Based On Liver, Stomach, Qi Stagnation Prime Study Psychological Characteristics Of Depression And Anxiety In Patients With Chronic Gastritis

Objective Evaluation and analysis of chronic gastritis patients with depression and anxiety psychological state, the characteristics of the introduction of syndrome factor differentiation method, explore liver and stomach, and syndrome factor and the depression and anxiety psychological status of patients with chronic gastritis.Methods Collecting outpatient service200cases of patients with chronic gastritis, after gastroscopy to meet eligibility criteria and do not accord with standard of exclusion of patients with chronic gastritis, using Zung depression self rating scale (SDS) and anxiety self evaluation scale (SAS) and the scoring criteria, depression self rating scale total norm of the boundary value of53points, anxiety self evaluation scale of50points total norm upper limit of normal. Assess the subjective feelings of patients with depression and anxiety, anxiety and depression scale questionnaire filled in by the patients themselves. And fill in the survey questionnaire and the liver of patients with chronic gastritis, the stomach, and rating questionnaire of three certificates, respectively. Syndrome factor judgment for the syndrome factor weighted value=symptoms the weight value of each symptom scores, the sum of more than20points that have the certificate. Asymptomatic score of0points, mild symptoms score of0.7. a moderate, severe of1.5. According to patients with liver, stomach, and qi stagnation syndrome factor weighted is worth points, to200cases of patients with chronic gastritis in presence of liver, stomach, and qi stagnation syndrome factor respectively.At the same time satisfy the patients with liver, stomach, and qi stagnation syndrome factor of traditional Chinese medicine for liver stomach doesn’t pass.Part one:analysis of gender, adverse factors, occupation, age. income, education, duration, etc. General information influence chronic gastritis patients with depression and anxiety state of mind; Part2.200cases of chronic gastritis patients with SDS, SAS, integral compared with national norm, the analysis of chronic gastritis patients and normal person depression anxiety psychological difference. At the same time analysis the liver, stomach, liver-stomach disharmony, and its relationship with chronic gastritis depression anxiety; The third part according to gastroscope performance under chronic gastritis patients were divided into two major categories of the atrophic gastritis, and atrophic gastritis, SDS, SAS, integral study different types of gastritis patients if there is a difference.Result Gender does not influence on depression and anxiety of patients with chronic inflammation, but adverse factors, duration, income, occupation, age, educational background, influence the chronic gastritis patients with depression and anxiety state of mind, adverse factors (including family relationship, social adaptation, mental stimulation, household income) of the patients with more obvious than other patients with depression and anxiety state. Differences between patients of different professions, SAS, SDS score, in which farmers and retired patients score is high than other groups. Middle-aged and old patients with chronic gastritis is relatively young patients with SDS, the SDA integral. Patients with long disease duration is relatively short duration of SDS and SAS score high. Chronic gastritis patients with SDS, SAS, integral with the increase of degree, income, social status, the rise and fall. In this study,69patients exist depressive state, accounted for34.5%; Existential anxiety state,71patients accounted for35.5%. Will study of200cases of chronic gastritis patients with SDS and SAS score compared with national norm integration, respectively, two integral chronic gastritis patients were higher than normal. According to the theory of syndrome factor differentiation at the same time, the chronic gastritis patients with the syndrome factor of liver, stomach, and the frequency of, respectively,32.5%,67%,61%. Conform to the disease patient with syndrome factor of liver less in patients with SAS and SDS score is high; Conform to the patients with disease of syndrome factor and less in patients with SAS and SDS score is high; In line with the disease patient with stomach syndrome factor less in patients with SAS and SDS score is high.In200cases of patients, in accordance with the stomach with a total of54patients with syndrome of liver-stomach disharmony, accounted for27%, accord with liver-stomach disharmony with syndrome of chronic gastritis patients compared with patients without liver stomach with the SAS and SDS score is high. According to gastroscope performance under chronic gastritis patients were divided into two major categories of the atrophic gastritis, and atrophic gastritis, different types of gastritis patients with SDS, SAS, there was no statistically significant difference points.Conclusion Obvious anxiety and depression of patients with chronic gastritis psychological state, its mental depression and anxiety affected by age, occupation, duration, income, education, adverse factors influence, but not related with whether there is shrink under gastroscope. Syndrome, liver, stomach, and are associated with chronic gastritis of depression and anxiety.liver-stomach disharmony with syndrome of chronic gastritis patients more susceptible to depression anxiety.