Retrospective Study On Clinical Data Of Anal Carbuncle With The Dialectic Of Wei Qi Ying Blood

Objective: according to the theory of Wei qi ying blood dialectics,to study the classification of anal carbuncle,analyze the incidence,diagnosis,treatment and prognosis of each type according to the law of syndrome transmission,and comprehensively understand the current incidence,diagnosis and prognosis of anal carbuncle,so as to provide more methods and ideas for the prevention and treatment of anal carbuncle.Methods: data of 321 patients with anal carbunculus who were hospitalized in the affiliated hospital of Chengdu university of traditional Chinese medicine on July 1,2018 to December 31,2018 were collected,and the classification of Wei qi ying blood dialectics was carried out.Among them,262 patients with wei syndrome,52 patients with qi syndrome,and 7 patients with ying and blood syndrome.Analyze each type of gender,age,cause,course,solar terms,occupation,processing prior to admission,and combination of disease and auxiliary examination data,etc.,as well as the treatment,prognosis and outcome of the after admission.With the scheme of retrospective study,collect related clinical data using SPSS19.0 after processing objective and scientific analysis,draw the conclusion.Conclusion: 1.Anal carbuncle in male patients was significantly more than female patients.2.The patients with anal carbuncle wei syndrome were mainly young and middle-aged,the patients with anal carbuncle qi syndrome were mainly young people,and the patients with anal carbuncle ying and biood syndrome were mainly old people.3.The number of patients with anal carbuncle of wei syndrome and qi syndrome in autumn and winter was more than that in spring and summer,and the number of patients was more in the alternation of seasons.The number of patients with anal carbuncle of ying and blood syndrome was higher in autumn and spring.4.Patients with anal carbuncle of wei and qi syndrome were mostly seen in employees.ying and blood syndrome were mostly seen in retirees.5.Anal carbuncle was common in all types of patients for 7 days.6.Patients with anal carbuncle were mainly treated with oral drugs and topical drugs before admission.7.The main inducement of each type of anal carbuncle was no obvious inducement.The obvious inducements of each type of anal carbuncle were eating spicy food and drinking,followed by diarrhea and anal trauma.8.Anal carbuncle patients with wei syndrome were mainly low abscess.High multispecies abscess was the main type in patients with qi syndrome.Perianal abscess with necrotizing fasciitis was the main complication in patients with ying and blood syndrome.9.Differences between the body temperature of the anal carbuncle patients with wei syndrome and the patients with qi syndrome were observed,and differences between the body temperature of the patients with wei syndrome and the patients with ying and blood syndrome were observed,no differences between the body temperature of the patients with ying and blood syndrome and the patients with qi syndrome were observed.10.Summary of heart rate of patients with anal carbuncle: heart rate of patients with wei syndrome and patients with qi syndrome was different,heart rate of patients with wei syndrome and patients with ying and blood syndrome was different,and no differences between the heart rate of patients with ying and blood syndrome and patients with qi syndrome were observed.11.The proportion of normal leukocyte count in anal carbuncle patients with wei syndrome(70.2%)was higher than that of abnormal(29.8%).There was no difference in leukocyte count between the patients with qi syndrome and the patients with ying and blood syndrome.12.Summary of glycated hemoglobin test results of patients of each types of anal carbuncle: the proportion of patients with wei syndrome of abnormal glycated hemoglobin was 3.8%.The proportion of patients with qi syndrome of abnormal glycosylated hemoglobin level was 9.6%.The proportion of patients with ying and blood syndrome of abnormal glycated hemoglobin level was 57.1%.13.Summary of blood coagulation function test results of patients with anal carbuncle: The proportion of abnormal blood coagulation function in patients with wei syndrome was 43.9%.The proportion of abnormal blood coagulation function in patients with qi syndrome was 84.6%.The proportion of abnormal blood coagulation function in patients with ying and blood syndrome was 100%.14.Summary of the results of patients with anal carbuncle combined with other diseases: the proportion of patients with anal carbuncle combined with diabetes was 5.4%,5.8%,and 57.1%,respectively,for those with wei syndrome,qi syndrome,and ying and blood syndrome.The proportion of patients with anal carbuncle combined with hypertension was 2.7%,11.5% and 28.6%,respectively.The proportion of patients with dyslipidemia was 35.9%,40.4% and 57.1%,respectively.The proportion of patients with blood uric acid metabolism disorder was 23.6%,26.9% and 42.9%,respectively.The proportion of patients with abnormal liver function was 4.6%,21.2% and 85.7%,respectively.The proportion of patients with renal dysfunction was 0.8%,0.8% and 71.4%,respectively.Necrotizing fasciitis(85.7%),septic shock(28.6%),hypoalbuminemia(85.7%),heart failure(14.3%),and pulmonary infection(28.6%)were found in the patients with ying and blood syndrome.15.Perianal abscess radical resection was performed in more patients with wei syndrome(74.0%).Multiple incision wire drainage for perianal abscess(69.2%)was used in patients with qi syndrome.Perianal abscess drainage + perianal and perineal necrotizing fasciitis incision and drainage(57.1%)were more frequently performed in patients with ying and blood syndrome.16.Anal sinus infection were mostly found at 6 point in each type of anal carbuncle.17.The clinical cure rate of patients with anal carbuncle of wei and qi syndrome was 100%.The clinical cure rate of patients with anal carbuncle of ying and blood syndrome was 85.17%.