| Objective: Through the analysis of the curative effect and working experience of the traditional Chinese medicine diagnosis and treatment plan of chronic gastritis in Guangxi grass-roots areas,this paper evaluates the feasibility and effect of the scheme,and provides certain guidance for the clinical treatment of chronic gastritis.It also provides some experience for the popularization and application of suitable technology of traditional Chinese medicine at the grass-roots level.Methods: 32 grass-roots hospitals in Guangxi were trained in operation rules,diagnosis and treatment schemes,and 320 cases of chronic non-atrophic gastritis were collected from clinical observation in the process of popularization.The changes of TCM syndrome score and main symptoms(stomach pain,stomach distension)score before and after treatment were statistically analyzed.According to the results of statistical analysis combined with working experience,the clinical curative effect of diagnosis and treatment scheme was analyzed.The feasibility and applicability of the scheme were evaluated,such as the degree of difficulty of operation,the use and adaptability of the scheme,the acceptance of the scheme,the satisfaction of the patient,the difficulty of implementing the promotion work,and so on.Conclusion:(1)318 cases of 320 patients were finally included in statistical analysis,which were divided into 6 groups according to different syndrome types.There was no significant difference in age,sex and course of diseaseamong the 6 groups(P>0.05).The total effective rate was 96%,the recovery and effective rate was 76%,which was about 70% and 40% higher than that of Chinese and western medicine in the literature.By comparing the curative effect of each syndrome type(P>0.05),it was shown that there was no significant difference in the curative effect of each syndrome type.Improvement of symptoms: comparison of TCM syndrome score and post-treatment symptom score in 318 patients before and after treatment,the score of symptoms decreased significantly after treatment,the difference was statistically significant(P<0.05).Before and after treatment,the score of main symptoms(stomachache and gastric distension)was significantly lower than that of gastric distension(P<0.05),and the score of main symptoms was significantly lower than that of gastric distension before and after treatment(P< 0.05).Compared with the score of stomachache before and after treatment,the score of stomachache decreased significantly after treatment,and the difference was statistically significant(P<0.05).Compared with the gastric distension score before and after treatment,the gastric distension score decreased significantly after treatment,the difference was statistically significant(P<0.05).Compared with the scores of TCM symptoms before and after treatment,the scores of TCM symptoms in each group decreased significantly after treatment,and the difference was statistically significant.The score of main symptoms(stomachache and distension)decreased significantly after treatment(P<0.05),and the difference was statistically significant(P<0.05).Compared with the scores of gastric pain and gastric distension before and after treatment,the scores of stomachache decreased significantly after treatment(P<0.05).It is suggested that the diagnosis and treatment of chronic gastritis can significantly improve the clinical efficacy and symptoms of patients with chronic non-atrophic gastritis.(2)The curative effect of the scheme is remarkable,which meets the needs of grass-roots residents,and the satisfaction and approval rating of the patients are high,which generally reflects that the technology is effective,easy to accept and has a short course of treatment.Grass-roots medical workers have a high support rate for them,and think that the technology is easy to master and easy to operate,and the syndrome type is more common in clinic and has strong clinical adaptability.After promotion,it is found that the overall arrangement of technical route planning is perfect,the promotion work is easy to be implemented at the grass-roots level,and the feasibility is strong.However,it was found that the scheme was still insufficient,the clinical observation cycle was short,and more evaluation indexes of curative effect could not be perfected.The application of external treatment methods in the process of diagnosis and treatment was not much,and the compliance of patients with laboratory tests and gastroscopy was not much.If it is not strong,there may be some deviation in the accuracy of syndrome differentiation,treatment and filling out the observation form of the case.Conclusion: The diagnosis and treatment plan of chronic gastritis is effective,easy to operate and feasible in the treatment of chronic non-atrophic gastritis.It is a suitable technology for the popularization and application of traditional Chinese medicine in grass-roots hospitals,and it is worth popularizing widely. |
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