Evaluation On Survival Quality Of Functional Dyspepsia And Research On Its Influencing Factors

Objective:This study is to understand the life quality and each factor affecting the quality of survival of patients with different TCM syndrome, through the investigation of TCM syndrome type% life quality and influencing factors of patients with functional dyspepsia.Find a guide for the Chinese medicine treatment of functional dyspepsia and improving the quality of the survival of patients with FD.Methods:1.There are 216 patients with functional dyspepsia,100 cases of healthy volunteers, all were investigated with the method of questionnaire.the investigation content includes general information, TCM syndrome type, quality of survival, level of anxiety or depression.2.The Excel table is adopted to establish the database, using SPSS 19.0 statistical analysis software for data processing.Results:(1) The patients with functional dyspepsia were investigated,81 males(37.5%),135 females (62.5%); Aged 19～70s,30～50s is the highest proportion, accounting for 56.9%; The lowest degree education is uneducated, the highest for graduate or above, with the highest proportion of bachelor/college degree, accounting for 36.6%. Patient group and normal group have no statistical difference in gender, age, cultural degree, marital status and working status.(2) TCM syndrome type distribution:Surveyed FD patients with dampness-heat type is given priority to, accounting for 31.0%; Disharmony between liver and stomach syndrome, accounted for 28.7%, while the spleen-stomach qi deficiency syndrome, liver～stagnation syndrome, cold-heat complicated syndrome accounted for 26.4%, 12.5% and 26.4% respectively.(3) The comparison of life quality between functional dyspepsia patients and healthy people:Patient-group in various fields and the mean survival quality score all was lower than those of control group (normal).After inspection the above differences statistically significant (P< 0.001).(4) The influence factors on life quality of functional dyspepsia patients:①The correlation of age、Body mass index (BMI) and culture degree and the life quality in the patients with FD:People were divided into 3 groups according to the age:< 30,30～50,> 50. There were no difference among the three groups of life quality scores (P> 0.05).>50 -group of patients had statistically significant difference in the field of sleep score compared with other two groups(P<0.05). Underweight, normal weight and overweight have no statistical difference in life quality. Elementary school the following (including the uneducated), middle school, high school and college/undergraduate and the graduate have no difference in score of survival quality (P>0.05). Senior high school students is statistically different in the score of anxiety with the other groups (P<0.05).②The correlation of TCM syndrome type and western medicine classification and the life quality in FD:Disharmony between liver and stomach syndrome, dampness-heat syndromes, spleen -stomach qi deficiency syndrome, liver stagnation syndrome, cold-heat complicated syndrome have no statistical significance in the score of life quality scores and each other field (P>0.05). PDS、EPS and the mixed type have no statistical significance in the score of life quality and each other field (P> 0.05).③ The correlation of anxiety and depression and life quality in FD:No-anxiety, anxiety, and obvious anxiety, severe anxiety were statistically significant different in the score of life quality (P<0.01).No-depression, depression, and obvious depression, severe depression were statistically significant different in the score of life quality (P <0.01).The more anxiety and depressive, the lower the life quality of patients, the survival quality is lowest in the severe anxiety and depression (P<0.01).④The correlation of eating habits and life quality:There is no statistical difference between the group without habit of smoking、drinking、strong tea; Group with habit of smoking、drinking、strong tea (P>0.05).People with Irregular eating was not statistically different with the regular eating in the scores of life quality and other fields (P>0.05).Conclusion:(1)Surveyed FD patients with dampness-heat syndrome is given priority to, which indicates that climate factors and dietary habits may affect the distribution of different traditional Chinese medicine syndrome. The find should be attention in the clinical treatment process.(2)The life quality of patients with functional dyspepsia is lower in comparison with the healthy, which should be paied more attention in the clinical treatment than eliminating patients’ clinical symptoms.(3)The survival quality of patients with functional dyspepsia is affected by anxiety, depression, therefore we should pay attention to patients’ mental state in the treatment process, in order to improve the quality of life of patients.