The Relevance Between Syndromes And Correlative Factors And TCM Constitution About Children With Functional Constipation

Objective:The research survey through clinical investigation,analyze the distribution characteristics of syndrome types,correlative factors and TCM constitution about children with functional constipation.To explore the relationship between syndrome types,correlative factors and TCM constitution,so as to provide a theoretical basis for the study of the three,and provide objective indicators and new ideas for the prevention and treatment of the disease.Method:Select children as research objects who were visited in the Pediatric Clinic of Jiangsu Provincial Hospital of Traditional Chinese Medicine from January 2018 to January 2019.According to the diagnostic criteria,inclusion criteria,exclusion criteria and exclusion criteria,included children with functional constipation were investigated by questionnaire.To fill in the"Questionnaire on correlative factors of children with functional constipation","Questionnaire on syndrome types of children with functional constipation"and"Questionnaire on TCM constitution of children with functional constipation"objectively.To classify according to constipation type and the judgment standard of TCM constitution.To collate data and input into the computer to establish a database.SPSS 25.0 software was used for statistical analysis,and the corresponding results were achieved.Results:A total of 158 cases were collected,of which 6 cases were excluded due to incomplete filling.At last a total of 152 cases were included in the study.1.Distribution of syndrome type of children with functional constipation in order from largest to smallest:dryness-heat constipation(32.89%),qi deficiency constipation(28.95%),dyspepsia constipation(26.32%),qi stagnation constipation(8.55%)and blood deficiency constipation(3.29%).The distribution of syndromes have no correlation with gender,age,course of disease,fecal amount,frequency of defecation,amount of water consumed,psychiatric and psychological factors,exercise and family history(P>0.05),but have correlation with fecal morphology,defecation time,concomitant symptoms,dietary habits and dietary structure(P<0.05).2.Distribution of TCM constitution of children with functional constipation in order from largest to smallest:Yin deficiency type(38.16%),Gentleness type(19.08%),Qi deficiency type(15.13%),Qi stagnation type(13.16%),Yang deficiency type(5.26%),Wet-heat type(5.26%),Specific diathesis type(2.63%),Phlegm wetness type(1.32%)and Blood stasis type(0.00%).The distribution of TCM constitutions have no correlation with gender,course of disease,fecal morphology,fecal amount,frequency of defecation,concomitant symptoms,amount of water consumed,defecation fear and family history(P>0.05),but have correlation with age,defecation time,dietary habits,dietary structure,personality,emotion and exercise(P<0.05).3.There is a correlation between TCM constitutions and syndrome types in children with functional constipation(P<0.05).Among them,Gentleness type was associated with qi deficiency constipation(P<0.05),Qi deficiency type was associated with blood deficiency constipation(P<0.05),Yin deficiency type was associated with dryness-heat constipation and dyspepsia constipation(P<0.05),Qi stagnation type was associated with qi stagnation constipation(P<0.05).Conclusion:1.Syndrome types of children with functional constipation are mainly dryness-heat constipation,qi deficiency constipation and dyspepsia constipation.The distribution of the syndrome types is closely related to the fecal morphology,defecation time,concomitant symptoms,dietary habits and dietary structure.2.TCM constitutions of children with functional constipation are mainly Yin deficiency type,Gentleness type,Qi deficiency type and Qi stagnation type.Distribution of TCM constitutions is closely related to age,defecation time,dietary habits,dietary structure,personality,emotion and exercise.3.There is a correlation between TCM constitutions and syndrome types in children with functional constipation.For the children with Gentleness type,the qi deficiency constipation is more easier to obtain.For the children with Qi deficiency type,the blood deficiency constipation is more easier to obtain.For the children with Yin deficiency type,the dryness-heat constipation and dyspepsia constipation are more easier to obtain.For the children with Qi stagnation type,the qi stagnation constipation is more easier to obtain.