Study On Related Factors Of Female Stress Urinary Incontinence And Constitution Types Of TCM In Taiyuan Area

Objective:The purpose of this study is to explore the literature in recent 5 years Chinese stress urinary incontinence(SUI)and the related factors of disease characteristics,provide a reference basis for the questionnaire;Preliminary study of female urinary incontinence in Taiyuan province(UI),urinary incontinence(SUI),urinary incontinence(UUI),mixed urinary incontinence(MUI).The incidence of various types of UI and SUI in order to clear the incidence ratio for various types of UI in the pathogenesis of the proportion,the related factors that affect the incidence of SUI were also discussed;to explore the distribution of TCM constitution characteristics of the SUI,for the prevention and treatment of reasonable formulation of SUI,provide the scientific countermeasures and measures of health care Basis.Methods:By searching SUI in the past 5 years of literature according to the inclusion and exclusion criteria,selected according to the literature,statistical analysis of the related factors analysis(frequency analysis),combined with stress urinary incontinence etiology,pathology,consult the diagnosis and differential diagnosis of stress urinary incontinence in the required information and reference to Bristol Female lower urinary tract symptoms questionnaire(BFLUTS)the subject of the design required items of the questionnaire.The Shanxi Taiyuan area with local household registration or fixed living in more than 5years of age in the local,a questionnaire survey was conducted over the age of 20 married women,screening with stress urinary incontinence diagnosis criteria of the subjects.The subjects selected for"Chinese constitution classification and sentenced to fill in the table set>.The results of the questionnaire by the investigators after a careful review,all data will be entered into the EpiData3.0 software,using SPSS22.0 statistical software for data statistical analysis(frequency analysis,?~2test,Correlation test of row*list data),whether there is statistically significant.Results:1 literature research1.1 Study through standardized extraction,total 72 factors,the literature research results show that:each factor is analyzed in the frequency is greater than 10 times the total 20,the frequency of the frequency from more to less as follows:age(43,7.83%),natural childbirth and cesarean section(38,6.92%),body mass index(30,5.46%),delivery times(28,5.10%),birth weight(22,4.01%),hypertension(19,3.47%),occupation(18,3.28%),chronic constipation(18,3.28%),pelvic Surgical history(17,3.10%),postmenopausal(16,2.91%),education level(15,2.73%),diabetes(15,2.73%),pelvic organ prolapse(13,2.37%),perineal laceration(12,2.19%),alcohol(11,2%),perineal side cut(10,1.82%),chronic cough(10,1.82%),urinary tract diseases(10,1.82%),smoking(10,1.82%).1.2 The research results show that:each factor is analyzed in the frequency factor correlation with the incidence of SUI is greater than 10 of the total 14,the frequency of the frequency from more to less as follows:age(42,11.48%),the natural childbirth and cesarean section(36,9.84%),body mass index(27,7.38%),delivery times(24,6.56%),hypertension(14,3.83%),chronic constipation(13,3.55%),postmenopausal(11,3.01%),pelvic organ prolapse(11,3.01%),occupation(10,2.73%),Neonatal weight(10,2.73%),diabetes(10,2.73%),chronic cough(10,2.73%),pelvic surgery(10,2.73%).1.3 The results showed that the frequency of the risk factors of SUI was more than 10times,and the frequency of each factor was more than the number of times in the order of the following:delivery mode(12,12.50%),age(11,11.46%).2.clinical research2.1 Incidence and composition of urinary incontinence and urinary incontinenceThe questionnaire data through statistical analysis,the results show that women in Taiyuan area UI,SUI,UUI,the incidence rate of MUI were 43.29%,28.27%,4.32%,10.71%;all kinds of UI accounted for SUI(65.30%),UUI(9.97%),MUI(24.73%);SUI severity than mild(80.65%),moderate(14.05%),severe(5.30%).2.2 Factors associated with stress urinary incontinenceThe incidence rate of SUI in the Taiyuan area,the results of this study showed that correlated with age(P<0.01),with 50 to 59 years of age the highest incidence rate(51.34%),followed by 40 to 49 years of age(40.85%),and before the age of 60 with the growth of the age incidence increased after the age of 60 is the downward trend;associated with BMI(P<0.01),BMI above 28 with the highest incidence rate(40%),followed by a BMI of 24 to 27.9 persons(31.83%);and the occupation related(P<0.01),physical labor Have the highest incidence rate(41.37%);associated with family income per capita(P<0.01),per capita income of less than or equal to the family 2000 yuan the highest incidence rate(34.38%),followed by more than 2000 yuan per