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

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2021, Vol. 44 ›› Issue (3): 232-237.doi: 10.3969/j.issn.1006-2157.2021.03.007

• TCM Constitutions • Previous Articles     Next Articles

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)

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

CLC Number: 

  • R271.4