| Objective: Investigation on the distribution of traditional Chinese medical syndromes in patients with functional constipation and commom cause, to further guide the clinical reasonable medication and improve the effect of treatment of funcational constipation.Methods: The survey guided by the theory of traditional Chinese medical, we established a more perfect functional constipation questionnaire, which is based on a large amount of literature, refered to functional gastrointestinal disease specialist, according to more commonly used clinical dialectical typing of constipation. We takes the Rome III criteria of functional constipation as the inclusion criteria, in the community clinic and large-scale integrated public lecture activities, such as through oral questioning, according to the standard preliminary screening out, then fill out a form,collect information,end up with 184 cases of patients with functional constipation.then fill out a form and collating of data.finally got comform to the standard of 184 patients with functional constipation. Questionnaire survey was conducted on 184 patients, finished the questionnaire, according to China′s division standard on age, patients can be divided into youth group, middle-aged group, and older age-group. Using the SPSS 17.0 statistical software to deal with common etiology, symptom, Chinese traditional medical syndrome of functional constipation.Results:1 Age: 184 cause of constipation patients, male 63 cases, accounting for 34.23% of the total; female 121 cases, accounting for 65.76% of the total. The male to the female ratio of 1:1.9. Male patients′average age was 56.32±13.56, femal patients′average age was 47.97±12.53, the average of the male than female patients, P<0.05, difference are stasistically significant.2 Career: The case of constipation patients with retiree is 56, accounted for 30.43%. The case of workers is 34, accounted for18.47%. The case of cadres is 32, accounted for17.39%. The case of freelancers is 24, accounted for13.04%. The case of Teachers is 18, accounted for 9.78%. The case of students10, accounted for 5.43%. The case of Patients with professional is10, accounted for 5.43%.3 Cause: youth group, a common cause of water quantity is little, spicy, eating disorders, inhibition of defecation, defecate is not focus on patients was significancy higher than elderly group patients, P<0.005, difference are stasistically significant, including spicy, irregular diet reduced with the increase of age, P<0.005, difference are stasistically significant. Elderly group compared with young and middle-aged group, the number of patients who have less food intake and using laxatives significantly increased, the number of patients who have fatty food and the pressures of live and work significantly decreased. Lack of dietary fiber intake, exercise less, there was no significant difference in the three groups.4 Bowel symptoms: defecation difficulties, 169 cases(91.84%), followed by is laborious, 161 cases(87.50%), defecate is not a net 157 cases(85.32%), stool frequency reduction(> 2 days) and bowel movement cycle extended 135 cases(73.36%) patients, the anus or lower abdominal blocked 63 cases(34.23%). Dry stool, 95 cases(51.63%), no meaning is 15 cases(8.15%).5 Accompany symptoms: 184 patients with constipation results showed: 130 cases of abdominal distension(70.65%), 96 cases of dry mouth(52.17%), 93 cases of lack of power(50.54%), 88 cases of the stomach bilges(47.97%), 86 cases of mouth odor(46.73%), 71 cases of dreaminess(38.58%), 68 cases of belching(36.95%), 65 cases of loss of appetite(35.32%), 63 cases of nerves or irritable(34.23%), 57 cases of cold limbs(30.97%), 56 cases of exhaust more(30.43%), the above symptoms as the main accompanying symptoms of functional constipation.6 Syndrome distribution: 184 patients with constipation syndromes statistic results show that: 99 cases of pure syndrome during the all patients of functional constipation, accounting for 53.80% of the total, composite syndrome in 85 cases, accounting for 46.20% of the total. The cases of intestinal and qi stagnation syndrome is most, up to 126 cases(68.47%), followed by the temper of the lung deficiency syndrome is 74 cases(40.21%). More men than women on intestines solid heat syndromes, on the other four kinds of symptoms were less than women. P < 0.005, difference are stasistically significant. Composite card type: In composite card type, the youth is given priority to with intestinal solid heat syndromes+ Intestinal and qi stagnation syndrome, the proportion is 21.95%. In the elderly group is given priority to with Intestinal and qi stagnation syndrome + lung spleen deficiency and qi stagnation syndrome, the proportion respectively is 22.22% and 21.12%.7 Syndrome and age distribution: youth group syndrome distribution is intestinal and qi stagnation syndrome > The intestinal solid heat syndromes > Lung deficiency syndrome temper > Jin kui blood less> spleen kidney Yang deficiency syndrome. Middle-aged group syndrome distribution is intestinal and qi stagnation syndrome > lung and spleen deficiency syndrome > spleen kidney Yang deficiency syndrome > intestinal real hot > jin kui less blood syndrome. Elderly group syndrome distribution regularity for intestinal and qi stagnation syndrome > lung and spleen deficiency syndrome > spleen kidney Yang deficiency syndrome > intestinal real hot > jin kui less blood syndrome. Three groups in most patients with intestinal and qi stagnation syndrome. Young group compared with the elderly group, Solid heat syndromes significantly reduced, but the spleen and kidney Yang deficiency syndrome increased significantly,P < 0.0125, difference are stasistically significant. Elderly group compared with the young and middle-aged group,Lung deficiency syndrome temper increased significantly, P<0.0125, difference are stasistically significant. Intestinal blood and qi stagnation syndrome, jin kui less card has no obvious difference between three groups, P>0.05,no statistical significance.8 Purge method: the investigation shows that used the purge way with laxatives, open and dew, eat more fruits and vegetables, and technique supplementary, on a total of four ways. 176 cases of eat more fruits, vegetables, accounting for 95.65%. 82 cases of using laxatives, accounting for 44.56%. 25 cases of using kaiselu, accounting for 13.58%. 7 cases of the technique supplementary, accounting for 3.80%.9 Diagnosis: the survey found that the patients who oneself went to a chemist’s shop to buy stimulant laxative is 123 cases(66.84%), followed by community clinics is 46 cases(25.00%), individual clinic is 24 people(13.04%), hospital 17(9.23%).Conclusions:1 The survey found that there are gender differences, age difference.2 The survey found that the leading causes of functional constipation patients with Different age paragraph are different.3 The survey found that patients with functional constipation most are intestinal and qi stagnation syndrome.4 The survey found that patients with functional constipation lacks of understanding of the dangers of constipation, there is goes to normal hospital number less and abuse of laxatives. |
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