Clinical Survey Of The Chronic Superficial Gastritics By Treatment With TCM

Objective:We explore to simplify the chronic superficial gastritics(CSG) clinical syndrome type with our clinical experience and chinese medicine theory that it is syndrome differentiation on deficiency and excess and differentiation, zang-fu. Though this test, it confirmed that simplification of configuration partition is every cent of rationality and feasibility.Methods:There are 107 cases from the digestive surgeries in the First Affiliated Hospital of Guangzhou University of Chinese Medicine.107 cases were divided into two groups, which one is the disharmony between liver and stomach groups; another is the spleen and stomach quiz deficiency group. The disharmony between liver and stomach groups which treated with the Powder of Jawed Sine, while the disharmony of liver and stomach group was treated with the Decoction of Jawed Cajuns. This course of medical treatments is 4 weeks. According to the guiding principles of Chinese medicine clinical research drug, we analysis all cases. Also, we asked the patients to fill in the SF-36 health survey before and after treatment.Results:1) 107 cases of this study in sex, age and disease duration sides have no statistical significantcal difference (P)0.05).2)Compared quality of life with before and after treatment, each group dates were statistic by Pair T Test, and have significantcal improvement(P<0.05).3) The total effective in the disharmony between liver and stomach is 78.95%, and the other groups are 94.00%.4) Apart from physical function (PF), other 7 domains are significantly improved than before in the disharmony between liver and stomach group (P<0.05), and all 8 domains are significantly improved than before (P<0.05).5) In the group of disharmony between liver and stomach, R value which is the relationship from the symptom value and SF-36 value before and after treatment is respectively-0.089 and-0.132, but has no relationship; while another group R value is-0.331 and-0.830, and have relationship.6) Main manifestations which stomachache, antithetic, acid, bitter is can be improve were in the disharmony between liver and stomach group. Main manifestations which abdominal distension, stomachache, belching, tired and diet reducing was in the spleen and stomach qi deficiency group can be improved.7)With damp-heat type cases were 29.00%of all patients. Compare with total effectivements of the with damp-heat type and without damp-heat type in the disharmony between liver and stomach group, Pearson chi-quare value is 0.081 and P value is 0.348. It can conclude no difference improvemen between two types that it has no statistical significantcal difference (a=0.05). Compare with total effectivements of the with damp-heat type and without damp-heat type in the spleen and stomach qi deficiency group, Pearson chi-quare value is 0.017 and P value is 0.089. It can conclude no difference improvement between two types that it has no statistical significantcal difference (a=0.05). Compared quality of life with before and after treatment, with damp-heat type dates were statistic by Pair T Test, and have significantcal improvement(P<0.05). Conclusions:The Powder of Jiawei Sini not only relief the patients'clinical symptom of the disharmony liver and stomach, but also can improve their quality of life. And the Decoction of Jiawei Liujunzi but only can relief the patients' clinical symptom of the Spleen and Stomach I Deficiency group, but also can improve their quality of life. SF-36 health scale use to objectively and comprehensively assessment of patients live quality with CSG. In basic of two groups which one is the disharmony liver and stomach, another is the Spleen and Stomach Qi Deficiency group, we divided into damp-heat type and without damp-heat type, and no difference to the anxiety-provoking was in these two type. It can conclude that damp-heat type can be regarded as accompanying syndrome in TCM types of CSG.