Epidemiological Investigation Of TCM Syndrome Distribution And Clinical Characteristics Of Cervical Spondylosis In Changchun

Objective: In order to understand the epidemiological characteristics of TCM syndrome distribution and clinical characteristics of patients with cervical spondylosis in Changchun area,To provide basis for standardized management of cervical spondylosis prevention and targeted diagnosis and treatment of traditional Chinese medicine in Changchun area.Methods: From October,2021 to October,2022,the questionnaire survey was used to objectively analyze the data of patients with cervical spondylosis diagnosed 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 Orthopedics Department 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 Orthopedics Department of the Third Clinical Hospital of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine,and the data that met the inclusion criteria were processed.The data that meet the inclusion criteria in the selected patients were processed.The basic situation of patients,the distribution of syndrome types and the characteristics of symptoms and signs were statistically analyzed.Results: A total of 848 completed questionnaires were distributed,and 623 qualified questionnaires were recovered.There are 195 males,accounting for 31.3% of the total number,and 428 females,accounting for 68.7% of the total number.The ratio of male to female is 1∶2.2,with more females than males.The patients aged from 41 to 60 are the most,accounting for 37.5% of the total number,of which the youngest is 21 years old and the oldest is 84 years old.The top three occupations of the survey population are financial personnel,company employees and administrative personnel.Cervical spondylotic radiculopathy is the most common,accounting for about 27.1% of the total number of patients.The most frequent symptom of patients is shoulder and back muscle stiffness.The occurrence rate of pain in the survey was 98.8%,and the visual pain simulation score of VAS pain was mainly below 6.The muscles involved in pain are levator scapulae and trapezius.The course of the disease is mainly about one month,and about 4%patients have a course of more than one year.The top three syndromes in TCM are qi stagnation and blood stasis,wind-cold-dampness and liver-kidney deficiency.The first three elements of TCM syndromes are qi stagnation,blood stasis and exogenous wind respectively.Qi deficiency and liver deficiency are more common in patients with positive deficiency,wind and blood stasis are more common in patients with pathogenic excess,and patients are mainly empirical.Among the six meridian types,there are more patients with sun type,shaoyang type and Taiyin type.Through binary multivariate logistic regression analysis,the dialectical points of common syndromes of cervical spondylosis in Changchun area are summarized:The correlation of common symptoms in patients with qi stagnation and blood stasis is in descending order,tingling > pain with fixed location > neck pain > stiff neck;The correlation of common symptoms in patients with wind-cold-dampness type is in descending order,and aversion to cold > fear of wind > headache > numbness of upper limbs;The correlation of common symptoms in patients with liver and kidney deficiency is in descending order,tinnitus or deafness > insomnia > dizziness > upper limb numbness.Conclusion:1、Women account for 68.7% of patients with cervical spondylosis in Changchun,and the onset age is mostly 41-60 years old.The form of professional work is mainly mental work.2、The main clinical feature of cervical spondylosis in Changchun is pain,and the course of most patients is less than one year.Therefore,in the treatment of cervical spondylosis in Changchun area,the main purpose can be to relieve short-term pain and improve the quality of life of patients.3、The TCM syndromes of cervical spondylosis in Changchun area are mostly empirical,and the pathogenic factors are mainly blood stasis and cold coagulation.Three yang is common in syndrome differentiation of six meridians.Traditional Chinese medicine(TCM)characteristic therapy is carried out for qi stagnation and blood stasis type,wind-cold-dampness type and liver-kidney deficiency type to improve the pertinence of treatment.