The Study Of The Correlation Between TCM Syndrome Of Perimenopausal Women With Osteopenia And Quality Of Life

ObjectiveWomen in perimenopausal period,due to the gradual decline of ovarian function,estrogen rapid decline,resulting in reduced bone mass,bone structure damage,not to prevent and treatment will progress to osteoporosis.The results of fracture,disability,and high treatment costs,significantly reduced the quality of life of the population.This research through the questionnaire survey,understand the menopausal osteopenia status of life quality of patients,and analyze the influencing factors on the quality of life of perimenopausal women with osteopenia,TCM syndrome type distribution,and the correlation between quality of life.According to the theory of"preventive treatment of disease" in traditional Chinese medicine(TCM),based on the principle of differentiation of symptoms and signs,the paper provides the basis and suggestions for the prevention and treatment of bone loss,so as to improve the quality of life of the population.MethodsAccording to the inclusion criteria and exclusion criteria,select the hospital of each community health were collected and osteopenia,and age in women aged 40-60.The general information questionnaire and QUALEFFO-41 scale were used to carry out the questionnaire survey.The health information files of the subjects were recorded and the data were recorded and analyzed by SPSS19.0 statistical software.Results1.In 196 cases of perimenopausal patients with osteopenia in patients with kidney yang deficiency,29 people,accounting for 14.8%;89 cases of spleen kidney yang deficiency,accounting for 45.4%;36 patients with liver and kidney yin deficiency,qi stagnation and blood stasis type accounted for 18.4%;42 people,accounting for 21.4%.2.Quality of life scores of different TCM syndromes are different:kidney yang deficiency(3.32)>liver kidney yin deficiency type(3.24)>spleen kidney yang deficiency(3.23)>qi stagnation and blood stasis type(2.96 points).3.This study found that the quality of life of patients with peri menopausal bone loss was at a low level.The quality of life of the latitude scores were the concept of Health(3.17 + 1.309)points;mental state(3.50+ 1.175)points;body pain(3.53 + 1.093)points;social activities(3.26+1.219)points;daily activities(3.011 + 1.238)points;housework(2.95 +1.039)points;self-care ability(2.78 + 1.114)points.4.According to the correlation analysis on the influencing factors and the quality of life,age,body mass index,fracture history,education,medical insurance,drink milk,parity,long-term exercise,TCM syndrome and menopausal osteopenia were significantly related to quality of life(P<0.01).The age correlation coefficient r=-0.227,body mass index,the correlation coefficient r=0.233,the correlation coefficient of correlation coefficient of fracture history r=-0.430,education level r= 0.226,the correlation coefficient r=0.374,the medical insurance drink milk products with correlation coefficient of 0.193,the correlation coefficient r=-0.220,long-term exercise,the correlation coefficient r= 0.377.5.According to the results of correlation analysis,the factors that might affect the quality of life were analyzed by multiple stepwise regression analysis.There was statistical significance of liver and kidney yin deficiency type of medical insurance,return to the concept of health dimensions(P<0.05);There was statistical significance of qi stagnation and blood stasis type regression of mental state dimensions(P<0.05);Qi stagnation and blood stasis,long-term exercise,BMI regression on body paindimension was statistically significant(P<0.05);the level of education,the type of liver kidney yin deficiency regression of social activity dimensions have statistical significance(P<0.05);kidney yang deficiency,fracture history,significant regression of education level on the daily activities of dimensions(P<0.05);spleen kidney yang deficiency,long-term exercise,significant regression of household history of fracture dimension(P<0.05);kidney yang deficiency with statistical significance of the regression of self-care ability dimensions(P<0.05).Conclusion1.The quality of life of perimenopausal women with osteopenia s in the middle and lower levels,with the greatest intensity of self-care ability.2.Perimenopausal women with osteopenia of kidney yang deficiency of quality of life is the best,then the quality of life of the liver and kidney yin deficiency,spleen kidney yang deficiency,qi stagnation and blood stasis of the poor.3.In the distribution of TCM syndromes in reducing menopausal women bone is mainly the spleen kidney yang deficiency.4.Age,BMI,history of fracture,education level,medical insurance,dairy products,time of birth,long term exercise and TCM syndrome types affect the quality of life of women with osteopenia.Among them,BMI,education level,medical insurance,long-term exercise and quality of life were positively correlated,and other factors were negatively correlated with quality of life.The liver and kidney yin deficiency,medical insurance mainly affects the health concept of dimension;Qi stagnation and blood stasis type mainly affects the dimension of mental state,body pain dimension;long-term exercise,BMI mainly affects the body pain dimension;education level,liver and kidney yin deficiency mainly affects the social dimension;kidney yang deficiency mainly affected the daily activities of dimension,self-care ability dimension;fracture the history of daily activities mainly affect the dimension,household education level dimension;mainly affects daily activities dimension;spleen kidney yang deficiency,long-term exercise mainly affects household dimensions.5.The relationship between TCM Syndrome Types and quality of life is closely related to the perimenopausal women with osteopenia.Through multiple stepwise regression analysis showed different TCM type affects the different dimensions of quality of life:kidney yang deficiency to self-care ability,the daily activities of patients affected;Yin deficiency of liver and kidney to the concept of health,social activities were affected;spleen kidney yang deficiency patients home service labor affected;Qi stagnation and blood stasis the physical pain and mental status were affected.