The TCM Syndromes And Clinical Epidemiological Study Of Irritable Bowel Syndrome

Object iveMaking a clinical information collection form based on literature research, through the clinical information research on the treatment of IBS patients by the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from August2011to April2012. Analyze the clinical epidemiological characteristics and TCM syndromes of IBS at present, and its correlation with Liver controlling dispersion, to provide the basis for the prevention, control and treatment evaluation of IBS.MethodsCheck the indexed modern research literature in recent years with IBS, extraction-related symptoms, the syndrome elements, syndrome, summed up the cause of IBS may pathogenesis and treatment of law, which established the IBS clinical information collection form. Use clinical information collection form to collect clinical information on the application of IBS patients who seek treatment in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from2012August to2011April, frequency analysis methods to analyze the epidemiological data, to investigate the clinical epidemiological features of irritable bowel syndrome, frequency analysis, factor analysis, cluster analysis, combined with syndrome differentiation system exploration of irritable bowel syndrome TCM syndromes, and compare with syndrome in "Chinese gastroenterol ogy diagnosis and treatment guidelines" when used the time of the survey syndrome, analyze its applicability and guiding significance, investigate IBS with "Liver controlling dispersion" according to TCM syndromes ResultsThis study collected a total of104cases of irritable bowel syndrome, which accounted for90.4%of diarrhea-predominant, women accounted for64.4%, Male:female was1:1.81, youth accounted for69.2%, educational level accounted for52.9%of universities and (or) more, general economic and income accounted for79.8%, the incumbent and the students together accounted for76.9%, usually tastes preferences accounted for51.0%, IBS occur incentives or increase the causes and season accounted for29.8%, summer proportion (16.3%) is the largest,77.9%of IBS patients with recurrent disease or aggravate other causes induced, fatigue accounted for21.2%, alcohol10.6%,30.8%in cold diet inadvertently accounted for59.6%, the largest proportion of tension in the emotional factors, accounting for39.4%.Performance of patients with IBS, abdominal distention (57.5%), bloating after meals, or bloating alleviate after defecation accounted for53.8%, manifested as abdominal pain (71.2%), after a bowel movement, abdominal pain accounted for47.1%, stool frequency increased by88.5%, partial rotten fecal matter accounted for91.3%, pain and diarrhea accounted for76.9%, constipation (stool frequency decrease) accounted for16.3%, about2/3of IBS patients with mood psychiatric symptoms, irritability, who accounted for56.7%, the irritability accounted for49.0%, depression accounted for57.7%, anxiety accounted for48.1%, depression accounted for43.3%, tension accounted for53.8%, depression accounted for37.5%, TCM diagnosis, constipation, accounting for5.8%, abdominal pain (43.3%), diarrhea accounted for51.0%, in syndrome type, the largest proportion of stagnation and spleen deficiency, accounting for85.6%, liver Qi stagnation, accounted for2.9%, spleen deficiency accounted for3.8%, spleen accounted for7.7%. Through factor analysis, cluster analysis, the syndrome differentiation system and expert clinical experience, the preliminary view that in clustered into five categories, divided into4types (spleen and stomach, liver and spleen, stagnation and spleen deficiency, spleen), the symptom index dispersion good, syndrome distribution is clear, so consider this study is divided into four kinds of card type is most consistent with the statistical requirements and the clinical practice.ConclusionSubtypes of IBS patients with diarrhea-predominant up to, women more susceptible than men, incidence population distribution the majority of youth, a higher educational level, general economic income of the population more prone to IBS, patients with IBS diet tend to eat seafood, peppers, summer important one of the reasons often can induce or aggravate symptoms of IBS, patients with IBS generally poor state of mind, mental factors for IBS incidence. IBS often with abdominal pain, bloating, diarrhea, constipation, as the first symptom, IBS patients are also prone to functional dyspepsia symptoms and symptoms of colon outside. Traditional Chinese medicine pathogenesis of IBS often responsible for the stagnation and spleen deficiency, different pathological stages of clinical manifestations vary, but the basic pathogenesis is always the stagnation and spleen deficiency, stagnation and spleen deficiency throughout the development of the disease is always. Analysis derived from irritable bowel syndrome syndrome characteristics are basically consistent with the dialectic of experience and clinical, mathematical statistics and data mining methods can be used to scientifically and objectively support clinical diagnosis. The Chinese gastroenterology diagnosis and treatment guidelines irritable bowel syndrome syndrome type standard basic on behalf of the Guangzhou area of irritable bowel syndrome syndrome characteristics, there is a strong guiding significance for the treatment of IBS.