The Correlation Between Intestinal Bubble Cleanliness And TCM Constitution In Colonoscopy

ObjectiveColonoscopy is one of the important methods to screen for colorectal tumors,but during the examination,it was found that some patients still had more bubbles adhered to the intestinal wall,which affected the visual field and caused missed diagnosis.Through clinical observation,we found that patients with colonic bubble remnants are mostly qi depression in TCM constitutions,with anxiety,but lack of detailed record analysis.By investigating the correlation between the cleanliness of intestinal bubbles during colonoscopy,TCM constitution,early intervention will help improve the quality of intestinal preparation and the detection rate of lesions,and save examination time.MethodsA total of 302 patients who underwent colonoscopy at the Digestive Endoscopy Center of Guangdong Provincial Hospital of Chinese Medicine were collected through questionnaires to collect general information,TCM physique classification and assessment scale,anxiety and depression score assessment,etc.During the operation,the physician recorded intestinal bubbles and BBPS score.The data were input and reviewed,and statistical analysis was performed with SPSS 22.0 software to explore the relationship between intestinal bubble cleanliness and TCM constitution.ResultsAmong the 302 patients examined,there were 145 in the few intestinal bubbles group and 157 in the mutiple intestinal bubbles group.There was no difference in gender,age,BMI,education level,and smoking and drinking history between the two groups.There were 175 subjects who were satisfied with bowel preparation.There is no heterogeneity in the degree of anxiety of different genders;the average anxiety standard of the young group is 40.11± 7.96 points,the middle-aged group is 42.60 ± 8.91 points,and the elderly group is 43.69 ± 8.17 points,which is statistically significant(P<0.05).Gentleness constitution(36.64±6.11 points)was statistically significant compared with the standard score of anxiety for biased constitution(P<0.01);Qi-depression constitution(45.86 ± 8.46 points)was statistically significant compared with the anxiety standard score for the non-qi-depression constitution(P<0.01).The distribution of TCM constitutions with different intestinal bubbles was different.There were 75 cases of Qi-depression constitution in the mutiple bubbles group and 27 cases in the few bubbles group,which was statistically significant between the groups(P<0.01).There were 22 cases of yang-deficiency constitution in the mutiple bubbles group and 40 cases in the few bubbles group,which was statistically significant(P<0.01).The standard score of anxiety of the mutiple bubbles group was 40.29±8.03 points,and the few bubbles group was:43.54 ± 8.73 points,which is statistically significant(P<0.01);BBPS score of the few bubbles group is 6.83 ± 1.41 points,and the mutiple bubbles group is 5.74±1.08 points,which is statistically significant(P<0.01);the the bubble score in left intestine segment was 0.93+0.62 points;the middle was 1.14 ± 0.72 points and the right was 1.52 ± 0.84 points,which was statistically significant(P<0.01);but the depression of patients with different intestinal bubbles was not statistically significant.ConclusionThe degree of intestinal bubbles has nothing to do with gender,age,BMI,education,smoking and drinking history and other general conditions.There is still a need to improve satisfaction with bowel preparation.Anxiety is related to age and TCM constitution.Among them,older people have a higher anxiety tendency;anxiety tends to occur in biased.constitutions,and qi-depression constitution has a higher anxiety tendency.The degree of intestinal bubbles differed from the distribution of TCM constitution,anxiety,and BBPS score.There are differences in bubble scores in different intestinal segments.Among them,the group with more bubbles had more qi-depression constitution than the group with few bubbles,and the group with few bubbles had more yang-deficiency constitution than the group with mutiple bubbles.The intestinal bubbles were more and the anxiety tendency was more obvious.Therefore,it is proposed that the improvement of intestinal bubble clearance rate,intestinal preparation quality and satisfaction should intervene in human populations in advance to relieve anxiety.When evaluating the quality of intestinal preparation,a bubble assessment should be added to the BBPS score,which is more comprehensive.