Correlation analysis between emotional factors and irritable bowel syndrome

doi:10.3877/cma.j.issn.2095-655X.2018.04.008

Abstract

Abstract:

Objective

Study on the relationship between irritable bowel syndrome (IBS) and emotional factors.

Methods

A total of 1 085 patients with IBS treated in 5 hospitals including Shanxi Hospital of Traditional Chinese Medicine from April 2016 to November 2017 were enrolled. Emotional performances in patients with IBS were evaluated by Qiqing Assessment Scale (QAS) and the relationship between IBS patients and Qiqing was analyzed.

Results

In this study, the QAS score of Kong (23.26 ± 2.66) was the highest. The types of IBS were associated with emotional factors(χ²=217.18, P<0.01). Patients with diarrheal IBS had higher scores of Kong (23.82±2.59) and Jing (23.26±2.43) than those of other types (F=37.58, 20.24, all P<0.01). The scores of Si (21.54±1.74) and You (21.50±2.10) in constipated IBS patients were higher than those in other patients (F=51.29, 17.33, all P<0.01). The types of IBS were associated with emotional factors (χ²=492.52, P<0.01). The scores of Si (21.92±2.46), (21.34±2.21), Kong (24.27±2.67), (24.16±2.64), You (21.43±2.59), (21.41±2.43) and Jing (23.39±2.51), (23.01±1.74) in Ganyupixu and Ganyuqizhi patients were higher than those in other types patients (F=47.59, 44.95, 17.66, 17.70, all P<0.01). The score of Nu (18.96±2.48) in Changdaozaore patients was higher than those in other types patients (F=4.75, P<0.01).

Conclusions

IBS is associated with Qiqing. Diarrheal IBS is closely related to Kong and Jing. Constipated IBS is closely related to Si and You.

Key words: Irritable bowel syndrome, Emotion, Relevance

Jian Qin, Wujin Feng. Correlation analysis between emotional factors and irritable bowel syndrome[J]. Chinese Journal of Diagnostics(Electronic Edition), 2018, 06(04): 252-255.

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Figures/Tables 5

References 20

[1]	葛均波,徐永健. 内科学[M]. 北京: 人民卫生出版社, 2013: 399-401.
[2]	Carmona-sánchez R,Icaza-Chávez ME,Bielsa-Fernández MV. The Mexican consensus on irritable bowel syndrome[J]. Rev Gastroenterol Mex, 2016, 81(3): 149-167.
[3]	魏薇,费贵军. 焦虑抑郁状态在肠易激综合征发病机制中的作用[J]. 中国实用内科杂志, 2018, 38(1): 77-80.
[4]	方秀才. 罗马Ⅳ功能性肠病诊断标准的修改对我国的影响[J]. 胃肠病学和肝病学杂志, 2017, 26(5): 481-483.
[5]	张声生,李乾构,魏玮, 等. 肠易激综合征中医诊疗共识意见[J]. 中华中医药杂志, 2010, 25(7): 1062-1065.
[6]	冯怡,王秀华,张燕敏, 等. 七情评定量表的编制[J]. 中国心理卫生杂志, 2014, 28(8): 572-577.
[7]	孙广仁,郑洪新. 中医基础理论[M]. 北京: 中国中医药出版社, 2012: 214.
[8]	薛芳芸. 《黄帝内经》情志致病规律探析[J]. 时珍国医国药, 2012, 23(8): 1998-2000.
[9]	黄涛,陈金亮. 历代医家对情志病的认识[J]. 中医杂志, 2012, 53(10): 893-895.
[10]	张增乔,徐晓艳,司徒君倚, 等. 中医情志脉象研究进展[J]. 中华中医药杂志, 2018, 33(8): 3523-3525.
[11]	董博,王宏利. 《黄帝内经》中情志养生思想[J]. 辽宁中医药大学学报, 2018, 20(10): 97-100.
[12]	宋珂旭. 从气血论抑郁症的病因病机及辨证论治[J]. 时珍国医国药, 2012, 23(10): 2650-2651.
[13]	张国顺,刘斌,方正亚, 等. 肠易激综合征患者氟哌噻吨美利曲辛治疗前后临床特征比较[J/CD]. 中华诊断学电子杂志, 2016, 4(3): 157-159.
[14]	Kato T,Kurosawa Y. Effect of long-term exercise on physical function and medical exam-ination in elderly women[J]. Yonago Acta Med, 2002, 45(3): 75-88.
[15]	谷忠悦,关怀玉. "恐伤肾"在心身疾病演变过程中的意义[J]. 辽宁中医药大学学报, 2011, 13(6): 113-114.
[16]	薛丽君,杨怡玲,唐剑, 等. 肠易激综合征的药物治疗进展[J]. 医学综述, 2016, 22(1): 118-121.
[17]	夏洪生. "肾司二便"的我见[J]. 吉林中医药, 1979, 1(Z1): 87-88.
[18]	窦迎春,许倩倩,孟欣颖. 脑肠肽及焦虑、抑郁在便秘中的研究进展[J]. 胃肠病学和肝病学杂志, 2017, 26(5): 497-502.
[19]	王迎寒. 基于5-羟色胺信号系统的戊己丸不同配伍方改善结肠运动的机制研究[D]. 北京：中国中医科学院，2013.
[20]	陈宏宇,杨倩,杜朋丽, 等. 肠易激综合征从情志论治的研究进展[J]. 现代中西医结合杂志, 2017, 26(14): 1594-1596.

