Study On The TCM Syndrome Regularity Of Ankylosing Spondylitis In Yunnan

Objective:On the basis of literature review and summary of epidemiology,risk factors,etiology,pathogenesis and syndrome characteristics of Ankylosing Spondylitis(AS)at home and abroad,to study the relationship between gender,age,ethnicity and other factors and traditional Chinese medicine(TCM)syndromes of AS,summarize the TCM syndromes and their risk factors of AS in Yunnan area,provide a basis for the early prevention and treatment of AS and the development of new Chinese medicines,and improve AS clinical diagnosis level.Methods:By using the method of cross-sectional study in descriptive epidemiology,Designed the ankylosing spondylitis epidemiological questionnaire,and will be seen in the outpatient and inpatient departments of Yunnan Traditional Chinese Medicine Hospital,Qujing City Traditional Chinese Medicine Hospital,Chuxiongzhou Traditional Chinese Medicine Hospital from January 2019 to January2020,in line with AS Chinese and Western medicine diagnostic standards Patients were included in the study,using SPSS 26.0 software,statistical analysis of all case data,to study the relationship between gender,age,ethnicity and TCM syndromes,discussion on the regularity of TCM syndrome of as in Yunnan.Results:1.A total of 293 patients with AS were included in this survey,37 patients who failed to fill in the questionnaire were excluded,and 256 patients were included in the study,including 177 males,accounting for 69.14%,79 females,accounting for 30.86%,male:female 2.24: 1,with an average age of 36.14 ± 13.54 years.2.The distribution of AS syndromes in Yunnan is as follows:127 cases of kidney deficiency and cold coagulation syndrome(49.61%),41 cases of cold dampness syndrome(16.02%),27 cases of liver and kidney deficiency syndrome(10.54%),26 cases of kidney deficiency dampness heat syndrome(10.15%),13 cases of deficiency syndrome of qi and blood(5.08%),14 cases of phlegm and blood stasis syndrome(5.47%),8 cases of cold and heat syndrome(3.13%).3.The course of age,age group and TCM syndrome were compared(P<0.05),the difference was statistically significant.4.Comparison of joint function classification,ESR,CRP,RBC,BASDAI score,ASDAS score,BASFI score,region,ethnicity and TCM syndromes(P>0.05),the difference was not statistically significant.5.Through the analysis of the morbidity factors of traditional Chinese medicine,it is mainly caused by cold and fatigue,but also due to emotional factors,diarrhea,trauma and other factors.Conclusions:1.AS is more common in young people,and the incidence of males is higher than that of females.There are differences in different regions and races of the world.This rule also applies to Yunnan.2.AS syndromes are mainly composed of kidney deficiency,cold coagulation syndrome,cold dampness syndrome,kidney deficiency dampness heat syndrome,liver and kidney deficiency syndrome,and the distribution of AS syndromes in Yunnan area is consistent with it.3.Patients with phlegm and blood stasis syndrome in AS patients in Yunnan have a longer course of disease,followed by kidney deficiency dampness-heat syndrome,kidney deficiency cold coagulation syndrome,liver and kidney deficiency syndrome,qi and blood deficiency syndrome,cold dampness syndrome,cold and heat syndrome.4.PLT has different degrees of increase in disease activity.ESR,CRP,PLT and other indicators are of great significance to reflect the disease activity.5.The main factors of TCM in AS in Yunnan are cold,fatigue,infection,emotion and other factors.