Study On TCM Syndrome And Related Factors Of Peptic Ulcer Hemorrhage

ObjectivePeptic ulcer bleeding(peptic ulcer bleeding)is a peptic ulcer disease with an increasing incidence in recent years.This peptic ulcer hemorrhage can further lead to the occurrence and deterioration of other human diseases,and is one of the most common diseases in clinical diagnosis and treatment of digestive tract diseases in recent years.In other words,peptic ulcer hemorrhage is a common acute and severe disease in digestive medicine.Discovering that treatment is not timely will have a serious impact on the human body.This study is based on the risk and universality of peptic ulcer hemorrhage,to explore the distribution of TCM syndromes of peptic ulcer hemorrhage、 and try to explore the related factors of peptic ulcer hemorrhage,further clarify the epidemiological characteristics of peptic ulcer hemorrhage,to provide relevant reference for the treatment of peptic ulcer hemorrhage、 prevention and treatment of peptic ulcer hemorrhage disease.Test.MethodsClinical epidemiological investigation was used to investigate the data of patients with peptic ulcer bleeding in Anyang People’s Hospital from January 2018 to December 2018.Emphasis is laid on collecting、 sorting out and summarizing the general situation、 gastroscopy results and four diagnostic data of patients with peptic ulcer hemorrhage、 and finally formulating the clinical data observation table.Statistical analysis is carried out on each variable element in the clinical data observation table to discover the distribution regularity of TCM syndromes of peptic ulcer hemorrhage and explore the relevant influencing factors of peptic ulcer hemorrhage.To further clarify the epidemiological characteristics of peptic ulcer bleeding.Results1.Through the frequency statistics,factor analysis and cluster analysis of 243 cases of peptic ulcer hemorrhage from January 2018 to December 2018 in Anyang People’s Hospital,the location of the disease was confirmed in the human liver,spleen and stomach.The main diseases are heat,Qi stagnation,Yang deficiency,damp-heat and so on.Specific distribution is as follows: 41 patients with accumulated heat syndrome in stomach,accounting for 16.87% of the total survey patients;34 patients with liver-fire causing stomach syndrome,accounting for 13.99% of the total survey patients;38 patients with spleen deficiency and damp-heat syndrome,accounting for 15.64% of the total survey patients;98 patients with spleen deficiency and non-absorption syndrome,accounting for 40.33% of the total survey patients;32 patients with spleen-stomach deficiency and cold syndrome,The proportion of patients in the total survey was 13.17%.The distribution of TCM syndromes of peptic ulcer hemorrhage had statistical difference(P < 0.05).From the above statistics,we can see that in 243 cases of peptic ulcer hemorrhage,the proof of spleen deficiency is more than other syndromes(P < 0.05).2.The relationship between sex and age of peptic ulcer hemorrhage.Peptic ulcer hemorrhagic disease in the multiple groups also have a certain gender characteristics,that is,the incidence of male is higher than that of female.Gender and age had statistical difference in the distribution of syndromes(P < 0.05).Female peptic ulcer hemorrhagic disease is mostly liver-fire offending stomach syndrome,and the accumulation of heat in stomach syndrome is more common in males(P < 0.05).From the perspective of age,the incidence of gastric pyretic syndrome in young and middle-aged patients is higher than that in elderly patients.In the next year,however,from the statistical analysis of the data,we can also see that the elderly patients with spleen deficiency do not absorb more than the young and middle-aged patients(P < 0.05).3.Hp infection of peptic ulcer hemorrhage.In terms of Hp infection,the Hp infection rate of peptic ulcer hemorrhage patients accounted for 63.37% of the 243 peptic ulcer hemorrhage patients included in the statistics.Specifically,the Hp positive rate of liver-fire offending stomach syndrome accounted for the highest proportion of 243 peptic ulcer hemorrhage cases,76.47% of the gastric ulcer hemorrhage cases included in the statistics,followed by gastric accumulated