Study On TCM Constitution Classification And Related Influencing Factors Of Premature Rupture Of Fetal Membranes

Objective:This study through the premature rupture of membranes in patients with traditional Chinese medicine physical, mental, sleep, diet, exercise, and other aspects of the situation, and statistical analysis of survey data, to explore the related factors of premature rupture of membranes. To provide new ideas and methods for the prevention of premature rupture of membranes.Methods:Selection during September 2014 to 2016 in February in Jiangsu Province Integrated Traditional Chinese and Western medicine combined with maternity hospital inpatient diagnosis for patients with premature rupture of membranes (PROM) as the case group and another for the same time period to Jiangsu Province Traditional Chinese medicine and Western medicine combined with normal maternal obstetric hospital as a healthy control group,316 patients each, using face-to-face questionnaire method, collecting physical characteristics of Chinese medicine, sleep, diet, psychology, sports and other information. To analyze the relationship between premature rupture of membranes and TCM Constitution, sleep, diet, psychology, movement and so on.Results:A total of 640 questionnaires were issued,640 questionnaires were recovered,632 were reliable questionnaires, including 316 cases of premature rupture of membranes, and 316 cases in the control group.①Premature rupture of fetal membranes in maternal physical distribution in the proportion of the first four were:Qi deficiency, Qi stagnation, damp heat and blood stasis; in which Qi deficiency, Qi stagnation,dampness heat is the risk of premature rupture of fetal membranes.②Premature rupture of membrane group of maternal simple physical constitution accounted for 18.9%, compound constitution accounted for 81.1%; in the control group, the simple physical constitution 47.2%, compound constitution 52.8%, two groups of physical constitution difference has statistical significance (P< 0.01).③Premature rupture of membranes (PROM) there is a history of ill pregnancy maternal 67.1%, control group mothers place adverse pregnancy history accounted for a lower proportion and abortion times less, between the two groups compared to the existence of significant differences (P< 0.01).④In diet, premature rupture of membranes in the group of irregular diet to drink more than the control group, and irregular diet than the control group, the difference between the two groups was statistically significant (P< 0.05). There was no significant difference between the two groups in the diet.⑤In sports, the frequency of pregnancy in premature rupture of membranes was significantly lower than that in control group, the difference was statistically significant between the two groups (P< 0.05).⑥In the psychological state, the pressure frequency of premature rupture of fetal membranes during pregnancy was significantly higher than that in control group, the difference was statistically significant between the two groups (P< 0.01). In emotional state, premature rupture of fetal membranes is easy to reduce and tension, significantly more than the group; easy to appear in the two groups of maternal anxiety between the basic flat, there is statistical significance between the two groups (P< 0.05).⑦In sleep, premature rupture of fetal membranes during pregnancy, the actual length of sleep was significantly less than the control group, the difference between the two groups was statistically significant (P< 0.05). There was a significant difference between the two groups (P < 0.05), which was significantly lower than that of the normal pregnant women with premature rupture of fetal membranes.Conclusion:1.There is a certain correlation between premature rupture of membranes and TCM constitution. Qi deficiency, qi stagnation and dampness heat are the risk factors of premature rupture of membranes, and the more complicated and more complicated, the more likely to cause disease.2.There is a certain correlation between the number of abortion and premature rupture of membranes.3. The sense of pregnancy was more stress, and the bad mood states were related to the occurrence of premature rupture of membranes.4. Appropriate exercise during pregnancy and prevention of premature rupture of membranes, there is a certain correlation.5. Irregular diet during pregnancy can cause premature rupture of membranes.6. The influence factors of premature rupture of fetal membranes are the long sleep duration and poor sleep quality.