| Objective: Through the discussion on the distribution of TCM syndromes of chronic gastritis patients,and the relationship between the patient’s age,gender,course of disease,dietary habits and infection of helicobacter pylori and chronic gastritis.the research and analysis of the syndromes of chronic gastritis will provide theoretical reference for future clinical practice.Methods: to collect case data of the department of spleen and stomach in the department of spleen and stomach from march,2016 to November,2017,and exclude the cases that do not meet the standard.Assigning the remaining 194 cases to different TCM syndrome differentiation,with reference to the Chinese medicine diagnosis and treatment of chronic gastritis consensus opinions "(spleen and stomach disease branch of China association of Chinese medicine,2017)[1],at the same time to collect their general condition(gender,age,etc.),living habits,TCM symptoms,tongue veins and other relevant information.Using EXCEL to collate all the data,and SPSS statistical software to analyze the collected data to explore the detailed distribution of TCM syndromes of chronic gastritis and the law of the relationship between them.Results: 1.In this study of 194 cases of chronic gastritis,the frequency of each syndrome in order as: Spleen and stomach dampness heat syndrome > Liver and stomach heat syndrome > Liver and stomach qi stagnation syndrome > Spleen and stomach qi deficiency syndrome > spleen and stomach Yang deficiency syndrome > stomach Yin deficiency syndrome > Stomach blood stasis syndrome.A total of 59 cases(30.4%)were found in the syndrome(Liver and stomach heat syndrome,Liver and stomach syndrome)with the main syndromes in the liver;Spleen deficiency syndrome(Spleen and stomach qi deficiency syndrome,Syndrome of deficient cold of spleen and stomach),51 cases,accounting for 26.2%;There were 49 cases of spleen and stomach dampness heat syndrome,accounting for 25.3%.The main syndromes of liver depression,spleen deficiency and dampness heat were suggested.2.In this study,there were 91 females and 103 males.The ratio of males and females was 1.13:1,and there was no significant difference between males and females.The distribution of the syndromes in the sex ratio was not significant,by chi-square test,the difference was not statistically significant,x2 =1.141,P=0.98(P < 0.05).In this study,the age span ranged from 18 to 80 years old,with the most distribution of patients aged 29-38,39-48,49-58 and 59-68,accounting for 90.2% of the total population.The mean age of each syndrome onset was analyzed by one-way anova,F=7.938,P < 0.01,and there was a significant difference.The average age of the syndromes of each syndrome in order as: spleen and stomach dampness heat syndrome< liver and stomach qi stagnation syndrome < liver and stomach heat syndrome < spleen and stomach yang deficiency syndrome < spleen and stomach qi deficiency syndrome < stomach Yin deficiency syndrome < Stomach blood stasis syndrome.By the SNK test,there was no significant difference between the Stomach blood stasis syndrome and the stomach Yin deficiency syndrome,compared with the other syndromes,P < 0.01,the difference was obvious.There was no significant difference between stomach Yin deficiency syndrome and the Stomach blood stasis syndrome and spleen and stomach qi deficiency syndrome,P < 0.05,compared with the other syndromes,the average age difference was significant,P < 0.05.The course of the disease in liver and stomach qi stagnation syndrome,liver and stomach heat syndrome and spleen and stomach dampness heat syndrome are more than 5 years.The Spleen and stomach qi deficiency syndrome and spleen and stomach Yang deficiency syndrome were more than 6 to 10 years,54.8% and 55%.The stomach Yin deficiency syndrome and Stomach blood stasis syndrome were more than 10 years,50% and 58.8%.3.In the study,the distribution of the bigots in various TCM syndromes was found that the difference was not statistically significant by chi-square test,x2=5.384,P=0.496(p > 0.05).In terms of tobacco and alcohol preference,the total frequency of spleen and stomach dampness heat syndrome was 79.6%.In the history of alcohol consumption,there was a statistically significant difference in the distribution of TCM syndromes between the two groups.The comparison between the various syndromes found that the p value of the spleen and stomach dampness heat syndrome was less than 0.05 compared with other syndromes,and the difference was statistically significant.4.The total HP infection in all patients was 75.3%.The infection rate was in the order as: Liver and stomach heat syndrome > Spleen and stomach dampness heat syndrome > Liver and stomach qi stagnation syndrome > Spleen and stomach qi deficiency syndrome > Stomach blood stasis syndrome > spleen and stomach Yang deficiency syndrome > stomach Yin deficiency syndrome.To compared with the two syndromes by chi-square test,continuous correction chi-square test and fisher test found that there was no significant difference in statistics,p > 0.05.Conclusion: 1.The TCM syndrome distribution of CG: Spleen and stomach dampness heat syndrome > Liver and stomach heat syndrome > Liver and stomach qi stagnation syndrome > Spleen and stomach qi deficiency syndrome > spleen and stomach Yang deficiency syndrome > stomach Yin deficiency syndrome > Stomach blood stasis syndrome.The syndrome distribution indicates liver depression,spleen deficiency and dampness heat as the main syndromes.2.There was no significant correlation between the distribution of syndromes and gender;The syndromes were significantly correlated with age and course of disease.3.There was no obvious correlation between the partial food and the syndrome type;The relationship between drinking history and syndrome type is obvious.4.The relationship between HP infection and syndrome type was not obvious. |
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