Retrospective Analysis Of 70 Cases Of Upper Gastrointestinal Bleeding Of Liver Cirrhosis With Traditional Chinese Medicine

Purpose:To study the distribution of TCM syndromes in patients with non-varicose upper digestive tract hemorrhage of liver cirrhosis,to explore the distribution differences of onset sex,age,symptoms and signs,the results of liver,gallbladder and spleen color ultrasound,and gastroscopy.The results of hemoglobin,platelet,coagulation and bleeding were compared,and the relationship between liver function grading and TCM syndrome type and the improvement rate of each syndrome type(symptom)were determined.On this basis,the effectiveness of TCM syndrome differentiation in the treatment of non-varicose upper gastrointestinal bleeding was analyzed.Materials and methods:In this study,retrospective analysis was used to collect 70 cases of liver cirrhosis upper gastrointestinal bleeding,including sex,age,symptoms and signs,according to inclusion criteria and exclusion criteria.The results of physicochemical test were analyzed and summarized.According to the Diagnostic criteria of Common Syndrome of traditional Chinese Medicine[1],the distribution of TCM syndromes was determined for the patients involved in the study.According to the TCM symptom score Table of Gastrointestinal Diseases[2],the curative effect of the syndrome type to which it belongs is judged(improvement rate is improved),and the results of diagnosis,treatment and treatment of TCM syndromes are compared before and after,and the statistical method is used to analyze and summarize the effect of syndrome differentiation and treatment on liver hardness.Effectiveness of upper gastrointestinal bleeding.In this study,the nonnormal distribution test and Wilcoxon test were used to compare the physical and chemical indexes of all the subjects,and the matched chi-square test was used to compare the data before and after matching.Result:1.Among the 70 patients who were included in the study,there were 45 male patients and 25 female patients,with a male to female ratio of 9:5.The age of onset was the smallest,33 years old,the most 75 years old,and the average age of onset was 55.26 ±11.13 years.2.According to the symptoms and signs of the occurrence frequency of high and low ranking,as follows: Fatigue is no more than(58.57%)>Eat less anorexia(55.71%)> Insomnia(54.29%)>Ascitic fluid(41.43%)> Bleeding from the gum(38.51%)>Epistaxis(27.14%)>Loose Stools(24.29%)?Hypochondriac pain(24.29%)>Flank expansion(17.14%)?Dry mouth bitter(17.14%)>Dry stool(8.57%)>Liver palm and / or Spider nevus(1.43%).According to the frequency of color Doppler ultrasound and gastroscopy,the order is as follows: Splenomegaly(67.14%)?Portal hypertension(35.71%)?Chronic gastritis(21.43%).3.There were 67 patients with Child-Pugh B liver function and 3 cases of Child-Pugh C,among which,there were three types of TCM syndromes in patients with Child-Pugh B and C,including deficiency of temper,stagnation of blood and deficiency of qi.The statistical results of symptom improvement according to the syndrome type were as follows: blood stasis block syndrome 91.37%,Qi deficiency syndrome 90.14%,Qi deficiency and blood stasis syndrome 89.79%.4.The results of G showed no difference in the first diagnosis and the follow-up,so there was no statistical significance.The results of routine examination and bleeding test were statistically significant in the first diagnosis and the follow-up diagnosis.There were significant differences in the routine and bleeding status between the first diagnosis and the follow-up.Conclusion:1.UGH patients with liver cirrhosis most often appear fatigue,poor appetite,insomnia,ascites,loose stools and hypochondriac pain,splenomegaly,portal hypertension,chronic gastritis,so the liver function of patients with Child-Pugh B grade.2.This disease mainly involves liver,spleen and viscera,TCM syndrome differentiation is related to deficiency of temper,blood stasis and blood stasis syndrome,each syndrome type(symptom)has obvious improvement rate.3.On the premise of TCM syndrome differentiation and treatment,Chinese medicine can effectively inhibit bleeding and control rebleeding of liver cirrhosis UGH,improve liver function,clinical symptoms and control liver further injury,and promote protein synthesis at the same time.