Primary Study On The Incidence Of Chronic Prostatitis And TCM Syndromes In Guangzhou Region

ObjectiveWith the continuous development of social civilization,people's awareness of their own health is constantly improving,and they also pay more attention to their health.Chronic prostatitis is a common disease in male patients,which seriously affects people's physical and mental health and normal daily life.There are many factors that cause chronic prostatitis.Today's social competition is becoming increasingly fierce.People are suffering from various stressful life pressures.Eating habits such as unhealthy diet,sedentary,staying up late,and irregular sexual life can cause chronic prostatitis.With the continuous research on chronic prostatitis,its complex pathogenesis factors have gradually gained a new understanding.Since ancient times,traditional Chinese medicine has also discussed chronic prostatitis.There are also regional differences in the classification and frequency distribution of TCM syndrome types.The Guangzhou area is located in the Lingnan area of China.It is located on the subtropical coast.It is a maritime subtropical monsoon climate with dense population.It is one of the most developed areas in China and is the southern gateway to the world since the reform and opening up,regardless of politics,economy,culture,etc.In the field,they all represent unique characteristics of the leading South.Through the outpatient clinic for the clinical investigation of patients with chronic prostatitis in Guangzhou,a database was established to explore the distribution frequency of TCM syndrome types and the correlation between related indicators and TCM syndrome types.It can provide relevant data reference for the treatment of chronic prostatitis in Lingnan area.Method:1.From April 2017 to January 2018,patients with chronic prostatitis were enrolled in the Department of Reproductive Medicine and Men's Outpatient Department of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine.335 cases of chronic prostatitis were screened according to inclusion criteria and exclusion criteria.2.Using the Microsoft Office Excel 2007 work table,the patient's age,educational background,the routine results of the prostatic fluid,the syndrome type and other information were recorded,and the corresponding data modules were established.3.Use Excel worksheet to analyze the frequency of the corresponding categories.4.Univariate logistic regression analysis of basic and composite syndromes was performed using stata12.0 software,followed by multivariate logistic regression analysis of statistically significant factors in univariate analysis.Results1.1.In this study,335 patients with chronic prostatitis in Guangzhou were investigated.There were 17 TCM syndromes and syndromes combination according to statistical analysis.Among them,175 cases(52.24%)were damp-heat accumulation syndrome+qi stagnation and blood stasis syndrome,43 cases(12.84%)were damp-heat accumulation syndrome+kidney-yang deficiency syndrome,and 26 cases(7.76%)were qi stagnation and blood stasis syndrome.19 cases(5.67%)were damp-heat accumulation syndrome,17 cases(5.07%)were damp-heat accumulation syndrome,11 cases(3.28%)were Yin deficiency and fire excess syndrome,7 cases(2.09%)were damp-heat accumulation syndrome+qi stagnation and blood stasis syndrome+kidney yang deficiency syndrome,7 cases(2.09%)were damp-heat accumulation syndrome+qi stagnation and blood stasis syndrome+liver-qi stagnation syndrome,7 cases(2.09%)were damp-heat accumulation syndrome+Yin deficiency and fire excess syndrome,7 cases(2.09%)were qi stagnation and blood stasis syndrome.Syndrome+liver qi stagnation syndrome in 7 cases(2.09%).There were 5 cases of kidney-yang deficiency syndrome(1.49%),4 cases of qi stagnation and blood stasis syndrome+kidney-yang deficiency syndrome(1.19%),2 cases of dampness-heat accumulation syndrome+liver-qi stagnation syndrome+spleen deficiency and dampness stagnation syndrome(0.6%),2 cases of dampness-heat accumulation syndrome+spleen deficiency and dampness stagnation syndrome(0.6%),1 case of dampness-heat accumulation syndrome+liver-qi stagnation syndrome(0.3%),1 case of dampness-heat accumulation syndrome+spleen deficiency and dampness stagnation syndrome+kidney-yang deficiency syndrome(0.3%).There were 1 cases of damp heat accumulation syndrome+Yin deficiency and fire excess syndrome+liver qi stagnation syndrome(0.3%).The distribution frequencies 'of the basic syndromes were 265 cases(43.44%)of damp-heat accumulation syndrome,226 cases(37.05%)of qi stagnation and blood stasis syndrome,60 cases(9.84%)of kidney-yang deficiency syndrome,19 cases(3.11%)of spleen deficiency and fire exuberance syndrome,and 18 cases(2.95%)of liver-qi stagnation syndrome.2.Multivariate stepwise logistic regression analysis showed that spicy diet and alcohol consumption were the main risk factors of damp-heat accumulation syndrome;sedentary work for more than 4 hours was the main risk factor of qi stagnation and blood stasis syndrome,but alcohol consumption was the protective factor of qi stagnation and blood stasis syndrome;40-50 years old and frequent masturbation were the main risk factors of kidney-yang deficiency syndrome.Risk factors;work pressure,no sex life are the main risk factors of Liver-qi stagnation;work pressure,cold diet are the main risk factors of spleen deficiency and dampness;staying up late is the main risk factors of yin deficiency and fire excess syndrome.Multivariate stepwise logistic regression analysis showed that age 40-50 years old was the main risk factor of Qi stagnation and blood stasis plus damp-heat accumulation syndrome;staying up late and eating cold were the main risk factors of damp-heat accumulation syndrome plus kidney-yang deficiency syndrome.Concusion1.Traditional Chinese medicine syndromes of chronic prostatitis in Guangzhou appear as complex syndromes or basic syndromes,most of which are complex syndromes,and mainly damp-heat accumulation syndrome plus qi stagnation and blood stasis syndrome,followed by damp-heat accumulation syndrome plus kidney-yang deficiency syndrome,while damp-heat accumulation syndrome and qi stagnation and blood stasis syndrome are the most common syndromes.2.Spicy diet,cold diet,drinking,sedentary working hours,frequent masturbation,work pressure,no sexual life,staying up late,age 40-50 years old and other factors are the main risk factors for TCM syndrome classification of chronic prostatitis.