主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2021, Vol. 44 ›› Issue (3): 232-237.doi: 10.3969/j.issn.1006-2157.2021.03.007

• 中医体质 • 上一篇    下一篇

基于“治未病”理论探讨中医体质与产妇盆底肌力的关系*

龚宇航1, 张雪娟2#, 党文珊3, 吴阿华3, 袁潇潇3   

  1. 1 山西中医药大学研究生学院 山西 030600;
    2 山西妇幼保健院中医科;
    3 山西医科大学公共卫生学院
  • 收稿日期:2020-07-23 出版日期:2021-03-30 发布日期:2021-03-30
  • 通讯作者: #张雪娟,女,硕士,主任医师,硕士生导师,主要研究方向:中西医结合治疗妇科疾病,E-mail:zhangxuejuan1010@163.com
  • 作者简介:龚宇航,女,在读硕士生
  • 基金资助:
    *山西省科技厅社会发展重点研发计划项目(No.201903D321224),山西省儿童医院(山西省妇幼保健院)科研项目(No.201803)

Discussion of the relationship between TCM body constitution and pelvic floor muscle strength of puerpera based on preventive medicine*

Gong Yuhang1, Zhang Xuejuan2#, Dang Wenshan3, Wu Ahua3, Yuan Xiaoxiao3   

  1. 1 Graduate School, Shanxi University of Chinese Medicine, Shanxi 030600, China;
    2 Department of Traditional Chinese Medicine, Women Health Center of Shanxi, Shanxi 030013, China;
    3 School of Public Health, Shanxi Medical University, Shanxi 030001, China
  • Received:2020-07-23 Online:2021-03-30 Published:2021-03-30
  • Contact: Zhang Xuejuan, M.A., Chief Physician, Master's Supervisor. Department of Traditional Chinese Medicine, Women Health Center of Shanxi. No.13 Xinmin North Street, Xinghua-ling District, Taiyuan 030013. E-mail: zhangxuejuan1010@163.com
  • Supported by:
    Key R & D Project in Social Development of Science and Technology Department of Shanxi Province (No. 201903D321224) Ethical review: Ethics Committee of Children's Hospital of Shanxi (Women Health Center of Shanxi ) (No. IRB-KY-2018-001)

摘要: 目的 探讨产妇盆底肌力与中医体质的相关性,从中医体质学的角度为临床盆底功能障碍性疾病的防治提供思路和依据。方法 选取2019年3月~8月在山西省儿童医院(山西省妇幼保健院)进行产后42~60 d复查的产妇1 060名,通过调查产妇的一般情况、体质类型以及盆底肌力的检测结果,采用单因素分析和二分类Logistics回归分析,筛选出影响盆底肌力的中医体质类型,了解太原市产妇盆底肌力与中医体质的相关性。结果 在1 060名产妇的体质调查中,排名前3的体质是阴虚质、气虚质和血瘀质;在盆底肌检查中Ⅰ类和Ⅱ类肌纤维肌力异常的发生率分别为45.7%和38.9%;在校正了产妇一般情况等混合因素之后,二元Logistic回归分析显示气虚质和湿热质是Ⅰ类肌纤维肌力异常的独立危险因素(P<0.05),气虚质、痰湿质和血瘀质是Ⅱ类肌纤维肌力异常的独立危险因素(P<0.05)。结论 太原市产妇盆底肌力异常与中医体质中的气虚质、湿热质、痰湿质和血瘀质相关。

关键词: 中医体质, 盆底肌, 治未病

Abstract: Objective To explore the correlation between postpartum pelvic floor muscle strength and body constitution in traditional Chinese medicine (TCM), and to provide reference for the prevention and treatment of pelvic floor dysfunction from the perspective of TCM. Methods 1 060 postpartum women were selected who had their routine follow-up 42-60 days after delivery at the outpatient department of Children's Hospital of Shanxi (Women Health Center of Shanxi) from March and August 2019 to investigate their general condition, TCM constitution and pelvic floor muscle strength. By univariate analysis and binary logistic regression analysis, TCM constitution types that affect pelvic floor muscle function were identified so as to understand the correlation between pelvic floor muscle strength and TCM constitution of puerperae in Taiyuan. Results This investigation of 1 060 puerperae's constitution in TCM showed that the top three constitution types of the postpartum women were yin-deficiency, qi-deficiency and blood-stasis types. In the pelvic floor muscle examination, the detection rates of type I and type II pelvic floor muscle fiber damage were 45.7% and 38.9% respectively. After the general condition factors of puerperae were controlled, binary logistic regression analysis showed that qi-deficiency constitution and wetness-heat constitution were risk factors for type I pelvic floor muscle damage (P<0.05), while qi-deficiency constitution, phlegm-wetness constitution and blood-stasis constitution were risk factors for type II pelvic floor muscle damage (P<0.05). Conclusion The decrease in pelvic floor muscular strength of puerperae in Taiyuan is related to qi-deficiency, wetness-heat, phlegm-wetness and blood-stasis constitution types in TCM.

Key words: traditional Chinese medicine constitution, pelvic floor dysfunction, preventive medicine

中图分类号: 

  • R271.4