| Objective:Data on the tongue,face,pulse and TCM constitution of local gallstone patients were collected.Grasp the high-risk groups of gallstones from the physical level.Continuous health management interventions are carried out for gallstone patients to reduce the clinical symptoms of gallstone patients and improve their quality of life.Methods:(1)Select the period from January 2022 to December 2022:(1)WUHU gallstone patients in the hospital physical examination center;(2)WUHU Gallstone volunteers from municipal grassroots community health service centers and township health centers.Shanghai Daosheng Medical Technology Co.,Ltd.’s "Tongue-facial Pulse Information Collection Physique Identification System(DS01-A)" was used to identify patients’ constitutions,and collect the original data of patients’ symptoms,signs,and constitution.Import data into SPSS25.0 system for cluster analysis and frequency and frequency analysis.The symptoms,high-incidence physical type,and age and gender of gallstones in the WUHU city area were obtained.(2)The 60 gallstone patients included in the health intervention study were divided into observation group and control group with 30 cases in odd and even order.The control group was given health education only before enrollment;The observation group provided continuous health education and traditional exercise intervention.For 3months,the scores of clinical symptoms before and after the intervention were recorded,and the SPSS25.0 system was used to analyze and process the data to obtain the effect of the health intervention.Physical Identification Results:(1)General comparison: Among the 239 gallstone patients,88 were male patients,accounting for 36.82%,and 151 were female patients,accounting for 63.18%.The ratio of men to women is about 1:1.7.The age was 18-70 years,and the average age was50.43±12.96 years.The highest incidence of gallstones ranges from 45 to 64 years.(2)Distribution of symptoms and signs: nausea and vomiting,radiation pain in the right shoulder,bitter mouth,abdominal pain,sweating of hands and feet,the five symptoms appeared the most,accounting for 56.49%,55.23%,54.39%,52.72%,47.28%,respectively.The tongue with more frequency was red tongue,accounting for29.29%,followed by fat tongue,accounting for 18.83%;The more frequent tongue moss was moss yellow greasy,accounting for 27.62%,followed by moss white thick,accounting for 21.34%;The highest pulse frequency was the pulse number,accounting for 27.20%,followed by pulse slip,accounting for 25.94%;The most frequent complexion was yellow and fat,accounting for 28.45%,followed by red-faced,accounting for 28.03%.(3)Physical distribution: the most humid and hot constitution among gallstone patients,up to 75 cases;followed by yang deficiency constitution,a total of 50 cases;It was followed by sputum moisture,with a total of 26 cases.There were also 15 cases of peaceful quality.(4)Cluster analysis results: the results of symptomatic tongue-facial vein cluster analysis showed that the pathological factors of gallstones were: phlegm,dampness and heat;The main types are humid heat internal resistance,yin deficiency fire and yang deficiency cold condensation.The results of physical mass clustering analysis showed that qi depression and blood stasis,phlegm moisture and humid heat,qi deficiency and yang deficiency had general properties and could be converted into each other.Clinical study results:(1)After statistical analysis,there was no statistical difference in the baseline data of the two groups of patients,which could be compared.(2)Intra-group comparison: the clinical symptom scores of the observation group before and after the intervention were significantly reduced,while the control group only had a decrease in the frequency of pain attacks.The difference was statistically significant.(3)Intergroup comparison: the effective rate of the observation group was 33.33%,and the effective rate of the control group was 3.33%;The difference in efficiency was statistically significant.It suggests that health management has a positive significance in improving the clinical symptoms of gallstones.Conclusion:(1)WUHU Gallstone patients in urban areas are more common in women,and the age of onset is 45-64 years old;Pathological factors were mainly wet,phlegm and heat;The constitution is mainly humid heat,yang deficiency,phlegm and humidity,and the constitution can be transformed into each other;The symptom type is humid heat internal resistance,yin deficiency fire and yang deficiency cold condensation.(2)Health management has positive significance for improving the clinical symptoms of gallstone patients and is worthy of extensive attempts. |
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