| ObjectiveBased on 104 cases of Chronic colitis patients of inducing factors,degree of abdominal pain and abdominal distension,diarrhea,the nature of diarrhea,the presence of mucus pus and blood stool,and the main clinical symptoms.The clinical syndrome classification and distribution characteristics of chronic colitis were summarized and the value and significance of clinical syndrome differentiation and treatment of chronic colitis were analyzed and discussed in order to provide certain reference basis for clinical treatment of chronic colitis syndrome.MethodsAccording to the diagnostic standard of chronic colitis,with 104 cases of chronic colitis cases,collecting a total of 104 cases of the chronic colitis patients at the gastroenteroscopy room of the first affiliated hospital of Guangzhou University of traditional Chinese Medicine and the outpatient service department.According to the diagnostic cases evidence type,and to statistics of cases of symptoms,set up the database,The original data were sorted out with Microsoft Excel and database were set up,which was converted into a standard database supported by SPSS17.0 and other statistical software.The clinical syndromes of chronic colitis patients were analyzed by descriptive statistics,and the sex and age of the patients were obtained.The results of the distribution of syndromes such as the duration of the disease and the time of the disease,and the related frequency analysis,etc.,and the use of factor analysis to analyze and summarize the symptoms and signs of each syndrome type of chronic colitis patients,The recurrent symptoms and the symptoms with frequency less than 10% were deleted.The number of factors with factor rotation characteristic root ? 1 was used to classify the common factors after rotation and the final clinical syndrome classification of chronic colitis was obtained.ResultsIn this study,based on gender classification,in which 57 cases of male patients,47 cases of female patients,accounted for 54.8%,45.2% respectively.This study into the age range of 17-81 years,more than 81 years of age and less than 17 year old excluded,the number and rate of the respectively.The number and proportion of 2 cases under 20 years of age were 1.9%,12 cases were from 21 to 30 years of age were 11.5%,21 cases from 31 to 40 years old were 20.2%,21 cases from 41 to 50 years of age were 20.2%,26 cases from 51 to 60 years old were 25.0%,19 cases from 61 to 70 years of age were 18.3%,there are 2 cases from 71 to 80 years of age were 1.9% and 1 case is over 80 years of age were 1.0%.The present study shows that the proportion of the duration of chronic colitis is 75 cases of 72.12% in 0-5 years and 16 cases of 15.38% in 5-10 years,10 cases of 9.62% from 10-15 years,and 3 cases of 2.88% from more than 15 years.And the common inducing factors of chronic colitis were also investigated in this study,the total number of patients with predisposing factors was 85,accounting for 81.73%,of which 48 were male,accounting for 46.15% of the total number of cases,37 cases of female patients,accounted for 35.58% of the total cases,statistics in accordance with the common causative factors,including improper diet(25 cases,24.04%),eating unclean(22 cases,21.15%),fatigue(21 cases,20.19%),poor emotion(16 cases,15.38%),exogenous factors(16 cases,15.38%).The predisposing factors of more than two kinds of a total of 15 cases,accounting for the total number of cases of chronic colitis 14.42%.Main clinical symptoms,classified according to the daily number of diarrhea: less than 3 times a day(40 cases,38.46%),Three to six times a day(28 cases,26.92%),and more than 7 times a day(3 cases,2.88%).They were classified according to the severity of abdominal pain: mild,faint pain,occasional occurrence(46 cases,44.23%),mild pain or flatulence,several times a day(47 cases,45.19%),and severe pain or colic(2 cases,1.92%).Recurrent episodes of abdominal distension were classified according to the severity of abdominal distension:occasional abdominal distension or after eating(55 cases,52.88%),severe abdominal distension and abdominal distension up to about 6 hours a day or above(14 cases,13.46%),abdominal distension or distension as drum(2 cases,1.92%),according to Classification of the amount of blood stool:a small amount of purulent stool(14 cases,13.46%),septic stool(3 cases,2.88%),all sepsis,(2 cases,1.92%),according to the amount of mucus,a small amount of mucus(12 cases,11.54%),a lot of mucus(3 cases,2.88%),all mucus(2 cases,1.92%),according to the severity of the disease,occasional symptoms(19 cases,18.27%),diarrhea accompanied(12cases,11.54%),persistent dilatation(4 cases,3.85%).The distribution of clinical syndromes was as follows: 32 cases of large intestine damp-heat type,30.77% of the total cases;16 cases of spleen and stomach weakness type,15.38% of the total cases;24 cases of liver stagnation and spleen deficiency type,23.08% of the total cases;11 cases of cold dampness and spleen type,10.58% of the total cases;13 cases of deficiency of spleen and kidney yang,12.50% of the total cases;8 cases of qi stagnation and blood stasis,7.69% of the total cases.The proportion of the above syndromes was: large intestine damp-heat syndrome(30.77%)> liver dampness and spleen deficiency syndrome(23.08%)>spleen and stomach deficiency syndrome(15.38%)>Deficiency of Kidney Yang(12.50%)> Cold and dampness in spleen(10.58%)> Qi-stagnation and Blood stasis(7.69%).After the data of 104 cases were collected and statistically analyzed,there were 6 clinical syndromes in the chronic colitis patients collected in this study,among which the syndrome of large intestine dampness and heat and liver stagnation and spleen deficiency were the most.The main clinical symptoms of large intestine damp-heat syndrome are mild abdominal pain,slight pain or flatulence,occasional abdominal distension or abdominal distension,occasional or frequent anal burning,severe acute and severe urination,yellowish or yellowish urine.In