Correlation between female traditional Chinese medicine constitution and uterine adhesions after abortion
[Objective]To investigate the types of traditional Chinese medicine constitution susceptible to patients with intrauterine adhesions and the correlation of morbidity through case-control investigation.[Methods]In this study,patients with intrauterine adhesions after abortion in Hengyang County Maternal and Child Health Hospital from September 1,2021 to January 31,2023 were selected as intrauterine adhesion(IUA)group,and those who underwent abortion during the same period without adhesions were selected as non-IUA group.General data and traditional Chinese medicine physique questionnaire were collected by means of questionnaire,and the data were sorted out statistically.Statistical methods were used to analyze and compare the differences of traditional Chinese medicine(TCM)physique types and related risk factors between the two groups,and binary Logistic regression analysis was performed on the data obtained.[Results]There were statistical differences between the two groups in the history of uterine surgery(P=0.017)and phlegm-damp constitution(P=0.027).There were no statistical differences in age,body mass index,delivery frequency,menstrual duration,menstrual volume and other physical constitution(P<0.05).The number of previous pregnancies(t=-2.804,P=0.006),menstrual cycle(t=2.550,P=0.011)and menstrual duration(t=8.027,P=0.000)in IUA group were shorter than those in non-IUA group,and the difference was statistically significant.Binary Logistic regression analysis showed that the risk factors related to uterine adhesion were:previous history of uterine surgery[regression coefficient value was 0.598,odds ratio((∧OR)value)was 1.818]and regression coefficient value of phlegm-dampness[regression coefficient value was 1.091,odds ratio((∧OR)value)was 2.977].[Conclusion]The number of previous pregnancies and history of uterine operation are the high risk factors of uterine adhesions,and phlegm and dampness are the susceptible constitution of Chinese medicine.
intrauterine adhesiontraditional Chinese medicine constitutionphlegm and dampnessrisk factor