capita household income(32.58%);associated with menstrual status(P<0.01),the highest incidence rate(the latter in menopause 31.89%);Associated with delivery times(P<0.01),the delivery of more than 3times the incidence was highest(49.33%),followed by the number of delivery for 2 times(31.45%);and associated with the mode of delivery(P<0.01),the natural childbirth and two kinds of mode of delivery with the incidence of a(34.33%,34.60%),and were compared with the incidence of cesarean section(12.38%)high;associated with hypertension(P<0.01),those who have high incidence rate of more than 31.57%non hypertension incidence rate 26.82%;associated with chronic cough(P<0.05),a chronic cough incidence was 45.67%greater than those without chronic cough incidence rate of26.89%;associated with chronic constipation(P<0.01),chronic constipation incidence was 37.93%greater than non chronic constipation incidence rate 26.56%;associated with pelvic organ prolapse(P<0.01),the incidence of pelvic organ prolapse is 3 No more than9.74%of the incidence of pelvic organ prolapse in 25.06%;and ethnic differences,level of education,marital status,menopausal age size,the maximum size of the neonatal weight,diabetes have no history of pelvic surgery,there is no such difference was not statistically significant,there were no significant differences in the incidence of SUI distribution(P>0.05).2.3 Study on TCM constitution types of stress urinary incontinenceThe results of the survey show that:SUI physical distribution of single constitution accounted for 78.41%,while the clamp constitution accounted for 21.59%.A single physical SUI mainly to Qi deficiency(26.07%),Yang deficiency(21.18%),phlegm(15.48%),Qi Stagnation(9.77%).The distribution of TCM Constitution of SUI was different in different severity of SUI(P<0.01),the patients with mild and moderate SUI were mainly Qi deficiency,and the majority of patients with severe SUI were mainly Yang Deficiency.2.4 Relationship between TCM Constitution and related factors of stress urinary incontinencePhysical distribution characteristics of SUI in the survey results show that is correlated with the age of patients(P<0.01),association of size CP=0.428,CC=0.274;is correlated with body mass index(P<0.01),association of size CP=0.393,CC=0.247;associated with menstrual status(P<0.01),relevance the size of CP=0.310,CC=0.326;is correlated with the number of births(P<0.01),association of size CP=0.387,CC=0.242;associated with the mode of delivery(P<0.01),association of size CP=0.288,CC=0.213;associated with hypertension(P<0.01),association of size CP=0.360,CC=0.386;associated with chronic cough(P<0.01),association of size CP=0.192,CC=0.195;associated with chronic constipation(P<0.01),the size of the association CP=0.192,CC=0.196;associated with pelvic organ prolapse(P<0.01),association of size CP=0.479,CC=0.546;The SUI distribution of Chinese Medicine Constitution and occupation,no association of household per capita income level(P>0.05).Conclusion:1.Study through standardized extraction,the incidence of female stress urinary incontinence is the result of many factors,the scholars have not;related factors include age,BMI,occupation,menopause,number of delivery,mode of delivery,neonatal weight,hypertension,diabetes,chronic constipation,pelvic organ prolapse,chronic cough,history of pelvic surgery.2.The survey results showed that:the Taiyuan area of UI in the highest incidence of SUI(28.27%),UI to SUI in the constituent ratio of the highest percentage(65.30%),the severity of SUI in mild to most common accounted for 80.65%.The results were different from those reported in the literature.3.The survey results showed that:the incidence of SUI in Taiyuan area with age,BMI,occupation,family income per capita,menstrual status,number of delivery,mode of delivery,hypertension,chronic cough,chronic constipation,pelvic organ prolapse related factors.4.The results of the survey show that:SUI physical distribution of single constitution accounted for 78.41%,while the clamp constitution accounted for 21.59%.The single constitution of SUI mainly consists of qi deficiency,Yang deficiency,phlegm dampness and Qi stagnation.Qi deficiency,Yang deficiency,phlegm and dampness,and qi stagnation were the susceptible constitution of SUI.The distribution of TCM Constitution in SUI is different in different severity of SUI.5.The investigation results show that:SUI's physical distribution characteristics associated with age,body mass index,menopausal status,number of delivery,mode of delivery and some chronic diseases(hypertension,chronic cough,chronic constipation,pelvic organ prolapse)has certain relevance,relevance in descending order:pelvic organ prolapse,hypertension,menstrual status,mode of delivery,age,body mass index,the number of childbirth,chronic constipation,chronic cough.