Analysis On Distribution Law And Relative Factors Of Traditional Chinese Medical Syndrome Element For Elderly With Mild Cognitive Impairment In Fuzhou Communities

Objective:The purpose of this study was to explore the Characteristics of traditional Chinese medicine(TCM)Syndrome Element of elderly people with mild cognitive impairment in Fuzhou area,and to study the correction between disease syndrome element and influence factors.In order to provide the theory basis for the feature of syndrome element about mild cognitive impairment,and the better clinical prevention and treatment of mild cognitive impairment.Methods:Using the differentiation of syndrome element,to calculate the syndrome element frequency and diagnosis of severity for 306 cases of mild cognitive impairment patients in Fuzhou area,using descriptive statistics,chi-square test,rank-sum test to analyze the distributive feature of syndrome element about mild cognitive impairment and its correlation with influence factors of mild cognitive impairment.Results:1.The Characteristics of TCM Syndrome Element of elderly people with mild cognitive impairment:the main locations is given priority to with liver(150,49.02%),kidney(148,48.37%),then followed by heart(95,31.05%),brain(62,20.26%),gallbladder(57,18.63%);Yang deficiency(177,57.84%),blood deficiency(170,55.56%),Yin deficiency(164,53.59%),qi deficiency(156,50.98%)are main in deficiency syndrome;while phlegm(103,33.66%),qi stagnation(100,32.68%),dampness(70,22.88%),hot(41,13.40%)are the main syndrome elements in excess syndrome.2.The relationship between syndrome elements and gender:female's liver,kidney,heart syndrome elements appear more frequently than male(P<0.05);The diagnosis of the severity of heart syndrome elements,female are low in mild frequency than male,moderate and severe frequency are higher(P<0.05).3.The relationship between syndrome elements and age:the frequently of Yang deficiency,blood deficiency,Yin deficiency,qi deficiency excess syndrome elements in 70 years old and above 70 years old is significantly higher than 60 to 69 years old elderly people with mild cognitive impairment(P<0.05);The diagnosis of the severity of Yang deficiency syndrome elements,60 to 69 years old elderly with mild cognitive impairment are higher in mild and moderate frequency than 70 years old and above 70 years old elderly people with mild cognitive impairment,severe frequency are lower(P<0.05).The diagnosis of the severity of blood deficiency syndrome elements,60 to 69 years old elderly with mild cognitive impairment are higher in mild frequency than 70 years old and above 70 years old elderly people with mild cognitive impairment,moderate and severe frequency are lower(P<0.05).4.The relationship between syndrome elements and smoking behavior:the frequently of blood deficiency and qi deficiency excess syndrome elements in elderly people without smoking behavior is significantly higher than mild cognitive impairment elderly with smoking drinking behavior(P<0.05).5.The relationship between syndrome elements and drinking behavior:the diagnosis of the severity of liver syndrome elements,the elderly people with drinking behavior are lower in mild frequency than elderly without smoking drinking behavior,moderate and severe frequency are higher(P<0.05);The diagnosis of the severity of qi deficiency syndrome elements,the elderly people with drinking behavior are higher in mild frequency than elderly without smoking drinking behavior,moderate and severe frequency are lower(P<0.05).6.The relationship between syndrome elements and family history of dementia:About syndrome elements of elderly people with mild cognitive impairment,there have no significant difference between dementia in family history and without dementia in family history(P>0.05).7.The relationship between syndrome elements and hypertension history:the diagnosis of the severity of Yin deficiency syndrome elements,the elderly people with hypertension history are higher in mild frequency than the elderly people without hypertension history,moderate and severe frequency are lower(P<0.05).8.The relationship between syndrome elements and regular exercise:compare to patient who exercised regular,the kidney,heart,brain,Yang deficiency,blood deficiency and qi deficiency syndrome elements appear more frequently in patient who did not exercise(P<0.05).9.The relationship between syndrome elements and professional way:compare to mental worker,manual worker's Yang deficiency syndrome elements appear more frequently(P<0.05);The diagnosis of the severity of gallbladder and qi stagnation syndrome elements,manual worker are higher in moderate and severe frequency than from mental worker,mild frequency are lower(P<0.05).Conclusions:1.The main location of the elderly with mild cognitive impairment involved liver,kidney,heart,brain,gallbladder.Yang deficiency,blood deficiency,Yin deficiency,qi deficiency,phlegm,qi stagnation,dampness,hot are the main nature of disease.2.To a certain extent,the characteristics of traditional Chinese medical syndrome element of elderly people with mild cognitive impairment have relation to gender,age,smoking behavior,drinking behavior,history of hypertension,regular exercise and professional way.