(over23.9kg/m~2)(44.7%).The duration of illness before treatment was less than 3 months(50.9%).2.Characteristics of marital and reproductive history and menstrual history of NPM patients:married female patients were about 8.6 times that of unmarried female patients;The number of patients with one birth was the largest(50.9%).Total duration of previous nursing was 1～2 years(37.7%).48.3%of the patients had a history of milk deposition.The average postpartum period was 6.080±5.881years.Menarche≤14 years old accounted for the majority.3.Undesirable habits and previous history characteristics of NPM patients:the proportion of patients without smoking history(76.65%)and drinking history(80.54%)was much higher than that of patients with smoking history(23.33%)and drinking history(19.38%).14.8%of patients had a history of mental depression,12.1%of patients had a history of breast trauma,45.2%of patients had a history of nipple malformation,21.4%of patients had a history of hyperprolactinemia,and54.1%of patients had a history of oral contraceptives.4.Syndromic characteristics of patients with NPM:the four diagnostic information of traditional Chinese medicine of patients in this study was finally clustered into five syndromic types,and their distribution was as follows:Qi and blood deficiency syndrome(26.457%)>spleen and stomach heat accumulation syndrome(22.17%)>heat toxicity raging syndrome(19.84%)>phlegm-dampness stagnation syndrome(17.5%)>liver qi stagnation syndrome(14%).5.The relationship between the distribution of syndromes of NPM patients and general information:there was no statistical significance in age,body mass index,marital status,frequency of milk deposition,or adverse hobbies among different syndromes of NPM.There were differences in the duration of NPM among different syndrome groups.There were significant differences among the three groups of Qi and blood deficiency deficiency syndrome and heat toxicity incandescence syndrome,spleen and stomach heat accumulation syndrome,and liver qi stagnation syndrome(P<0.05).The duration of qi and blood deficiency deficiency syndrome was longer than the other three groups.In terms of the number of births,the number of births in patients with phlegm-dampness stagnation syndrome was less than that in patients with heat toxin incandescence syndrome(P<0.05).In terms of lactation duration,the lactation duration of patients with Qi and blood deficiency syndrome was significantly higher than that of other groups(P<0.05).In the age of menarche,the age of the patients with Qi and blood deficiency syndrome was later than that of the other four groups(P<0.05).In terms of dietary habits(P<0.05),patients with spleen and stomach accumulated heat syndrome ate more spicy and stimulating foods,and patients with Qi and blood deficiency syndrome ate more light foods.Conclusion:1.NPM for patients with multiple age 25 to 44 years old,has a trend of getting younger over;Patients with normal BMI were slightly more than those with overweight and obesity.Non-exclusive overweight and obesity were independent risk factors for NPM.2.The highest proportion of TCM syndromes in NPM patients are Qi and blood deficiency syndrome and spleen and stomach accumulation heat syndrome.The specific distribution was:Qi and blood deficiency syndrome(26.457%)>spleen and stomach heat accumulation syndrome(22.17%)>heat toxicity raging syndrome(19.84%)>phlegm-dampness stagnation syndrome(17.5%)>liver qi stagnation syndrome(14%).The pathological changes mainly involve the liver,spleen and kidney three viscera,liver qi stagnation,spleen loss of health transport and phlegm-dampness endogenous is the basic pathogenesis of the disease.3.The distribution of syndromes in NPM patients was correlated with the duration of onset before medical treatment,number of births,duration of lactation,age of menarche,dietary habits and other factors. |
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