| Objective: To explore the distribution characteristics of TCM constitution in the population of patients with chronic pharyngitis and its related factors,to study the influence of physique on the symptoms of chronic pharyngitis and the morphological changes of pharyngeal mucosa based on the morphological changes of pharyngeal mucosa,and to find the effect indicators of constitution in chronic pharyngitis,so as to provide a basis for the individualized prevention and treatment of chronic pharyngitis,and emphasize the necessity of combining the three distinguished diagnosis and treatment modes of "distinguishing constitution-distinguishing disease-distinguishing" in clinical treatment..Methods:Among the outpatients of the Department of Otorhinolaryngology of Yunnan Provincial Hospital of Traditional Chinese Medicine,451 patients with chronic pharyngitis who met the inclusion criteria were selected,and the nine-point method of traditional Chinese medicine constitution was used to investigate the constitution,reasonably diagnose the TCM symptom type and pathological classification,and collect pictures of the morphology of the pharyngeal mucosa,and score the symptoms of chronic pharyngitis and the morphological changes of the pharyngeal mucosa were graded and quantified.All data is organized into an Excel spreadsheet and analyzed using the statistical software SPSS 26.0.Result:Among the 451 patients enrolled in chronic pharyngitis,women accounted for about 58.1%,and the number of patients aged 18-30 years accounted for about 24.2%.There are significantly more Han ethnic groups than ethnic minorities,and the largest number of patients with occupations as clerks is 80 cases,and the distribution of patients with chronic pharyngitis in other common occupations is located.The highest number of previous concomitant diseases was digestive disorders,with a total of 105(23.3%).About6.0% of patients with chronic pharyngitis have a history of allergies.About 62.5% of patients with chronic pharyngitis have a vegetarian diet,and the five flavors are mainly spicy,sour and sweet.The pathological classification is chronic simple pharyngitis;TCM has the most patients with weak spleen and stomach.75.2% of the patients had concurrent constitutions,and only 24.8% were single constitution types.The distribution of physical constitution in descending order was as follows: qi deficiency(26.6%),humid heat(20.2%),phlegm and wet(17.3%),yin deficiency and blood stasis(8.4% each),qi depression(6.0%),peace(5.8%),yang deficiency(5.1%),and special quality(2.2%).The chi-square value and P value of constitution,sex and age were calculated respectively,and the P < was 0.05;the Fisher test was performed on the distribution of TCM syndrome and constitution classification,P<0.01,and the total scores of pharyngeal foreign body sensation,pharyngeal mucosal hyperemia and lymphatic follicular hyperplasia were the highest among the scores of symptoms and pharyngeal mucosal morphological changes.The correlation between pharyngeal foreign body sensation,lymphatic follicular hyperplasia and pharyngeal mucosal hypertrophy was analyzed,and the pearson values were 0.134 and 0.242,and the pearson values were P<0.05,respectively.Linear regression analysis of physique on pharyngeal foreign body sensation,pharyngeal dryness,pharyngeal itching and pharyngeal micropain,and the morphological changes of pharyngeal mucosa,namely lymphatic follicular hyperplasia,pharyngeal mucosal hyperemia and pharyngeal mucosal hypertrophy,were carried out,P<0.05.Conclusion:1.In the study of chronic pharyngitis patients in this survey,the history of digestive diseases is the most common,and a large proportion of people with dietary bias are occupied.The distribution of physical constitution is most common with qi deficiency,followed by humid heat and phlegm humidity,so qi deficiency,phlegm humidity,humid heat and humid heat have an easy and tendencious nature to chronic pharyngitis.In terms of gender and age,there were more female patients than male patients,and there were distributions of all age groups,but the age distribution tended to be younger.There is a correlation between the classification of medical constitution and the syndrome in patients with chronic pharyngitis,so it is necessary to combine the three discrimination diagnosis and treatment of "physical constitution-disease differentiation-differentiation" in clinical treatment.2.This study shows that in patients with chronic pharyngitis,the most severe symptom is pharyngeal foreign body sensation,and the most severe pharyngeal mucosal morphological changes are pharyngeal mucosal hyperemia and lymphatic follicular hyperplasia,and pharyngeal foreign body sensation is positively correlated with pharyngeal lymphatic follicular hyperplasia and pharyngeal mucosal hypertrophy.3.Different constitutions have different effects on the four symptoms of pharyngeal foreign body sensation,pharyngeal dryness,pharyngeal itching,pharyngeal slight pain,and the degree of morphological changes of the pharyngeal mucosa,namely lymphatic follicular hyperplasia,pharyngeal mucosal hyperemia and pharyngeal mucosal hypertrophy,and the effects have certain regularities.The morphological changes of the pharyngeal mucosa are clinically easy to obtain and objectively specific manifestations of chronic pharyngitis,and the morphological changes of the pharyngeal mucosa of chronic pharyngitis are related to the constitution of traditional Chinese medicine,and the changes in the morphology of the pharyngeal mucosa can have a point to the traditional Chinese medicine constitution of chronic pharyngitis,which can reflect the characteristics of the constitution to a certain extent and serve as an index to judge the constitution.In clinical practice,preliminary physical constitution can be determined by the morphology of the pharyngeal mucosa. |
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