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Based On The Clustering Analysis Of Chronic Gastritis Syndromes

Posted on:2019-11-10Degree:MasterType:Thesis
Country:ChinaCandidate:P D ZhuFull Text:PDF
GTID:2394330545951960Subject:Integrative Medicine
Abstract/Summary:PDF Full Text Request
Objective: This subject mainly through the e Pidemiological survey of Patients with functional dys Pe Psia clinical data(including anxiety / de Pression score,TCM syndrome,gender,age)were collected,using statistical methods,summarized the common syndromes of FD Patients with anxiety and de Pression,and the relationshi P between gender,age,residence,occu Pation,life habits,disease course,try to find out the distribution regularity of syndrome in FD Patients with anxiety and de Pression,for the TCM treatment of FD to Provide basis for evidence-based medicine.Methods: The patients with functional dyspepsia diagnosed in the outpatient and inpatient department of digestive department from January 2017 to January 2018 were collected,and the anxiety and depression scores were evaluated according to the unified evaluation criteria.Finally,according to the unified standard,two groups of patients were investigated by questionnaires,and the collected clinical information was filled into the questionnaire of syndrome distribution of functional dyspepsia.Pearson chi square test,Bonferroni correction test,rank sum test and other statistical methods were used to analyze the data,and to summarize the distribution patterns of common syndromes and related factors in functional dyspepsia with anxiety and depression.Results: In the final study,there were 350 FD patients,of which 65 were not associated with anxiety and depression,and 285 in FD patients with anxiety or depression.1,from the correlation between basic information and anxiety and depression,it is found that gender,age,occupation,life habit and course of disease are correlated with anxiety and depression,but not related to their residence.Therefore,the state of anxiety and depression is generally seen in women over 30 years of age,especially in women aged from 30 to 60.The incidence of anxiety and depression was significantly increased with the prolongation of the onset time and the long term of poor living habits.Staff,farmers,or retired patients are more likely to be associated with anxiety and depression than other professions.2.Most of the patients with functional dyspepsia often have anxiety and depression,and their anxiety and depression are mostly mild and moderate,and the severity is relatively rare.3,functional dyspepsia syndromes mainly in the spleen and stomach damp heat syndrome(42%)the most common,followed by cold and heat syndrome(19.7%),between the liver and stomach syndrome(17.1%),spleen deficiency syndrome,spleen deficiency and qi stagnation syndrome(11.2%)(10%).In 4,accompanied by anxiety and depression in FD patients,the TCM syndrome with spleen and stomach damp heat syndrome is most common,140 people(49.1%),followed by cold and heat syndrome of 53 people(18.6%),46 people between the liver and stomach syndrome(16.1%),spleen deficiency and qi stagnation syndrome(8.1%),23 people the most rare for the spleen and stomach 23(8.1%).The spleen and stomach damp heat syndrome in which 30 women over the age and course of disease for more than 1 years,with a cigarette / alcohol and spicy greasy taste,and the staff engaged in patients;cold and heat syndrome is more common in men,long-term living in the rural areas,like eating spicy greasy,has long been engaged in agriculture,and the longer time of onset of patients;and the syndrome of disharmony between liver and stomach is in women,or long-term living and working in the town,no special hobby and the onset of patients;but in the long course,like eating spicy greasy,living in rural or retired elderly patients with anxiety and depression in FD patients,often with spleen and stomach deficiency cold syndrome and spleen qi stagnation.Conclusions: Most of the patients with functional dyspepsia in the guangxi area are often accompanied by anxiety and depression,especially in middle-aged and elderly women.In TCM Syndromes of FD patients and FD patients with anxiety and depression,they were mostly seen in spleen and stomach dampness heat syndrome,but they were more obvious in FD patients with anxiety and depression.The cold and heat syndrome,syndrome of disharmony between liver and stomach,spleen qi stagnation and spleen deficiency syndrome distribution in all FD patients compared with patients with anxiety and depression in patients with high FD.It can be seen that long-term bad habits,especially smoking,spicy and greasy,often lead to functional dyspepsia,anxiety and depression.
Keywords/Search Tags:Functional dysPePsia, anxiety and dePression, syndrome study
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