The Correlation Between Postpartum Pelvic Floor Muscle Abnormal Distribution Characteristics Of TCM Syndrome And Pregnancy Constitution

Objective:Using the clinical questionnaire,analysis of TCM Constitution of postpartum pelvic floor muscle abnormalities,and use syndrome differentiation method to investigate the postpartum pelvic floor muscle abnormalities of TCM syndrome distribution characteristics;distribution characteristics of TCM syndrome of postpartum pelvic floor muscle abnormalities and its correlation with the constitution,ideas and provide the basis for TCM clinical treatment of pelvic floor dysfunction.Method:In 2016 01 months-2016 year in December admitted to the second people's Hospital Affiliated to Fujian University of traditional Chinese medicine for postpartum visit the hospital as the research object,the object of study for pelvic floor muscle strength examination,pelvic floor muscle strength grade is<3 pelvic muscle abnormalities(Study Group),117 cases of pelvic floor muscle strength is greater than or equal to 3 grade;pelvic floor muscle strength is normal(the control group,a total of 174 cases).TCM Constitution questionnaire was used to analyze the types of TCM Constitution and the syndrome elements were investigated.To investigate the distribution characteristics of TCM syndrome,the distribution of TCM Constitution and the correlation between TCM syndrome and constitution.Result:1.TCM physique distribution characteristics:? The research group of physical distribution of TCM:34 cases of physical distribution of TCM Qi deficiency(29.06%),16(13.68%)cases of Yang deficiency,yin deficiency in 15 cases(12.82%),blood stasis in 13 cases(11.11%),and 13 cases(11.11%),quality of qi stagnation in 12 cases(10.26%),8(6.84%)cases of damp heat phlegm dampness,6 cases(5.12%).The proportion of qi deficiency is the highest,followed by Yang deficiency and Yin deficiency.? The control group distribution of TCM Constitution:normal constitution 72 cases(41.38%),20(11.49%)cases of yin deficiency and yang deficiency in 18 cases(10.34%),18(10.34%)cases of blood stasis and qi stagnation in 16 cases(9.19%),12(6.90%)patients with Qi deficiency and damp heat in 10 cases(5.75%)phlegm dampness,8 cases(4.61%),of which the gentleness type accounted for the highest proportion.? There was significant difference between the research and the control group in the distribution of the level of quality of Qi and Qi deficiency(P<0.01).There was no significant difference in the distribution of other Constitutions(P>0.05).It is suggested that pregnant women with Qi deficiency are more likely to have abnormal pelvic floor muscle strength.2.TCM Syndrome Distribution characteristics:?The disease syndrome of kidney:81 cases(69.23%),81 cases of spleen(69.23%),22 cases(18.80%),the uteras in 13 cases(11.11%),8 cases of stomach(6.84%),2(1.72%)cases of liver,kidney and spleen which is more common.? The disease syndrome distribution:qi asthenia symptom:114 cases(97.44%),75 cases(64.10%),Yang Qi is not solid in 67 cases(57.26%),47 cases of Qi Stagnation(40.17%),10 cases of yin deficiency and blood deficiency(8.55%)of 3 cases(2.56%);solid:5 cases of blood stasis syndrome(4.27%)5 cases(4.27%),wet.Disease syndrome factor deficiency syndrome,the Qi deficiency is more common,followed by Yang deficiency,qi stagnation,Qi is not solid.?Distribution of syndrome:36 cases of qi deficiency syndrome(n = 30.77%),kidney deficiency syndrome(n = 36),spleen kidney yang deficiency syndrome(n = 16),spleen and kidney deficiency syndrome(n = 15),syndrome of deficiency of Qi and Yin in 3 cases(2.56%)(12.82%)(30.77%)(13.68%).Among them,Qi deficiency syndrome and kidney deficiency syndrome were common,followed by spleen kidney yang deficiency syndrome,spleen kidney deficiency syndrome.3.The relationship between TCM syndrome of postpartum pelvic floor muscle strength and pregnancy constitution:? Of the 36 cases of qi deficiency syndrome of Qi and yang asthenia in 22 cases(61.11%);36 cases of 13 cases of kidney deficiency syndrome in Zhongyang(36.11%),asthenia of qi deficiency in 5 cases(13.89%);5 cases of 16 cases of spleen kidney yang deficiency syndrome of blood stasis in 15 cases(31.25%);7 cases of deficiency of spleen and kidney qi deficiency(46.67%).? Qi deficiency syndrome and Qi deficiency constitution,kidney deficiency and yang deficiency constitution.Qi deficiency and Qi deficiency syndrome,spleen and kidney deficiency syndrome(P<0.05).Conclusion:1.The incidence of postpartum pelvic floor muscle strength is related to TCM constitution.Deficiency of body mass(Qi deficiency,Yang deficiency and yin deficiency),especially Qi deficiency,is a good constitution of postpartum pelvic floor muscle strength.2.0f postpartum pelvic floor muscle abnormalities disease syndrome with kidney and spleen is rare;disease syndrome factor deficiency is more common(frequency level as follows:Qi deficiency,Yang deficiency,Qi is not solid,qi stagnation syndrome);the main deficiency syndrome,Qi deficiency,kidney deficiency is more common.3.The traditional Chinese medicine syndrome of postpartum pelvic floor muscle strength is related to the constitution of pregnancy,and the relationship between Qi deficiency syndrome,spleen kidney deficiency syndrome and Qi deficiency.On the physical constitution of the body,especially the early identification of qi deficiency constitution,the use of traditional Chinese medicine theory intervention can reduce the incidence of postpartum pelvic floor muscle abnormalities.