| Purpose:The purpose of this study is to investigate the distribution of TCM syndromes of functional bowel disorders by means of simple random sampling and systematic cluster analysis,and provide clinical evidence for the syndrome differentiation and treatment in Chinese medicine of FBDs.Method:By means of literature research,we know the current status of FBDs TCM syndromes,then establish a four diagnostic information questionnaire for FBDs,and use the SPSS22.0 statistical software system to cluster analysis and combine the methods of expert consultation to explore the distribution law of TCM syndromes of FBDs.Descriptive analysis and chi-square test of general information and TCM syndromes were carried out to analyze the relationship between indicators and TCM syndromes.Result:1 General information: in this study,there were 356 cases of FBDs,180 males and 176 females,male:female=1:0.98,male composition ratio is slightly higher than female.FBDs,FDr and U-FBD were mostly female patients,FDr and FAB/D were mostly male patients,and there were significant differences in gender distribution among FBDs subtypes.Average age of 356 cases of patients was 46.11±11.84 years,average age of women was 44.17±13.57 years old,average age of men was 46.32±11.80 years old,men and women are in the majority with middle age group,there are more men than women in old age group and young age group,and more women than men in middle age group,men and women differences statistically difference between gender and age.The age distribution of FBDs and subtypes was the largest in middle age group,and the proportion of old age group was the smallest,and there was no statistical difference in age distribution among FBDs.The disecase course of most FC patients is 5-10 years,the disecase course of most FDr patients and U-FBD patients is 5-10 years,the disecase course of IBS patients is within 2 years,the disecase course of most FAB/D patients is more than 10 years,there was a statistical difference in the distribution of disease between subtypes of FBDs.2 Analysis of related factors of FBDs patients:There were 301 patients with obvious causative factors,accounting for 84.55%,respectively,emotional disorder,poor diet,overwork,and climate change.Dietary respect,have partial compulsive eating up to 58.71% of the total number of cases,including those addicted to spicy stimulate most,the second is addicted to cigarettes,alcohol and respectively,eosinophilic cold drinks,strong tea,heavy frying fat,addicted to sweets,coffee;In terms of sleep,there were 237 cases of poor sleep quality or poor sleep,accounting for 66.57% of the total number.In terms of emotion,the total number of emotional states was 59.0%,among which the most emotion is irritable.3 The distribution ratio of TCM syndromes of FBDs:among the 356 cases collected in this study,there were 86 cases(24.2%)of the patients with spleen deficiency and deficiency.Secondly,79 cases(22.2%)were found in spleen and stomach.67 cases of liver depression and spleen deficiency(18.8%);64 cases of intestinal qi stagnation(18.0%);Spleen deficiency cold syndrome,a total of 60 cases(16.9%).4 TCM syndrome type distribution of FBDs:youth FBDs in the majority with spleen deficiency syndrome patients,FBDs in the middle age group in the majority with taste hot and damp card,elderly group FBDs in the majority with spleen deficiency syndrome patients,patients with different age groups between TCM syndrome type distribution difference was statistically significant.In male patients,there was a majority of deficiency syndrome,and there was a significant difference in the distribution of TCM syndromes between different genders and FBDs.Intestinal card and qi stagnation and spleen deficiency syndrome on FC distribution in most cases,liver spleen deficiency by FDr distribution in most cases,the spleen and stomach deficiency cold syndrome cases with IBS distribution in high,taste hot and damp card to FDr and U-FBD distribution of cases,most patients with different western medicine classification FBDs of traditional Chinese medicine has a statistically significant difference between the distribution difference.Conclusion 1 Based on cluster analysis,the common syndromes of FBDs in clinical practice are from high to low,which are spleen deficiency syndrome,spleen and stomach dampness syndrome,liver depression and spleen deficiency syndrome,intestinal qi stagnation syndrome,and spleen and stomach deficiency syndrome.There were statistically significant differences in the distribution of TCM syndromes in FBDs patients with different genders and the differences in the distribution of TCM among different types of FBDs.2 FBDs patient related factors analysis:FBDs most of the patients with prominent the triggers,diet,poor or poor sleep and poor emotional state,so the analysis of the onset of FBDs may be associated with these factors.3 This study applies the method of cluster analysis,relatively objectively analyzes the FBDs TCM syndrome type distribution and related factors,for the standardization of TCM syndrome research FBDs provides a certain reference value. |
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