Investigation On TCM Constitution Types Of Cervical Spondylosis Population In Changchun City

Objective:The characteristics of TCM constitution types of cervical spondylosis in Changchun urban area were explored in order to improve the pathological constitution of cervical spondylosis in clinical treatment,exert the unique advantages of TCM and prevent the occurrence of cervical spondylosis more effectively.Methods:In this paper,questionnaire survey is the main form,and online and offline collection methods are adopted to collect general information of patients.For example: gender,age,TCM constitution,etc.From October 2021 to October 2022,the patients diagnosed with cervical spondylosis in some communities within the administrative area of Changchun(including communities in five counties and cities outside Changchun)and the outpatients and inpatients with cervical spondylosis in the Department of Orthopedics of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine,the Tuina Department of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine and the Third Clinical Hospital of Changchun University of Traditional Chinese Medicine were selected for objective data analysis,and a total of 848 cases were collected.A total of 638 patients with cervical spondylosis were enrolled in the study,and 315 healthy people without cervical spondylosis who participated in the health examination in the same period were taken as the control.The subjects were identified by the guide of Classification and Judgment of TCM Constitution issued by the Chinese Society of Traditional Chinese Medicine.All the data were entered into SPSS24.0,and the measurement data were expressed by mean standard deviation.The correlation between TCM constitution classification and cervical spondylosis was analyzed by cross-table analysis and binary logistic regression model.Results:According to the analysis of the survey results,it is concluded that the middle-aged group and the elderly group in the cervical spondylosis group are the high incidence age groups,accounting for 42.6% and 26.8%,respectively.The top three clinical types of cervical spondylosis group were 197 cases(30.9%)of nerve root type,165 cases(25.9%)of vertebral artery type and 165 cases(25.9%)of cervical spondylosis.The percentages of the long-term couch potato,the wind-cold-dampness working environment,and the lack of physical exercise that were closely related to the occurrence of cervical spondylosis were47.3%,31.8%,and 43.9%,respectively.The proportions of the four constitutions of yang deficiency,phlegm dampness,blood stasis and idiosyncrasy in the cervical spondylosis group were [15%(96/638),16.1%(103/638),16.8%(107/638)and 5.2%(33/638)] higher than that in the health group and the differences were statistically significant(P < 0.05).The proportions of blood stasis and phlegm-dampness constitution in patients with cervical spondylosis of nerve root type were 26.4% and 24.4%,respectively.Yin deficiency and phlegm-dampness constitution accounted for 23% and 21.2% of the patients with cervical spondylosis of vertebral artery type,respectively.The proportions of Yang deficiency and Qi deficiency constitutions in patients with cervical spondylosis of cervical spondylosis are31.5% and 18.8%,respectively.The proportions of qi-stagnation and yin-deficiency constitutions in patients with sympathetic cervical spondylosis are 46.9% and 10.2%,respectively.The proportions of damp-heat constitution and intrinsic constitution in patients with cervical spondylotic myelopathy are 28.6% and 21.4%,respectively.Qi-deficiency constitution accounted for 20.8% of patients with cervical spondylosis of mixed type.Conclusion:1.The incidence of cervical spondylosis in Changchun urban district is high in the middle-aged and elderly patients,among which more women than men,and the number of people with mild cervical range of motion limited is in the majority.2.The long-term couch potato,cold-damp working environment,and lack of physical exercise in patients with cervical spondylosis in Changchun urban area are closely related to the occurrence of cervical spondylosis.3.The risk constitutions of patients with cervical spondylosis in Changchun urban district are yang deficiency,phlegm dampness,blood stasis and intrinsic constitution,respectively.4.Among the patients with cervical spondylosis in Changchun city proper,the nerve root type is closely related to blood stasis and phlegm-dampness constitution;the vertebral artery type is closely related to yin deficiency and phlegm-dampness constitution;the neck type is closely related to yang deficiency and qi deficiency constitution;the sympathetic nerve type is closely related to qi stagnation and yin deficiency constitution;the spinal cord type is closely related to damp heat and intrinsic constitution;and the mixed type is closely related to qi deficiency constitution.