The Clinical Research On The Pattern Of CAG In Postprandial Distress Syndrome

Objective:By the means of clinical epidemiology method, it aims to study the syndrome distribution of Chronic Atrophic Gastritis and the relationship with gender, age, bile reflux, Hp infection, mucosal atrophy. And by the results of these, it will provide help for guiding the clinical diagnosis and treatment.Methods:Based on a lot of literature and question investigation, fill in a clinical observation table by collecting general information, four examination techniques and endoscopy results on208patients with Chronic Atrophic Gastritis, who comes from Jiangsu Traditional Chinese Medicine Hospital outpatient or inpatient departments. According to these information, the data base is established, and statistical analysis is used by descriptive analysis, chi-square test, rank sum test. Approach these, it search for the syndrome distribution of Chronic Atrophic Gastritis and the relationship with gender, age, bile reflux, HP infection, mucosal atrophy.Results:In208cases of patients with Chronic Atrophic Gastritis, the women is more than the men, especially older women. Most of the disease duration is more than six months, and tendency of disease is hard to be cured. The syndrome distribution is:Spleen deficiency and qi stagnation type>Liver depression and qi stagnation type> Stomach-yin deficiency type>Spleen-stomach deficiency type> Liver-stomach heat type> Spleen-stomach damp-heat type> Cold-heat jumble type> Stagnation in blood of gastric vascular type. In this disease, spleen deficiency and qi stagnation type is the most common type of syndrome. Stagnation in blood of gastric vascular type is rare. Liver depression and qi stagnation type, Liver-stomach heat type and Spleen-stomach damp-heat type are often with bile reflux. Bile reflux is not seen in Stomach-yin deficiency type and Stagnation in blood of gastric vascular type. Liver-stomach heat type, Spleen-stomach damp-heat type and liver depression and qi stagnation type are often found in Hp positive group. Mild mucosal atrophy are often seen in the spleen deficiency and qi stagnation type, spleen-stomach deficiency type and cold-heat jumble type. Middle mucosal atrophy is often found in the liver depression and qi stagnation type, stomach-yin deficiency type and so on. Severe mucosal atrophy is often found in stomach-yin deficiency type and spleen-stomach damp-heat type.Conclusion:The research showed that gender, age, bile reflux, Hp infection, mucosal atrophy have significant relationship with CAG syndrome distribution.