Diarrhea-predominant Irritable Bowel Syndrome Patients With Depression And Anxiety State And Tcm Syndrome Study Of The Correlation Analysis

ObjectiveIBS is the one of psychpohysiological disorders. It's related to both of body disease and neurosis. Because of its concerning with many areas of medical sciences, the pathogenesis is not understood clearly. But there are principles and methods of treatment of emotional diseases in the theory of Chinese medicine which has paid attention to the concept of viewing the situation as a whole for hundreds of years. For the purpose of After we exploring the related informations and dealing with the scores in statistics we got the results of the relationships between the syndrome factors and the emotional suituationsMethodsWe selectde 216 outpatient cases from April 2009 to March 2010. Patients were diagnosed by Western medicine as diarrhea-predominant irritable bowel syndrome, Chinese medicine diagnosis of diarrhea. We conducted the study by using the questionnaire survey method. We collected general epidemiology, syndrome factors and depression and anxiety state datas. We scored the patients in the factors of diarrhoea syndrome of each one. According to one's SAS and SDS score, we differntiate the patients into 4 groups of depress and anxiety at the same time. We also distinguished the patients into 5 type of diarrhea syndrome in TCM. Finally we used the syndrome points score formula, checked the situation of depression and anxiety and analyzed the scores in statistics,then we got the result of the relationship between the emotional ststement of D-IBS patients and diarrhea syndrome.ResultsGeneral epidemiological data:D-IBS patients with 216 cases among 119 cases of women with men slightly more than 97 cases, no statistically significant difference. Patients between the ages of 20-59 years of age no significant difference, but the number of patients with 20-29 prominent. Depression and anxiety state statistics, 104 people without depression, anxiety, and depression were 37,46 people with anxiety, depression and anxiety with 29 people. Education is concerned, when the disease process to more than five years at most, accounting for 66.2%. Etiology in 93.5% of the most improper diet, followed by exogenous pathogens invasion of other emotional disorders 88.0%80.6%78.7% nervous exhaustion over 29.0%. Aspects of college education were 46.3%,42.6% high school and junior high school 10.2% to 63.6% of junior high school level of depression and anxiety in patients with the highest proportion. Occupational distribution of the maximum 31.9% of enterprise workers, and other more were the students 25.0% and 10.2% agriculture, forestry, fishery and livestock workers. Work pressure,50.0% felt generally maximum, fatigue accounted for 33.8%. Food preferences were 81.9% up-to hot, thick greasy eat Feigan 71.8%, while patients with depression and anxiety than the preferred fat diet rich diethylene glycol and bland food.51.9%of entertainment to shopping, chat 49.5%,46.3% more common online. Diarrhea in patients with evidence-based statistics, the stagnation and spleen deficiency type was 57.4% up, followed by the spleen and kidney yang 19.0%, 15.3% weakness of temper, heat block type 5.1% and 3.2% in alpine-type spleen. Syndrome factor score Statistics:Individual syndrome elements of statistics, all 63 of them syndrome elements, only dizziness, head pain two elements in different states of depression and anxiety among patients with performance by the statistical sense, byt as to the nain types of syndromes and sub-license the weighyed evidence points add up to enough to show that depression and anxiety syndrome elements and the special relationship between the state. Diarrhea-predominant irritable bowel syndrome syndrome in five,liver depression and spleen, spleen qi, spleen and kindney yang,etc. The four patients with three types of deprdession and anxiety state scores syndromes grouped by statistical anslysis, P< 0.05 shows that patients with depression and anxiety syndrome group scored between the comparison is meaningful.Scores from the trends syndrome appears that symptoms of depression and anxiety and the relationship betweem the severity of positive correlation, the three types of patients is the largest, a total of 92% of the number of cases.Because of the fewer patients the statistics of the heat dampness disturbed type and the spleen besieged by cold-dampness type are not statistically significant. But their box-type diagram can be observed associated with depression and anxiety sub-groups syndrome than those without depression to score significantly higher anxiety group,and then from two types of trends and five groups of depression and anxiety syndrome factor score of comprehensive statistical plan view,also support the symptoms of depression, anxiety and severity correlated situation.