Study On Relevant Factors Of Hemorrhoids In Mongolian Population And Distribution And Relevance Of Mongolian Medical Syndrome Types

Objective To study and determine the related factors of hemorrhoids in Mongolian population,and lay a foundation for the etiology study of hemorrhoids in Mongolian population.To analyze the distribution of Mongolian medical syndrome types of Mongolian hemorrhoid patients,in order to guide the clinical treatment and prevention.In order to provide objective,comprehensive and scientific guidance for the individual prevention and treatment of hemorrhoids in Mongolian population,the correlation between hemorrhoids related factors and Mongolian medical syndrome type was determined.Methods This study adopts Case-control method,the Mongolian hemorrhoids patients who met the inclusion criteria in the target hospital from January 2019 to December 2019 were included in the case group(hemorrhoid group),and the hospitals and Mongolian gathering communities in the same period were included in the case group(hemorrhoid group).The Mongolian non hemorrhoid people who met the inclusion criteria in the health examination center were taken as the control group from January to December in 2019.Face to face investigation was carried out on the identified respondents.The investigators filled in the questionnaire on related factors of hemorrhoids of Mongolian ethnic group and the questionnaire on Mongolian medical syndrome type of hemorrhoids patients.The anal and intestinal doctors of each hospital screened the questionnaire and excluded the invalid form.The Mongolian medical syndrome type was judged by the research expert group and summarized the distribution rule.Two tests were used in the composition ratio,and multivariate logistic regression was used to analyze the correlation between the related factors and Mongolian medicine syndrome types.Results The results of this study showed that age,occupation,fat,glycerine andgreasy food,spicy and fishy mutton food 17 factors,such as intake of fruits and vegetables,intake of fried rice,drinking water(ML),stool shape and quality,time to go to the toilet every time,daily sitting time,daily standing time,exercise,frequency of anal cleaning,smoking history,drinking history,mental tension,psychological pressure,and history of hemorrhoids in the immediate family,were statistically significant(P < 0.05).In the study,310 cases were hemorrhoid group and 308 cases were control group,among which 15 cases(4.8%),115 cases(37.1%),97 cases(31.3%),17 cases(5.5%),34 cases(11.0%)and 32 cases(10.3%)were hemorrhoids of hemorrhoid group.The related factors of different Mongolian medical syndrome types are also different,among which the Mongolian hemorrhoid patients who often eat fatty,greasy and spicy food,smoking and drinking are more likely to be classified as Sheila hemorrhoids;the time of going to the toilet for more than 10 minutes each time is the risk factor of hoyi hemorrhoids;the direct relatives who have the history of hemorrhoids are the common risk factors of Sheila hemorrhoids,hoyi hemorrhoids and Bada dry hemorrhoids.Conclusion The risk factors of hemorrhoids in Mongolian people include age(28-57),occupation(driver,teacher,civil servant),regular eating of fatty and greasy food,frequent eating of spicy and fishy food,dry and hard stool or loose stool,toilet time >10 minutes each time,daily end sitting time > 6 hours,daily standing time > 6 hours,smoking,drinking,and high stress,the direct relatives have a history of hemorrhoids,while regular vegetables and fruits,regular intake of fried rice,daily drinking water volume > 1000 ml,proper exercise,and cleaning the anus 2-7 times a week are the protective factors to prevent the occurrence of hemorrhoids.It was also found that 115cases(37.1%)of hemorrhoids of Sheila type and 97 cases(31.3%)of hemorrhoids of Heyi type were the main types of syndrome differentiation in Mongolian medicine.The Mongolian hemorrhoids patients who often eat fatty,greasy and pungent food,smoke and drink are more likely to be classified as hierar hemorrhoids;the Mongolian hemorrhoids patients who spend more than 10 minutes in toilet every time are more likely to be classified as Heyi hemorrhoids;the Mongolian hemorrhoids patients whose immediate relatives have a history of hemorrhoids are more likely to beclassified as hierar hemorrhoids,Heyi hemorrhoids and badakan hemorrhoids.Mongolian hemorrhoids patients should be instructed to eat light diet as much as possible,and do not smoke or drink alcohol when they are differentiated as Sheila hemorrhoids;patients should be instructed to defecate within 10 minutes each time when they are classified as Hei hemorrhoids;patients who are classified as Sheila hemorrhoids,Hei hemorrhoids and badagan hemorrhoids should pay attention to the influence of genetic factors.