| Objective:To investigate the clinical epidemiological status and related risk factors of hospitalized patients with cholelithiasis in Hefei area,and to provide scientific basis for the treatment of patients with cholelithiasis in this area.Methods:To collect the medical records nearly a decade of gallstone patients in Anhui corps hospital of armed police,for gallstone disease clinical epidemiological investigation forms,to participate in the investigation and study of the special training for personnel,to fill out the survey data are unified specification,to establish a database for all collected clinical data using the computer,and check the correction by the researchers.Results:A total of 43272 cases of patients with cholelithiasis were investigated,including 40904 cases of simple gallbladder stones(94.52%).Intrahepatic and extrahepatic bile duct stones were found in 419 cases(0.97%)and 1949 cases(4.50%),respectively.The proportion of simple gallbladder stones was higher than that in China,while the proportion of intrahepatic and extrahepatic bile duct stones was lower than that in China,especially intrahepatic bile duct stones.In recent ten years,the ratio of male to female in Hefei was 1:1.72,which was statistically significant.The peak age of cholelithiasis in Hefei area was 25.21%in group 41～(years old)and 21.44%in group 51～(years old).The peak age of single gallbladder stone and cholelithiasis was consistent,while the peak age of intrahepatic and extrahepatic bile duct stones was 61～(years old)and 51～(years old),respectively The composition of patients with different types of cholelithiasis in different age groups was also different.Patients with simple gallbladder stones,extrahepatic bile duct stones and intrahepatic bile duct stones reached the peak in groups of 41～(years old),51～(years old)and 61～(years old),respectively.Simple gallbladder stones,patients with extrahepatic bile duct stones diet is of the highest high fat diet,94.76%and 4.84%,respectively,is a type of diet composition of one of the biggest,and the diet of patients with intrahepatic bile duct stones,the composition of a high-fat diet is lower,compared with other diet significantly statistical difference(P<0.05).In this study,the composition ratio of staff and farmers was the highest among patients with simple gallbladder stones(27.71%and 25.50%,respectively).Staff accounted for the highest proportion of extrahepatic bile duct stones(34.12%).Farmers account for up to 65.87%of intrahepatic bile duct stones,which is obviously different from other occupations,and farmers are more likely to suffer from intrahepatic bile duct stones,with statistical significance(P<0.05).Conclusion:Among all types of cholelithiasis in Hefei area,simple gallbladder stone is an important clinical type of cholelithiasis in this area,and the incidence tends to be younger.The risk factors of cholelithiasis in this area include sex,age,diet and occupation.Objective: To study the gallstone disease of TCM constitution type in hefei area,analyzes the distribution characteristics,and then discusses gallstone disease incidence and the relationship between the constitution of traditional Chinese medicine classification,helps people to analyzes personal physical conditioning,prompting susceptible crowd to strengthen prevention,so as to achieve the effect of "preventive treatment of disease".Methods: In this study,a questionnaire survey was conducted on 300 cases of cholelithiasis patients(case group)treated in Anhui Corps Hospital of Armed Police from March 2017 to March 2018.At the same time,300 normal subjects(control group)were collected from the physical examination center of our hospital for investigation.After the data of the two groups of respondents were collected,a database was established and SPSS17.0 statistical software was used for analysis.According to different needs,the data were statistically processed,the mean was compared by t test,and the rate was compared by chi-square test(%2),When P < 0.05,-V significant difference was considered to be statistically significant.Results: Among the patients in this case group,126 were male and 174 were female.This group of patients with different TCM constitution type number and proportion according to the ascending order,special intrinsic in 0 cases respectively(0%),blood stasis in 12 cases(4%),Qi stagnation in 13 cases(4.33%),Yin deficiency in 14cases(4.67%),Yang deficiency quality in 16 cases(5.33%)and calmness in 18 cases(6%),Qi deficiency in 46 cases(15.33%),dampness heat in 67 cases(22.33%),phlegm dampness in 114 cases(38%)* The number of phlegm-dampness constitution and dampness-heat constitution in the case group was statistically significant compared with that in the control group(P < 0.05).However,there was no statistical difference among the other types of physique(P > 0.05).In terms of gender and age,there are more female patients than male patients.Patients in the age group of 40-60 were significantly higher than those in other age groups,and the female patients in this age group were significantly higher,but statistically insignificant(P > 0.05).The results of the two groups were also not statistically significant(P > 0.05).Conclusion: There is a certain correlation between the incidence of cholelithiasis and the constitution of traditional Chinese medicine.According to the results of this investigation on the constitution classification of cholelithiasis patients in hefei,people with phlegm,dampness and heat constitution are more prone to cholelithiasis.This paper also discusses the use of TCM constitution to adjust the biased constitution of the patients so as to achieve the purpose of "preventive treatment of disease". |
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