| Objective To investigate the mechanism of the disease Objective to explore the epidemiological characteristics and the distribution characteristics of traditional Chinese Medicine(TCM)Syndrome Types and their related influencing factors of hospitalized patients with hemorrhoids in a Grade-3A Hospital of traditional Chinese medicine in Guangdong Province.MethodsIn this epidemiological study,a cross-sectional study was conducted to investigate hemorrhoid patients who met the inclusion criteria and were hospitalized in anorectal Department of the First Affiliated Hospital of Guangzhou University of traditional Chinese medicine from November 2020 to March 2021.After obtaining the general information,living and eating habits,defecation habits,incidence of hemorrhoids,quality of life score(HF-QoL),TCM syndromes and types,classification and evaluation factors of hemorrhoids,the data were entered to establish a database,and then descriptive statistics and related factor analysis were performed with SPSS22.0 software.ResultsDescriptive analysis: a total of 230 patients with hemorrhoids were included in this study,including 120 males(52.2%)and 110 females(47.8%).The ratio of males to females was 12:11.The age of onset was mostly 30-59 years old(79.1%).All kinds of occupations can be infected,but the proportion of staff is the highest,accounting for 30.4%.In terms of labor intensity,the proportion of mental workers is higher(53.5%),which may be related to long-term sedentary and less activity.Education in junior high school and below accounted for the highest proportion,accounting for 38.7%.In terms of diet,69 people(30%)preferred greasy food,202 people(87.8%)ate spicy food,126 people(54.8%)drank alcohol,of which men were more than women(2:1);142 people(76.5%)drank water irregularly or less than 1000 ml.In terms of living habits,most patients sleep less than 8hours,up to 193 people(83.9%);only 28.7% of them can exercise regularly every week,and 46.5% of them never exercise actively.In terms of defecation habit,squatting accounted for 60.9%;defecation time more than 10 minutes accounted for 47.4%;in terms of defecation frequency,the number of defecation decreased accounted for 11.7%,the number of defecation increased accounted for 9.1%,and the normal accounted for 79.2%;most patients played mobile phones during defecation,accounting for 53.0%;Bristol defecation type 1-3 accounted for 32.6%,4-5 accounted for 53.5%,and 6-7 accounted for13.9%;35.7% of them had incomplete defecation feeling,and 28.3% had diarrhea 26.5%of the patients had dry and hard stools,and it took time to defecate.In terms of incidence,the main reasons for seeing a doctor were prolapse and hematochezia,accounting for62.2% and 58.7% respectively;the main predisposing factors were spicy food(33.0%),dry stool(28.7%),staying up late(28.3%)and sedentary(26.5%);the average duration of hemorrhoids was(7.73 ± 7.53)years,91.7% of which were longer than 1 year;68.3% of the patients had different treatments before admission Methods of treatment.The average score of HF-QoL questionnaire: physiological dimension(18.81 ± 18.76),psychological dimension(15.19 ± 18.52),defecation dimension(32.93 ± 26.15),sexual dimension(14.25± 19.40),final average score(81.18 ± 66.56).The distribution characteristics of TCM syndrome types: dampness heat downpour syndrome(59.1%)> spleen deficiency and qi depression syndrome(15.7%)> deficiency of both qi and blood syndrome(9.6%)> wind injury of intestinal collaterals syndrome(8.3%)> qi stagnation and blood stasis syndrome(7.4%).The distribution characteristics of grading evaluation factors of hemorrhoids:96.5% had obvious prolapse of main hemorrhoids,79.1% had different degrees of hematochezia,58.3% had hemorrhoids accounting for more than 1 / 2 of anal circumference,and 96.1% had different types of external hemorrhoids.Correlation analysis: the distribution of TCM syndrome types was significantly correlated with the course of disease,physiological dimension score of HF-QoL questionnaire degree of pain,prolapse of hemorrhoids,anal pruritus,bloody stool and hemoglobin content,but not with gender,age,body mass index,occupation,predisposing factors,psychological,defecation and sexual dimension score of HF-QoL questionnaire.The prolapse degree of the main hemorrhoid,hematochezia and the proportion of the main hemorrhoid around the anal ring were significantly related to the choice of operation method,while the type of external hemorrhoids was not significantly related to the choice of operation method.ConclusionThe incidence rate of mobile phone disease in male patients with hemorrhoids is slightly higher than that in women.The majority of the patients are middle-aged and young.The occupation of this occupation is quite large.More than half of the patients with hemorrhoids have food and drink,lack of sleep,less exercise,less drinking,prolonged defecation time,playing with hand machines and stool under the condition of defecation,which may be a risk factor for hemorrhoids.The clinical manifestations of hemorrhoids are mainly prolapse and bloody stool,which have different degrees of influence on the patients’ physiology,psychology,defecation and sexual life.Spicy food,dry stool,staying up late and sedentary are the main inducing factors of hemorrhoids.In this study,TCM syndrome types are preliminarily divided into five types: Damp heat downpour syndrome,spleen deficiency and qi depression syndrome,deficiency of both qi and blood syndrome,wind injury of intestinal collaterals syndrome,qi stagnation and blood stasis syndrome.Among them,damp heat downpour syndrome is the most common type.The distribution of TCM syndromes was significantly correlated with the course of disease,the physiological dimension score of hemo-fiss,the degree of pain,prolapse of hemorrhoids,anal pruritus,hematochezia and hemoglobin content.The hemorrhoid classification scheme based on four factors is significantly related to the choice of surgical methods. |
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