Relationship Between Tcm Syndrome Types Of Non-Erosive Reflux Disease And Psychological Factor

Objective:1.Through the sample survey of the NERD's chinese syndromes to understand this area sufferers'distribution feature.according to the investigation result at the same time, further carry on the deep discussion to often chinese syndromes.2.Through grading and investigating to NERD patient's anxious and/or depressed state,To probe the relationship between psychological factor and chinese syndromes types of non-erosive reflux disease 3.Open up new thinking and method for the therapy of combining traditional Chinese and Western medicine of NERD.Method:Since February,2006 to January,2008,to go to a doctor on hospital,and Endoscope of ministry have typical cooking feeling and reflux symptom digest,Pain,sour instead of behind the brestbone or against food) The patiens mark Reflux diagnostic questionnare(RDQ)scal,the total points of symptom are greater than 12 points,then using gastrocopy,get rid of oesophageal mucous membrane damage or Barrett patient whose esophagus display,We choosed non-erosive reflux diseas(NERD)patients,Basing on Chinese medicine diagnostic standard to evaluate,employing internatioanlly agreed anxiety commenting scales(Self-rating anxiety scale,SAS),the depressed scale(Self-rating depression scale,SDS) commenting.It is until allthe patients more selected for anxiety and Depressed state psychology test and assess,count total scores,to observe the relationship between different chinese syndro-mes and psychological factor.Results:1.176 cases of non-erosive reflux disease were classified according to svndrome differentiation.Mainly four syndrome types of non-erosive reflux disease,stagnated heat of liver stomach accounted for 32.2%as 56 patiens,disorder of liver stomach accounted for 27.2%as 48 patiens,phlegmqi stagnation accounted for 20.9%as 37 patiens,27 patiens of asthenia spleen and stomach accounted for 15.2%,other syndrome types 8 account for 4.5%. Therefore NERD patients stagnated heat of liver stomach to take the most,disorder of liver stomach secondly.2.Four syndrome types of non-erosive reflux disease,stagnated heat of liver stomach of total mark of RDQ form,disorder of liver stomach,asthenia spleen and stomach with card and phlegmqi stagnation,the first 2 card type total mark of RDQ form are obviously higher than the last 2 card type total mark of RDQ form,there are significant differences,P＜0.05,has comparativity,There is no significant difference between stagnated heat of liver stomach,disorder of liver stomach and phlegmqi stagnation,asthenia spleen and stomach,P＞0.05,It is not relatively serious to brief on stagnated heat of liver stomach and disorder of liver stomach with the clinical symptom of the card.3.Four syndrome types of NERD often stagnated heat of liver stomach,disorder of liver stomach and phlegmqi stagnation,asthenia spleen and stomach form and/or SDS form integration,SAS of card,compare while being strongly fragrant with card,the first 2 card types are obviously higher than the last 2 card types separately,there are significance differences,P＜0.05;stagnated heat of liver stomach,disorder of liver stomach,phlegmqi stagnation have a significance difference compared with asthenia spleen and stomach,while being strongly fragrant,P＞0.05,it is not relatively serious to brief on the stagnated heat of liver stomach and disorder of liver stomach with the depressed and/or anxious state.4.Total mark of NERD symptom(RDQ) Present prominent positive correlation with SDS, SAS.5.Four syndrome types of NERD have a psychological factor in various degree often,the stagnated heat of liver stomach,disorder of liver stomach with anxiety / states depressed grade last a other various obviously.Conelusion:1.The chinese syndromes of this area NERD patient relies mainly on the fact that stagnated heat of liver stomach,disorder of liver stomach and phlegrnqi stagnation,asthenia spleen and stomach,especially the first 2 card types.2,psychological factor plays an important role among morbidity of NERD.3.NERD patient presents relevance in the hope of being improved instead of the state severity of anxious and/or depressed state in symptom severity.4.The stagnation of liver plays important role in the pathogenesis of non-erosive reflux disease.