| PurposeThis study explored the incidences and features of perimenopausal syndrome through investigating TCM(traditional Chinese medicine)constitution types and incidences of perimenopause syndrome of perimenopausal period women in the urban and rural areas of Guangzhou.By analyzing the distribution characteristics of TCM constitution between women in urban and rural areas,the study discovered constitutions susceptible to perimenopause syndrome,correlation between disease severity of perimenopausal syndrome and TCM constitution as well as relationship between age of onset and constitution,occupation,educational level,living environment,income status,menarche,menopause,pregnancy,personality,family relationship.This study provided a theoretical basis for perimenopausal women to recuperate TCM constitution so as to prevent and interfere perimenopausal syndrome for the sake of improving the physiological and mental state of perimenopausal women.MethodologyThis study referred to epidemiological survey methods and adopted unified questionnaires on perimenopause,improved Kupperman Index and Classification and Decision Tables of TCM Constitution along with physical checkups and outpatient service.Questionnaires were issued in batches in Guangzhou Women and Children Hospital,three residents committees in Tianhe and Yuexiu districtsas as well as six village committees in Zhongluotan Town,Baiyun District and Lanhe Town,Nansha District.1031 valid questionnaires were collected,among which 517 were from perimenopausal women of urban areas and 514 were from perimenopausal women of rural areas.A statistical analysis and comparison of the questionnaires revealed the differences and similarities of the two groups of women in terms of TCM constitution,incidences of perimenopausal syndrome,features of incidence and disease severity.Results1.The KI scores of two groups of perimenopausal period women were all higher than 15 points(including 15 points),among which 171 cases were rural women and 163 cases were urban women.The incidence of urban women with perimenopausal syndrome was 33.08% and the incidence of rural women with perimenopausal syndrome was 31.71 %.No significant difference was found in the incidence of perimenopausal syndrome in the two groups and the two groups also had no significant differences in the disease severity.However,the incidence of single symptoms of urban women was higher than that of rural women of GuangZhou.2.There was no statistics difference in the constituent ratio of body constitution between urban and rural women with perimenopausal syndrome,but there was a significant difference compared with normal perimenopausal period women,therefore,the perimenopausal period women in rural and urban were combined into a single group when doing statistical analysis.The body mass distribution of 697 normal perimenopausal period women was found mainly in 489 cases(71.44%)with constitution of yin-yang harmony,79 cases(11.33%)with constitution of yang asthenia,4.68% with constitution of phlegm-dampness,29(4.16%)with constitution of blood stasis,3.30% with constitution of qi asthenia,20(2.87%)with constitution of damp-heat,20(2.87%)with constitution of qi stagnation,11(1.58%)with constitution od yin asthenia and 9(1.29%)with allergic constitution.On the other hand,the descending order of the TCM constitution of 334 perimenopausal syndrome women were: 87(26.05%)with constitution of yang asthenia,63(18.86%)with constitution of yin-yang harmony,38(11.38%)with constitution of qi asthenia,36(10.78%)with constitution of blood stasis,30(8.98%)with constitution of qi stagnation,27(8.08%)with constitution od yin asthenia,27(8.08%)with constitution of damp-heat,17 cases(5.09%)with constitution of phlegm-dampness and 9 cases(2.69%)with allergic constitution.The TCM constitution constituent ratio of women with Perimenopausal syndrome and women in perimenopausal period constituent ratio were significantly different(P<0.05).3.There were significant differences of constitution biased and clip comparison between perimenopausal syndrome group and normal perimenopausal period group(P<0.05).Perimenopausal syndrome group mainly consists of constitution biased and clip comparison women while normal perimenopausal period group mainly consists of constitution of yin-yang harmony women.Moreover,perimenopausal syndrome group always consists of more than 4 kinds of combined-based consititution with the frequency of 75 cases and the percentage of 44.4%.On the other hand,the normal perimenopausal period group showed