| Objective:The purpose of this study is to explore the distribution law of TCM syndromes of chronic atrophic gastritis in northern Fujian,and to study its correlation with sex,age,educational level,Hp infection and other factors,so as to provide reference basis for clinical treatment and prevention of this disease,and also to provide reference for local doctors to carry out health education of this disease for residents.Methods:After referring to the research results of a large number of literatures,worked out the "Observation Form of Clinical Cases of Chronic Atrophic Gastritis" under the guidance of my tutor.The CAG patients who met the inclusion criteria in the outpatient and inpatient departments of Nanping People's Hospital were collected,and the patients were instructed to complete the observation form.The TCM syndrome types were determined based on the comprehensive evaluation of the fixed two or more attending TCM doctors and the results of the four diagnosis.At the same time,the collected data were entered into Excel form to establish a database,and SPSS22.0 was used for statistical analysis to draw a conclusion.Results:1.The TCM syndrome types of CAG patients from high to low are: 61 cases of spleen-stomach damp-heat syndrome(20.33%),51 cases of liver-stomach stagnation syndrome of qi(17.00%),48 cases of spleen-stomach qi deficiency syndrome(16.00%),48 cases of liver-stomach stagnation-heat syndrome(16.00%),30 cases of syndrome of deficient cold of spleen and stomach(10%),19 cases of stomach collateral stasis syndrome(6.33%),16 cases of stomach-yin deficiency syndrome(5.33%),14 cases of cold-heat complicated syndrome(4.68%),7 cases of liver-depression and spleen deficiency syndrome(2.33%),and 6 cases of both qi and yin deficiency syndrome(2.00%).2.CAG occupation distribution accounted for 18.00% of professional and technical personnel,12.67% of farmers and 12.34% of retirees.3.Among the 300 CAG patients studied,157 were male(52.33%)and 143 were female(47.67%).The ratio of male to female was about 1.0979:1.The difference between male and female with spleen-stomach damp-heat syndrome is statistically significant(P<0.05).4.Among the 300 CAG patients studied,173(57.67%)were Hp positive and 127(42.33%)were HP negative.The difference of Hp infection in spleen-stomach damp-heat syndrome is statistically significant(P<0.05).The syndrome type with the highest Hp positive rate was spleen-stomach damp-heat syndrome(70.5%),and 115 cases(66.47%)were positive for Hp.5.Among the 300 CAG patients studied,the minimum age was 24 years old,the maximum age was 77 years old,and the average age was 58.6124±10.8031 years old.147 patients(49%)were aged 40-59 years.Chi-square test showed that P>0.05,there was no significant difference in age distribution among CAG syndromes.6.Among the 300 CAG patients studied,155(51.7%)had high school education or above and 145(48.3%)had high school education or below.Chi-square test showed that P<0.05,the difference between the spleen-stomach damp-heat syndrome and the liver-stomach stagnation syndrome of qi education level was statistically significant.7.Of the 300 CAG patients studied,68(22.67%)were bile reflux patients,of which 23(33.82%)were hepatogastric stagnation syndrome of qi in bile reflux group.28 cases(41.2%)were Hp positive and 40 cases(58.8%)were negative in bile reflux group of CAG patients.In non-bile reflux group,Hp was positive in 145 cases(62.5%)and negative in 87 cases(37.5%).Chi-square test showed that P<0.05,the difference in Hp infection between CAG bile reflux group and non-bile reflux group was statistically significant.8.Among the 300 CAG patients studied,182(60.67%)had irregular diet,97(32.33%)had alcohol consumption,and 93(31%)had smoking.Conclusion:1.The frequency distribution of TCM syndrome types of CAG patients in northern Fujian from high to low is: spleen and stomach damp heat syndrome > liver and stomach stagnation syndrome of qi > spleen and stomach qi deficiency syndrome = liver and stomach stagnation and heat syndrome > syndrome of deficient cold of spleen and stomach > stomach collateral stasis syndrome > stomach-yin deficiency > cold-heat complicated syndrome > liver depression and spleen deficiency syndrome > qi and yin deficiency syndrome.The top four syndrome types of CAG patients are: spleen-stomach damp-heat syndrome,liver-stomach stagnation syndrome of qi,spleen-stomach qi deficiency syndrome and liver-stomach stagnation-heat syndrome.2.The incidence of CAG in northern Fujian is higher among males than females,with the middle-aged and the elderly being the main group.The top three occupations are professional and technical personnel,retirees and farmers.3.the syndrome of dampness-heat in spleen and stomach in CAG is correlated with the sex of men and women.the incidence rate of the syndrome of dampness-heat in spleen and stomach in CAG is higher in men than in women.4.CAG spleen and stomach damp-heat syndrome is correlated with Hp infection.The syndrome type with the highest Hp positive rate is spleen-stomach damp-heat syndrome,and the latter three are liver-stomach stagnation-heat syndrome,liver-stomach stagnation syndrome of qi and cold-heat complicated syndrome.The majority of Hp positive patients are positive.5.There is no obvious correlation between CAG syndrome types and age distribution.6.Spleen-stomach damp-heat syndrome and liver-stomach stagnation syndrome of qi are correlated with educational level.Spleen-stomach damp-heat syndrome is more common in people with low educational level.Stagnation syndrome of qi of liver and stomach is more common in people with high educational level.7.The top four TCM syndromes of bile reflux CAG patients are: liver and stomach stagnation syndrome of qi,liver depression and spleen deficiency,damp-heat in spleen and stomach,liver and stomach stagnation and heat syndrome;The positive rate of Hp in patients with bile reflux is lower than that in patients without bile reflux gastritis.8.It is necessary to popularize and educate residents in northern Fujian about the risk factors of chronic atrophic gastritis,so that people can avoid smoking,drinking and unhealthy eating habits,and better play the role of non-drug treatment and the role of traditional Chinese medicine in preventing diseases. |
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