| Objectives:Irritable bowel syndrome is a common digestive system dysfunction functional disease,clinical manifestations of the abdominal pain,abdominal distension abdominal discomfort,such as main defecate habit change and accompanied by abnormal defecate character,more than the symptoms persist,but there are also some people showed a trend of intermittent attacks and IBS at the same time is also a lack of abnormal changes of morphology and biochemistry can be used as an interpretation of the disease,a significant number of people to have mental changes,clinical treatment and more use of antidepressants symptomatic treatment,therefore also attributable psychosomatic disease category.At present with the aid of a biomarker or auxiliary examination diagnosis to the IBS is too far.Diagnosis much depends on the accumulation of symptoms,so the disease for further epidemiological study results can help to analyze the prevalence of irritable bowel syndrome trends and the law,induced and risk factors,.which can be based on objective facts of the prevention and treatment Sexual advice,promotion can reduce the incidence of the disease,reduce the social burden,and to avoid family tired,waste of medical resources.At the same time through these basic situation and to study the distribution of the TCM syndrome type analysis,for clinical diagnosis and treatment of traditional Chinese medicine,in particular,mechanism of action of Chinese medical aspects to provide objective basis.And dalian area for this special group of students for the present study is relatively small.So this topic research has its LiTi basis,and has certain social significance and economic value.Therefore,this study aims to use the questionnaire survey in the population of permanent residents of dalian area part of high school students to investigate,in order to know the relationship between the incidence of IBS and the eating habits,psychosocial factors,life and rest,and the classification of TCM syndromes,for IBS basic research and clinical prevention,diagnosis and treatment,to avoid recurrence to provide a certain basis and direction.Methods:1.Literature reference after Rome Ⅲ diagnostic standard.TCM syndrome differentiation,such as design questionnaires based on two(including 1 questionnaire is based on the diagnostic criteria of gastrointestinal symptoms of RomanⅢ survey and personal basic information,medical history,family history and medical conditions,inducing factors,diet,life work and rest habits,movement,mood,pressure,etc may cause the risk factors for survey;questionnaire 2 is for the already diagnosed IBS of syndrome types of traditional Chinese medicine dialectical classification survey).2.1n accordance with the principle of cluster,stratified,random sampling survey,in 2016-September-in November 2016,the population of permanent residents in dalian high middle school students for the filling or interview questionnaire.And the irritable bowel syndrome diagnosed by questionnaire 1 has the student to carry on the type of syndrome classification survey,finally establish a database,the income data descriptive and inferential statistical analysis.Results:1.Dalian high school IBS prevalence was 11.97%;The boys prevalence was 10.24%;Prevalence was 13.31%,the prevalence of IBS girls than boys,male and female prevalence ratio of 1:1.299,there was no statistically significant difference incidence between men and women(X2 = 0.822,P>0.822).2.IBS disease compared with grade,fat thin,there was no statistically significant difference(P>0.05).Of the 56 IBS students,11 were treated,which consititute 19.64%.Male outpatient rate is 14.39%,female 22.86%There was no significant difference between two groups.(X2 = 0.61,P>0.05).3.Gastrointestinal tract infection,abdominal surgery history,antibiotics and painkillers,family have similar symptoms,respectively,and the deelopment of IBS were analyzed,and the frequency of IBS group was obviously higher than that of the IBS group,the difference was statistically significant(P<0.05).4.56 cases of IBS students again hair cause investigation,and results show that the learning pressure,emotional factors took the largest proportion(33.92%);Second section factor is eating cold food,accounting for 32.14%;Then catching a cold is 17.86%17.86%,fatigue factors,there are 8.93%of IBS students chose the other factors.5.Single factor analysis found that eating spicy,Fried,seafood and cold food value associated with the onset of IBS(P<0.05).Multi-factor IBS correlation Logistic regression analysis suggest eating spicy,fresh seafood and cold food,overworked,catch cold catch cold,in a bad mood,a risk factor for learning pressure is likely to suffer from IBS.6.According to the norm of modern medicine,IBS-D most see,accounted for 35.71%;Hybrid times,accounting for 28.57%,constipation type IBS(23.21%),multi-parametric only 7 cases,at least 12.5%.TCM syndrome type distribution:the most common liver depression and spleen deficiency syndrome,there are 16 cases,accounting for 28.57%;Followed by intestinal heat and dry syndrome,which have 14 eases,accounting for 25%;Spleen and stomach weak syndrome in 11 cases,accounting for 19.64%;Diseases with stasis syndrome 8 cases(14.29%),Spleen and stomach wet and heat syndrome(7 cases),at least 12.5%.In the 20 cases of diarrhea IBS students,the liver depression and spleen deficiency syndrome(45%),spleen and stomach weakness syndrome(35%)are the most common;For 13 cases of IBS-C,intestinal heat and dry syndrome is the most common,there are 10 people,accounting for 76.9%;and for 16 cases of IBS-M and 7 cases of IBS-U,these 5 kinds of TCM syndromes distribution is relatively average.Conclusion:1.Dalian high prealence of IBS women more than men,the student JiuZhenLv is lower,should strengthen the health promotion and education to improve students’ consciousness of clinic2.The difference between IBS prevalence and grade was not statistically significant(P>0.05);The relationship between the prevalence of IBS and the BMI of students in senior high school students needs further study.3.Has a history of gastrointestinal infection,abdominal surgery history,antibiotics and painkillers,family have similar symptoms of IBS were diagnosed the probability is higher than normal people.4.1t must be importent for strengthen the psychological health education while we pay attention to academic education.Focus on high school students psychological emotional health,cultivate students’ ability to regulate emotions.In terms of health popularization and promotion,told students pay attention to healthy eating habits,forming correct to avoid and reduce eating spicy,fresh seafood and cold food,rid of bad habits,etc.,should mix,be sure to keep warm protection,thus reduce,to reduce the risk of IBS symptoms occur.5.Dalian high school students suffering from IBS-D students in the liver and spleen deficiency syndrome,spleen and stomach weakness syndrome are the most common;IBS-C students in the intestine heat and dry syndrome was the most evidence;IBS-M and IBS-U students in the distribution of five TCM syndromes are relatively average;Chinese medicine clinical treatment can refer to the syndrome differentiation. |
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