heat syndrome,which accounted for 68.29% of the 243 peptic ulcer hemorrhage cases included in the statistics,and spleen deficiency damp-heat syndrome,which accounted for 65.79% of the 243 peptic ulcer hemorrhage cases included in the statistics Among the 243 cases of peptic ulcer hemorrhage included in the statistics,there was no significant difference in the distribution of Hp infection in each syndrome type(P > 0.05).4.Adverse life factors.In this case analysis,we found that the common adverse life of peptic ulcer hemorrhage patients are smoking,alcohol,diet,medication,overwork and emotional impairment.Among them,alcoholic peptic ulcer hemorrhage patients were more common in the stomach accumulated heat syndrome and spleen deficiency damp-heat syndrome,and emotionally impaired peptic ulcer hemorrhage patients were more common in the liver-fire offending stomach syndrome(P > 0.05).5.The influencing factors of occupation.Occupation and peptic ulcer hemorrhage patients included in the survey statistics have statistical differences.By incorporating different occupational factors into peptic ulcer bleeding syndrome,statistical analysis showed that the number of patients with professional and technical personnel was significantly higher than that of patients with other occupations(P > 0.05).6.Endoscopic features.The main manifestations of peptic ulcer hemorrhage patients under endoscopy are as follows: duodenal ulcer is the most common symptom,followed by compound ulcer.There was no statistical difference in the location of ulcer in 243 cases of peptic ulcer hemorrhage(P > 0.05).In terms of the number of ulcers,243 cases of peptic ulcer bleeding were included in the statistics.Liver-fire attacking stomach syndrome was the most common and had statistical difference(P < 0.05).There was no statistical difference in the number of ulcers among 243 cases of peptic ulcer hemorrhage(P > 0.05).Liver-fire attacking stomach syndrome was the most common type of peptic ulcer hemorrhage with bile reflux under endoscopy,and spleen deficiency without intake syndrome was the most common type of peptic ulcer hemorrhage patients with atrophy of gastric antrum(P > 0.05).7.The correlation between symptomatic hemorrhage and peptic ulcer hemorrhage.In this statistics,the first symptoms of peptic ulcer hemorrhage patients had no statistical difference among different syndromes(P > 0.05);the severity of bleeding among different syndromes was more serious in patients with peptic ulcer hemorrhage with spleen deficiency but not intake than in patients with stomach accumulated heat syndrome,liver fire invading stomach syndrome and spleen deficiency damp-heat syndrome,and the bleeding degree of Spleen-stomach deficiency cold syndrome was more serious than in patients with peptic ulcer hemorrhage with stomach accumulated heat syndrome(P >0.05)There was no significant difference in the severity of bleeding between the remaining syndromes in patients with peptic ulcer bleeding(P> 0.05).ConclusionBased on the analysis of the data and information of 243 cases of peptic ulcer hemorrhage,the results show that the TCM syndromes of peptic ulcer hemorrhage mainly involve spleen deficiency,accumulated fever in stomach,liver fire invading stomach,spleen deficiency dampness-heat,spleen-stomach deficiency-cold and so on.The most common syndromes are spleen deficiency,which shows that the pathogenesis of peptic ulcer hemorrhage is mainly "spleen deficiency".The pathogenesis of the disease is divided into deficiency and excess For dampness,heat,Qi stagnation,deficiency syndrome for Qi deficiency,Yang deficiency.Based on this situation,we should attach importance to invigorating the spleen and Invigorating Qi in the process of receiving and treating peptic ulcer hemorrhage patients.According to the actual situation of patients and syndrome information,we should treat them differently and rationally with heat clearing,dampness removing and Qi regulating.At the same time,guide and advise patients to adjust their inappropriate living habits in time,such as smoking,drinking,excessive fatigue,irregular diet and so on.In order to enhance the resistance to peptic ulcer bleeding and improve the recovery speed of peptic ulcer bleeding.