Study On The Constitution Of Traditional Chinese Medicine And The Quality Of Life Of Female Stress Urinary Incontinence

Objective:The traditional Chinese medicine constitution of female patients with stress urinary incontinence was preliminary analyzed,the distribution characteristics of the traditional Chinese medicine constitution were studied,the internal relationship between the traditional Chinese medicine constitution and related factors was found,and the quality of life of female stress urinary incontinence was understood.In order to prevent female stress urinary incontinence from the relationship between the constitution of traditional Chinese medicine and stress urinary incontinence,and provide theoretical basis.Methods:The people with fujian university of traditional Chinese medicine affiliated hospital of female stress urinary incontinence patients as the research object from January 2020 to December 2020,and fill in the "traditional Chinese medicine constitution classification and decision" and quality of life inventory questionnaires.236 patients with SUI were collected through questionnaire survey.After the questionnaire results were carefully reviewed by the investigators,SPSS15.0 statistical software was used to conduct statistical analysis on the obtained data to analyze whether the relevant data had statistical significance.Results:1.Distribution of traditional Chinese medicine constitution of female stress urinary incontinence: The distribution of single constitution from high to low was as follows:qi-deficiency constitution in 64 cases(27.1%),yang-deficiency constitution in 52 cases(22.0%),phlegm dampness constitution in 26 cases(11.0%),damp-heat constitution in 21cases(8.9%),qi-stagnation constitution in 11 cases(4.7%),peace constitution in 7 cases(3.0%),yin-deficiency constitution in 5 cases(2.1%),blood-stasis constitution in 4 cases(1.7%),and intrinsic constitution in 1 case(0.4%).The physical distribution of SUI patients with different severity was different,with statistical significance(P<0.05).Within each group,according to the frequency of physical constitution,qi-deficiency constitution was the most common in mild and moderate patients,while Yang-deficient substance was the most common in severe SUI patients.The severity of SUI was correlated with qi-deficiency and yang-deficiency,with statistical significance(P<0.05).2.Univariate analysis of factors influencing the distribution of stress urinary incontinence constitution in women: Qi-deficiency constitution was correlated with age,number of deliveries and pelvic organ prolapse,with statistical significance(P<0.05).Yang deficiency constitution was correlated with age and chronic constipation(P<0.05),which was statistically significant.There was significant correlation between damp-heat constitution and chronic constipation(P<0.05).There was significant correlation between phlegm dampness constitution and body mass index and hypertension(P<0.05).3.Multivariate Logistic Analysis of Factors Affecting the Distribution of Stress Urinary Incontinence Constitution in Women: The influencing factors of qi-deficiency were the number of delivery and pelvic organ prolapse(P<0.05),and the number of delivery and pelvic organ prolapse were positively correlated with qi-deficiency.The factors affecting the quality of yang deficiency constitution were age and constipation(P<0.05),which were positively correlated with yang deficiency constitution.4.Analysis of constitution and quality of life: The total score of quality of life of stress urinary incontinence patients was 81.11±15.46 points.peace constitution had the highest score in all fields and the total score of life quality(85.71±4.73、87.30±9.91、85.71±8.90、95.00±8.08,respectively).There were differences in restrictive behavior(P=0.048),psychosocial influence(P=0.049),restricted social activities(P=0.012)and total I-QOL scores(P=0.028)among different constitutions(P<0.05).The results of multiple comparisons showed that the main differences in the restricted behavior areas were qi-stagnation constitution and peace constitution(P=0.033).In the field of psychosocial influence,the intra-group comparison was not statistically significant;In the restricted areas of social activities,the main difference was between qi-stagnation constitution and peace constitution(P=0.010).In terms of the total score of I-QOL,the main differences were between yang-deficiency and peace constitution(P=0.036),and between qi-stagnation and peaceful constitution(P=0.016).Conclusion:1.Female stress urinary incontinence is mainly characterized by qi-deficiency,yang deficiency,dampness-heat and phlegm-dampness.Among different severity degrees of SUI,qi-deficiency substance is the dominant substance in mild and moderate cases,and yang-deficiency substance is the dominant substance in severe cases.2.The influencing factors of different constitutions in SUI patients are different.The risk factors of qi-deficiency are the number of deliveries and pelvic organ prolapse,while the influencing factors of yang deficiency in SUI patients are age and chronic constipation.3.The overall quality of life of SUI patients is generally not high,which requires more attention.