Study On TCM Constitution And Risk Assessment Of Osteoporosis In High Risk Population Of Postmenopausal Osteoporosis

Objective:Through a questionnaire survey on highrisk groups of postmenopausal osteoporosis(PMOP),we tried to find out correlation between TCM constitution and bone mineral density in highrisk population of PMOP,other risk factors and risk of PMOP,bone mass and osteoporosis risk assessment system in highrisk population of PMOP.Provide new ideas for the study of osteoporosis and provide a new reference for its prevention and treatment.Methods:Using a crosssectional survey method,in the community hospitals of Ji nan City,Shidong New Village,Yanshan Community,and Shunyu Community,the applic ation of the unified<Osteoporosis combined with community population observation study questionnaire>for high-risk groups of 45-70 years old PMOP Questionnaires w ere conducted,dual-energy x-ray bone density measurements and basic data collectio n.The collected data was collated and statistical analysis was performed using spss22.0 software.Results:1.Height,weight,BMI,and menopausal age:P<0.05 in the osteoporosis grou p and normal bone mass and low bone mass group,statistically significant;2.The unconditional logistic regression analysis of TCM constitution in osteoporosis group and non-osteoporosis group showed that the P values corresponding to Pinghe quality,Qi deficiency and Yang deficiency were less than 0.05.Peaceful constitutional OR value O was 0.556.the regression coefficient was-0.588,Qi deficiency type OR value was1.981,the regression coefficient was 0.648,Yang deficiency constitution OR value was0.048,and the regression coefficient was 0.448.3.Multi-factor unconditional logistic regression analysis of TCM physique in ost eoporosis group and non-osteoporosis group.The regression equation is logit(P)=ln(p/1-P)=-0.309+0.945X1(Qi deficiency type)+0.670X2(Yang deficiency constitution)4.Results of clinical symptom information collection in osteoporosis group andnonosteoporosis group:lower limb pain,chills,forgetfulness,dry mouth,mouth pain,tinnitus,suffocation,cold pain in the knee,white coating on the tongue P<0.05,statistically significant.5.Multi-factor unconditional logistic regression analysis of TCM clinical sympto ms in osteoporosis group and nonosteoporosis group.The regression equationis:logit(P)= ln(p/1-P)=-0.878+0.682X1(lower limb pain)+0.643X8(cold pain in the knee).6.Analysis of exercise and diet(milk or yogurt,soy milk,black tea,green tea,coff ee,alcohol,leftovers)and related risk factors(fall,fracture,genetic disease,chronic disea se)in osteoporosis group and non-osteoporosis group.There was a statistically signific ant difference between the leftovers and the fracture group(P<0.05).The other P valu es were greater than 0.05,which was not statistically significant.7.The results of OSTA and FRAX scores in the osteoporosis group and the nono-steoporosis group showed P=0.00<0.05,which was statistically significant.Conclusion: There is a correlation between TCM constitution of patients with high risk of PMOP and the decrease of bone mineral density.The peace type is a protective body,and the qi deficiency type and the yang deficiency type are dangerous constitutions;Height,weight,BMI,and menopausal age were associated with decreased bone mineral density;Lower extremity pain,chills,forgetfulness,dry mouth,mouth pain,tinnitus,nausea,cold pain in the knee,and white coating on the tongue in clinical symptoms of Chinese medicine is associated with decreased bone density,among them,lower limb pain and cold knee pain are risk factors;Leftovers and fractures in other risk factors are associated with decreased bone mineral density;Peri-menopausal women can use OSTA and FRAX scores for osteoporosis risk assessment.