Study On The Distribution And Correlation Of Risk Factors And TCM Syndrome Types In Patients With Perianal Eczema

Objective Investigation and research have summarized the risk factors of patients with perianal eczema and the distribution of TCM syndromes and their correlation.Understanding the relevant risk factors of patients with perianal eczema will provide a scientific basis for future research on the etiology of perianal eczema and its prevention,so as to provide a reference basis for individualized prevention and treatment strategies for perianal eczema and the development of new drugs.Analyze the distribution law of TCM syndrome types of perianal eczema,and provide reference basis for TCM treatment of patients with perianal eczema.Summarize the correlation between the risk factors of perianal eczema and TCM syndromes,and provide targeted health education on the care and treatment of perianal eczema.Methods This study uses the methods of clinical epidemiological investigation and research,based on the"Clinical Diagnosis and Treatment Guidelines-Dermatology and Venereal Diseases"compiled by the Chinese Medical Association in 2006^[1]and the"Diagnosis and Treatment of Common Diseases in the Anorectal Department of Traditional Chinese Medicine"published by the Chinese Society of Chinese Medicine in 2012."Guide"^[2]Develop a unified questionnaire on related factors of patients with perianal eczema（Annex 1）and a questionnaire on TCM syndromes of patients with perianal eczema（Annex 2）,and collect 207 cases of perianal eczema that meet the inclusion criteria in the target hospital A clinical questionnaire survey was conducted on patients,and the distribution of TCM syndromes and related risk factors of perianal eczema were counted.Result The results of this study indicate occupations,eating fat,sweet and greasy foods,eating spicy and stimulating foods,intake of fruits and vegetables,breaking the three-meal rule（overeating）,water consumption,sleep quality,exercise status,frequency of cleaning the anus,replacement A total of 17 factors including the frequency of personal clothing,smoking history,drinking history,psychological stress,history of anorectal diseases,history of allergies,genetic factors,and body mass index are related to perianal eczema,and the difference is statistically significant（P<0.05）.Collected by the study CCP 207 cases of perianal eczema,of which the distribution of TCM syndromes was 106 cases of spleen deficiency and dampness accumulation syndrome,accounting for 51.2%of the total number of investigations;66 cases of damp-heat betting syndrome,accounting for 31.9%of the total number of investigations;35 cases of blood deficiency and wind-dryness syndrome,Accounting for 16.9%of the total survey.The factors associated with different TCM syndrome types are also different.Among them,patients with perianal eczema who often eat fatty glycerin,spicy food,and drink alcohol are more syndromes of damp-heat betting type;break three meals Regularity（overeating and overeating）,psychological stress,and sleep quality are the risk factors for the syndrome of spleen deficiency and dampness;eating spicy food,smoking,and psychological stress are risk factors for the syndrome of blood deficiency and wind dryness.Conclusion The risk factors for perianal eczema include occupation,eating fat,sweet and greasy foods,eating spicy and stimulating foods,intake of fruits and vegetables,breaking the three-meal rule（overeating）,water intake,quality of sleep,exercise status,and cleaning the anus Frequency,frequency of changing close-fitting clothing,smoking history,drinking history,psychological stress,history of anorectal diseases,history of allergies,genetic factors,body mass index;the study also found that 106 cases of perianal eczema were based on the syndrome of spleen deficiency and dampness accumulation（51.2）.%),66 cases（31.9%）of damp-heat betting card.Patients with perianal eczema who frequently eat fat,sweet,thick and greasy foods,spicy foods,and drinking alcohol are more often diagnosed as damp-heat betting;patients with perianal eczema who break the three-meal rule（overeating）,psychological stress,and poor sleep quality are more likely to be The syndrome differentiation is the syndrome of spleen deficiency and dampness accumulation;when the patients with perianal eczema syndrome differentiation is the damp-heat betting syndrome,try to eat lightly and not drink alcohol;when the syndrome is syndrome differentiation of spleen deficiency and dampness accumulation syndrome,pay attention to psychological counseling,control diet,and avoid staying up late;especially for patients with this disease Pay attention to the influence of history of allergies,genetic factors,and history of anorectal diseases.