The Studying Of Irritable Bowel Syndrome With Anxiety Or Depression Syndromes

Objective: In this study,we conducted a questionnaire survey on patients diagnosed with irritable bowel syndrome in the outpatient and inpatient department of our hospital to understanding the anxiety and depression in patients with irritable bowel syndrome.We adopt the methods of epidemiology and modern mathematical statistics to preliminarily summarize the distribution of TCM syndromes with irritable bowel syndrome with anxiety or depression to further guiding the prevention,treatment and nursing of irritable bowel syndrome in the future.Methods: Standard according to the Chinese and western medicine in the diagnosis of irritable bowel syndrome(consult the irritable bowel syndrome in TCM diagnosis and treatment of 2010 consensus,"Rome IV diagnostic criteria),the D affiliated hospital of medical university digestive department outpatient and ward in March 2017 to January 2018 this time diagnosis for patients with irritable bowel syndrome for questionnaire.The anxiety rating scale(HAMA)and the depression rating scale(HAMD)scored by two professional trainers.The scores were be calculated according to the anxiety HAMA scale and the depression HAMD scale,and all the items were graded from 0 to 4,and the standard at all levels was 0: no symptoms.1 point:mild symptoms;2 points: medium;3 points: severe symptoms;4 points: the symptom is extremely heavy.The total score can better reflect the severity of the disease.According to the information provided by the national psychiatric scale collaboration group,the total score is over 29,which may be a serious anxiety.More than 21 points,there must be obvious anxiety;More than 14 points,there must be anxiety;More than 7 points,there may be anxiety;If it is less than 7,there is no anxiety symptom.The higher the score,the greater the anxiety and depression.According to the diagnostic criteria,the model was identified,and SPSS22.0 was used to carry out the statistics of the survey data.Results:1.The male patients were mainly concentrated in the spleen deficiency and dampness,followed by the liver depression and spleen deficiency,and the liver depression type and the intestinal heat type were the least.The female patients had the most dampness dampness,followed by liver depression and spleen deficiency,and the deficiency of spleen and kidney was the least.The spleen deficiency dampness type,liver depression and spleen deficiency type,liver depression type are mainly female patients,spleen and kidney Yang deficiency type,spleen and stomach dampness heat type and intestinal heat type are mainly male patients.2.The anxiety and depression status of irritable bowel syndrome is related to the age,sex,occupation,course of disease and subtype of the patient,which has nothing to do with the place of residence.Young people(no more than 30)and middle age(30 ～ 60)have obvious effects on anxiety and depression.In middle age(30 ～ 60),the patients with anxiety and depression were the most,and the youth(no more than 30 years old)were the second,and the elderly(> 60)had the fewest patients.Women were more likely to have anxiety and depression than men.Staff and teachers were more affected by the anxiety and depression of IBS.Occupations are more prone to anxiety and depression.Retirement and unemployment had little effect on the distribution of people with no anxiety and depression.Patients with BBB for 10 years were more likely to have anxiety and depression.The number of patients with > in 10 years was the most,followed by 6 to 10 years,with the disease duration < 1 year with the least anxiety and depression.3.The syndrome distribution of IBS associated with anxiety or depression is related to age,sex,occupation,course of disease and subtype.Young people(no more than 30 years old)and middle aged(30 ～ 60 years old)have significant influence on syndrome distribution.The patients in middle age(30～ 60 years old)were mainly distributed in the spleen deficiency and dampness type,followed by liver depression and spleen deficiency.The patients in the youth(no more than 30 years old)were the same as those in middle aged(30～ 60 years old),mainly in the spleen deficiency and dampness,followed by liver and spleen deficiency,and elderly patients with liver depression.In the female patients,the spleen deficiency dampness is more common,the spleen and kidney Yang deficiency type is the least,and the male patients with the liver depression and spleen deficiency and spleen deficiency wet resistance.The spleen deficiency and spleen deficiency are mainly concentrated in the female patients,the liver depression type and the spleen and kidney Yang deficiency are mainly concentrated in the male patients.The staff had the most influence on the number of TCM syndromes with anxiety and depression in IBS,followed by teachers.The patients with spleen deficiency were the most damped,followed by the spleen deficiency of liver and spleen,with the deficiency of spleen and kidney Yang deficiency and the least heat type of the intestine.The teacher has the most liver and spleen deficiency type;The individual and retired persons are mainly liver and spleen deficiency;There is little change in the number of unemployed persons in the various syndromes.Patients with BBB 10 years had the greatest influence on the number of TCM syndromes with anxiety and depression in IBS.It is mainly distributed in the spleen deficiency and dampness type,followed by liver depression and spleen deficiency,and spleen and kidney Yang deficiency type is the most rare.The patients whose course was less than one year were mainly composed of liver and spleen deficiency and liver depression,followed by the spleen deficiency and dampness,with the deficiency of spleen and kidney Yang deficiency and the minimal dampness of spleen and stomach.The patients with disease duration of 1 ～ 5 years and 6 ～ 10 years were mainly of spleen deficiency and dampness type,and liver depression and spleen deficiency type were followed,and the least of them were spleen and kidney Yang deficiency type.The diarrhea type was mainly composed of spleen deficiency and dampness resistance,while the constipation was mainly liver depression and spleen deficiency.4.Spleen deficiency and dampness,liver depression and spleen deficiency,and liver depression are easily associated with anxiety and depression.The degree of anxiety and depression was significantly affected.The patients with severe anxiety and depression were found to have the most dampness,followed by liver depression and spleen deficiency.Patients with liver depression were characterized by severe anxiety and depression.Patients with liver depression and spleen deficiency showed moderate anxiety and depression.Conclusions: The distribution of syndromes of irritable bowel syndrome with anxiety and depression is mainly concentrated in spleen deficiency and dampness syndrome,followed by liver depression and spleen deficiency syndrome.The syndromes of irritable bowel syndrome with anxiety and depression are closely related to the disease.The conclusion can be used to guide clinical practice,and it is expected that the clinical effect can be greatly improved by considering the pathogenic factors of dampness.