addition,diarrhea occurs 3-6 times a day and less than 3 times a day.Loose stools often occur,followed by severe diarrhea,a slight decrease in diet,and a small amount of pus.Stool stiff knot.Tongue appearance for the tongue red,yellow,greasy tongue coating or thin yellow,pulse smooth number.The main inducing factors of spleen and stomach weakness syndrome are disordered diet,exogenous factors,overwork,its main clinical symptoms are mental burnout,abdominal pain or flatulence,occasionally abdominal distension or post-eating abdominal distension,diet decrease,diarrhea less than 3 times a day,belching,Dizziness,loose stools.No anal burning,yellow red urine,abdominal pain,cold cold,and other symptoms.Tongue appearance for light white tongue,thin white fur,fine veins.The main clinical symptoms of liver stagnation and spleen deficiency syndrome are diarrhea less than 3 times a day or 3 to 6 times a day,abdominal pain occurs occasionally or frequently,abdominal pain is mild or distended,and occasionally abdominal distension or abdominal distension after eating.Chest and flare occasionally swell pain or emotional fluctuations,a small amount of mucus,purulent stool,mental burnout,anxious after heavy,dizziness occasionally or often occur.Tongue appearance for light white,thin white fur,pulse string or fine.The main clinical symptoms of cold dampness and spleen syndrome are occasional abdominal distension or after eating abdominal distension,diarrhea is less than 3 times a day,abdominal cold pain is slight,occasional occurrence,mental burnout.At the same time,it can be seen that abdominal cold pain is more frequent,diet is reduced,stool is rare and loose,Mild abdominal pain,also see stool hard,early in the morning waist acid,beating can stop,chest occasionally bilge pain,pus blood stool,acute and heavy.Tongue appearance is light white,tongue coating white smooth,pulse moisten slow.The main clinical symptoms of Spleen-Kidney Yang deficiency syndrome are as follows: starting from the waist and acid in the morning,beating can stop,often afraid of cold or cold cold and unwarm in winter,mental burnout,slight abdominal pain,subtle pain,occasionally abdominal distension or post-eating abdominal distension.The main inducing factors were overwork,diet reduction,dizziness,abdominal pain or flatulence,a small amount of purulent blood stool,diarrhea 3-6 times a day,waist and knee weakness and other symptoms.The main clinical symptoms of qi stagnation and blood stasis syndrome were abdominal pain,slight pain,occasional pain in chest and flank,diarrhea 3-6 times a day,occasionally abdominal distension or abdominal distension,diet decrease,mucus mainly,Mainly induced by unclean diet.At the same time you can see abdominal dull pain or distended pain,loose stool,abdominal distension or abdominal distension such as drum all day,every time when the mood fluctuates,the chest and flank swell pain.The tongue picture shows as the tongue is blue and purple,the tongue coating is thin and yellow,and the veins are chord.The results of factor analysis divide the syndrome of chronic colitis into six categories.The first type is large intestine dampness and heat,and its main symptoms are: purulent blood stool,mucus stool,diarrhea,big constipation knot,yellow and greasy tongue coating.Its main symptoms are: diarrhea,abdominal cold pain,purulent blood stool,mucus stool,limb burnout,dizziness,white tongue coating,slow pulse.The third syndrome type is liver depression and spleen dampness accumulation,its main symptoms are: abdominal pain is mild,abdominal pain is diarrhea,chest and flanking pain,The fourth syndrome type is Qi stagnation and blood stasis,its main disease is: a small amount of pus blood,mucus stool,abdominal pain or colic,abdominal distension,purplish tongue.The fifth syndrome type is spleen and kidney yang deficiency,its main symptoms are: diarrhea,cold cold limbs,waist acid,tongue coating white and smooth,fine pulse.The sixth syndrome type is weak spleen and stomach,its main symptom is: loose stools.Diet reduced,belching less than 4 times a day,pulse fine.ConclusionThe data of 104 cases of chronic colitis collected in this study were analyzed and discussed.The high incidence of chronic colitis was concentrated in 31-60 years old,among which 51-60 years old patients were the most.The course of disease was mainly concentrated in 0-5 years,and the most common inducing factors were diet,followed by unclean diet.At the same time,the results showed that,in patients with chronic colitis,diarrhea occurred more often every day.The severity of abdominal distension was severe,and the degree of abdominal pain was moderate.Most of the patients showed the symptoms of acute and severe,mucous pus and blood stool,while a few patients also showed the symptoms of sepsis.Other clinical manifestations such as abdominal pain,diarrhea,loose stool,chest and flank pain,anal burning,urinating yellow red,fatigue,body burnout,diet reduction,waist and knee weakness,cold cold limbs,dizziness,Belching and other clinical symptoms can appear.Combined with the case data in this study,the clinical symptoms of the patients were analyzed.The results show that the clinical manifestations of chronic colitis may include large intestine dampness and heat,cold and dampness to the spleen,qi stagnation and blood stasis,as well as deficiency of spleen and stomach,liver stagnation and spleen deficiency.At the same time,there may also be patients with deficiency and solid inclusion,mainly involving the viscera,which can provide a certain reference basis for the prevention,diagnosis and treatment of the disease in traditional Chinese medicine,and grasp the principal contradictions in the various clinical manifestations to be treated by differentiation of symptoms and signs as a whole.In order to enhance the patient's resistance,reduce the incidence and recurrence rate,improve the clinical cure rate and the quality of life of the patients. |
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