组别	例数	评分	F值	P值
怒	11	17.68±2.84	1 747.38	0.01
喜	2	13.48±2.35
思	136	20.92±2.54
悲	25	17.32±3.23
恐	550	23.26±2.66
忧	168	20.88±2.43
惊	450	22.86±3.25

组别	例数	评分	F值	P值
怒	11	17.68±2.84	1 747.38	0.01
喜	2	13.48±2.35
思	136	20.92±2.54
悲	25	17.32±3.23
恐	550	23.26±2.66
忧	168	20.88±2.43
惊	450	22.86±3.25

IBS类型	例数	怒	喜	思	悲	恐	忧	惊	χ²值	P值
腹泻型	810	4	1	50	19	381	61	294	217.18	<0.01
便秘型	224	2	0	62	4	39	73	44
混合型	61	0	0	6	0	23	7	25
不定型	247	5	1	18	2	107	27	87

IBS类型	例数	怒	喜	思	悲	恐	忧	惊	χ²值	P值
腹泻型	810	4	1	50	19	381	61	294	217.18	<0.01
便秘型	224	2	0	62	4	39	73	44
混合型	61	0	0	6	0	23	7	25
不定型	247	5	1	18	2	107	27	87

组别	例数	腹泻型	便秘型	混合型	不定型	F值	P值
怒	11	17.75±2.85	17.42±3.06	17.89±2.56	17.56±2.73	0.71	>0.05
喜	2	13.58±2.88	13.73±3.00	13.43±2.66	14.08±2.68	1.70	>0.05
思	136	20.51±2.37	21.54±1.74	20.54±1.87	19.17±2.84	51.29	<0.01
悲	25	17.36±3.14	17.15±2.97	17.80±3.04	17.14±3.13	0.82	>0.05
恐	550	23.82±2.59	22.89±1.70	21.50±2.84	21.98±2.70	37.58	<0.01
忧	168	20.24±2.48	21.50±2.10	20.56±2.08	19.93±2.14	17.33	<0.01
惊	450	23.26±2.43	22.56±2.78	22.54±2.70	21.83±1.98	20.24	<0.01
F值	?	1 329.89	235.04	78.27	222.79	?	?
P值	?	<0.01	<0.01	<0.01	<0.01	?	?

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