Study On The Correlation Between The Characteristics Of TCM Syndromes And Psychological Status Of Anxiety And Depression In Patients With Diarrhea-Irritable Bowel Syndrome

Objective:Emotional factors play a very important role in the pathogenesis of diarrhea-predominant irritable bowel syndrome (IBS-D), the study of patients with diarrhea-predominant irritable bowel syndrome (IBS-D), general information and TCM designate the distribution pattern and the combination of Western medicine anxiety, depression and psychological scale method to explore the IBS-D patients generally, TCM syndrome study characteristics of anxiety, depression and psychological state of the relationship, and provide the basis for Chinese medicine treatment of IBS-D from the emotional.Methods:Met the inclusion and exclusion criteria,200patients with IBS-D patients, fill out the basic information, the general and the Zung Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). The resulting data to establish a database for statistical analysis.Results:1,200cases were collected in line, male72cases, female128cases, male to female ratio was1:1.78. Number of depression and anxiety state statistical results, no depression and anxiety state85cases (42.5%),38cases with depression,19%with anxiety50cases,25%, with27cases of depression and anxiety accounted for13.5%, of which the female patients were grouped more in men, so women were more likely than men with psychological state of anxiety and depression. A maximum duration of five years or more, and accompanied by anxiety, depression, mental state the highest proportion. Predisposing to poor emotional based. Prevalence ratio is the highest level of education and undergraduate college, followed by the high school or college, middle school, elementary school and below, college degree or above with anxiety, depression, mental state and more educated than other numbers. Occupational distribution of commercial and service personnel, followed by the administrative and management personnel, professional and technical personnel. Illness accounted for the proportion of work intensity, followed by general pressure, relaxed, the greater the intensity of the higher prevalence of work, and with anxiety, the more the number of depressive symptoms.2, IBS-D syndromes are divided into87cases of liver depression and spleen deficiency syndrome (43.5%), spleen and stomach certificate (26.0%), spleen deficiency syndrome28cases (14.0%), cold trapped Spleen23cases (11.5%) and heat block card10cases (5.0%).3,200patients without depression,83cases,65cases of mild depression, moderate depression,41cases,11cases of severe, by statistical analysis IBS-D and mild depression related (P<0.01). TCM spleen deficiency in liver of patients with depression most associated with depression (P <0.O1). 4,200patients without anxiety disorders in81cases,69cases of mild anxiety, moderate anxiety37cases, and severe in13cases. The statistical analysis of IBS-D and mild anxiety-related (P <0.01). Liver spleen deficiency syndromes in patients with anxiety symptoms, followed by the spleen and stomach evidence, the statistical analysis of liver and spleen and stomach spleen deficiency syndrome and anxiety disorders related (P<0.01).Conclusion:IBS-D patients generally, such as gender, age, education, monthly income, occupation, duration are affecting the patient’s anxiety and depression mental state. Emotional factors in the pathogenesis of IBS-D objective existence, especially liver depression and spleen deficiency syndrome patients, emotional factors of this disease specific performance anxiety and depression.