Clinical Epidemiological Science Research Of Reflux Esophagitis TCM Distribution

Objective: In this study, under the guidance of traditional Chinesemedicine syndrome （TCM） theory, the use of clinical epidemiology (theuse of epidemiological principles and methods, through the study of clinicalpopulations to clinical diagnosis, treatment, prognosis and hospitalmanagement and other aspects of a discipline) way through questionnairedesigned to collect endoscopic diagnosis of reflux esophagitis in patientswith basic information, clinical medicine, the performance of tongue, pulseand gastroscopy under. With TCM four diagnostic parameters, using clusteranalysis methods to analyze the reflux esophagitis syndromes distribution,correlation analysis, analysis of various syndromes in TCM gastroscopyperformance. For the future establishment of a unified reflux esophagitisTCM type, diagnosis and treatment to provide an objective, scientific basis.Methods: The clinical epidemiology approach designed questionnaire,through cross-sectional study(in accordance with pre-established plan,survey specific populations of a particular point in time Prevalence of thedisease, as well as factors associated with illness), for April2013-2014inMarch, the First Affiliated Hospital of Henan College of outpatientendoscopy rooms and wards in endoscopy, in line with reflux esophagitisinflammation of the diagnostic criteria, the endoscopic diagnosis of patientswith reflux esophagitis, included a total of166cases of patients. Bycollecting basic information, clinical manifestations, tongue, pulse,performance under endoscopy.The regional statistics reflux esophagitissyndromes, using correlation analysis results under different syndromes bycluster analysis gastroscope performance. Data were analyzed usingSPSS19.0statistical package.(1) Baseline data using s, the percentage ofcases; continuous data using t test.(2) between the two groups: Category orderly data using rank sum test; classification disorderly data using2test;see groups of continuous data using analysis of variance between thetwo groups using the t test.(3) TCM using cluster analysis (includinghierarchical clustering and K-class center clustering).Results: In this study, patients with esophagitis diagnosed byendoscopy reflux totaling167cases, one case of cancer patients withsuspected esophageal ulcers excluded,166cases were enrolled in qualifiedcases. Cluster analysis of166cases of clinical cases drawn: hepatogastricstagnant heat, disharmony of liver and certificates, the imaginary inversegas cards, hot liver and spleen deficiency syndrome type4. Analysis of thebasic information drawn: patients with mainly middle-aged men, the usualhi addicted to tobacco, diet untimely easily induced and more thanpostprandial onset, recurrence, recurrence of the disease is high in summer,longer course. TCM relationship with endoscopy: RE graded A, B, Classmore, Helicobacter pylori (Helicobacter pylori) HP-negative rate,complications of chronic superficial gastritis; erosive gastritis; bile refluxgastritis; ten finger enteritis; duodenal ulcers were more.Conclusion:1. From the point of view of basic information: patientswith middle-aged males, secondary education, long-term residence in town,usually hi addicted to alcohol, were mo re likely to diet-induced discomfort,easy postprandial onset, incidence summer, longer course, more forrecurrence.2. From the Chinese point of view the distribution of symptoms: Thedisease gas. Qi deficiency in the main organs and heat syndrome andsymptoms. Empirical stagnation of qi-based, and wet and organs symptoms.3. RE syndromes are divided into four types: hepatogastric stagnantheat, disharmony of liver and certificates, the imaginary inverse gas card,liver and spleen deficiency heat.4. From the point of view of syndromes: pathogenesis of this disease isair-lifting disorders, leading to weak stomach, liver failure associated witha series of organs syndromes.5. TCM association with endoscopy: RE hierarchical view, with A, Bgrade greater. HP overcast higher rate of disease resistance, detectionmethods and processes may be relevant in this study. Relationship with the complications associated with chronic superficial gastritis; erosive gastritis;bile reflux gastritis; duodenitis; duodenal ulcers were more.