the feature of 2 kinds of combined-based constitution with the frequency of 55 cases and the percentage of 53.9%.These two groups showed significant difference(P<0.05).4.According to TCM constitution analysis and KI score evaluation of different disease severity,it has been found that those who showed slight symptoms mainly included women with constitution of yang asthenia,constitution of yin-yang harmony,constitution of blood stasis with the percentage of 25.65% and 12.57% respectively.Additionally,women with constitution of yang asthenia,constitution of qi asthenia and constitution of qi stagnation with the percentage of 28.15%,13.33% and 12.95% respectively showed medium level of symptoms.Finally,women with constitution of qi asthenia showed serious symptoms with the percentage of 37.5%.At the same time,other women with constitution of yin asthenia,constitution of phlegm-dampness,constitution of damp-heat,constitution of blood stasis and constitution of qi stagnation took up 12.5%.5.After analyzing the distribution of the age and constitution of perimenopausal syndrome,it was found that the most frequent onset age of women with constitution of yang asthenia and constitution of damp-heat was 40-44 years old with the percentage of 29.03% and 12.95% respectively;the most frequent onset age of women with constitution of yang asthenia and constitution of qi stagnation was 45-49 years old with the percentage of 24.44% and 12.64% respectively;the most frequent onset age of women with constitution of yang asthenia,constitution of qi asthenia and constitution of blood stasis was 50-54 years old with the percentage of 22.89%,16.87% and 14.46% respectively;the most frequent onset age of women with constitution of yang asthenia and constitution of qi asthenia was 55-60 years old with the percentage of 22.35% and 11.27% respectively.6.After analyzing the menarche,menopause(or not),history of pregnancy and childbirth,income,occupation,labor intensity,personality,education level,etc.through the regression analysis of Logistic,it was found that maternal history,personality and education level were positive correlate with perimenopause syndrome.The higher the educational level was,the greater impact it had on perimenopause syndrome.Additionally,women who experienced childbirth more than 3 times had greater probability of suffering menopause syndrome.Conclusion1.No significant difference was found in the incidence and disease severity of perimenopausal syndrome in urban women and rural women in Guangzhou.However,the incidence of single symptoms of urban women was higher than that of rural women.2.The descending order of TCM constitution of women in Guangzhou who suffered from perimenopausal syndrome were: constitution of yang asthenia,constitution of qi asthenia,with constitution of blood stasis,with constitution of qi stagnation,constitution od yin asthenia,constitution of damp-heat.3.Women in Guangzhou who suffered from perimenopausal syndrome mainly consists of more than 4 kinds of combined-based while the normal perimenopausal period women showed the feature of 2 kinds of combined-based constitution.4.The relationship between different disease severity of perimenopausal syndrome and TCM constitution in Guangzhou were as followed.Women with constitution of yang asthenia,constitution of yin-yang harmony and constitution of blood stasis showed light symptoms.Women with constitution of yang asthenia(mainly),constitution of qi asthenia and constitution of qi stagnation showed medium level of symptoms while women with constitution of qi asthenia(mainly),yin asthenia,constitution of phlegm-dampness,constitution of damp-heat,constitution of blood stasis and constitution of qi stagnation showed serious symptoms.5.It is found that the most frequent onset age of women in Guangzhou with constitution of yang asthenia and constitution of damp-heat was 40-44 years old;the most frequent onset age of women with constitution of yang asthenia and constitution of qi stagnation was 45-49 years old;the most frequent onset age of women with constitution of yang asthenia,constitution of qi asthenia and constitution of blood stasis was 50-54 years old;the most frequent onset age of women with constitution of yang asthenia and constitution of qi asthenia was 55-60 years old.6.Women in Guangzhou who experienced pregnancy and childbirth more than 3 times and those with introverted personality and high educational level showed a high incidence of perimenopausal syndrome in their perimenopausal period. |
PDF Full Text Request