The Study On Distribution Of TCM Syndromes Of Gerd And Correlation Factors

Objective: The research aims to,through observation of clinical manifestations of different syndromes of Traditional Chinese Medicine in GERD,by means of modern statistics,explore the regularity of syndrome distribution,sum up the method of syndrome differentiation which is relatively objective and regular,and further analyze the correlation of GERD Syndromes with age,gender,disease course,Hp infection,gastroscopic manifestations and other correlation factors,thus adding the cause of GERD research and providing a foundation for syndrome differentiation and scientific research.Methods:The data of patients’symptoms and signs are got through four diagnostic methods and data base is established by applying retrospective analysis method of combining theory research.Descriptive statistics and Kruskal-Wallis are used for statistic purpose,to find out the distribution of TCM syndrome types of GERD rules and the correlation of relative factors.Resutls:Among gathered193cases,106are male,while87are female.The age ranges from15to82years old,mean age is51.85±15.10years old. Reflux esophagitis(RE) accounts for61.14%,Nonerosive reflux disease(NERD) accounts for38.34%, and Barrett’s esophagus(BE) for0.52%.The RE includes four grades,grade A accounts for38.14%,grade B accounts for29.66%,grade C accounts for16.95%,and grade D accounts for15.25%.The syndromes can be categorized into six patterns,heat accumulation in both liver and stomach accounts for30.57%,disharmony between liver and stomach accounts for25.39%,spleen insufficiency and heat accumulation accounts for15.54%,spleen-stomach deficiency type accounts for14.51%,obstruction of phlegm and qi accounts for7.25%,deficiency of stomach-yin accounts for6.74%. The patients of heat accumulation in both liver and stomach and disharmony between liver and stomach are younger than spleen-stomach deficiency type and deficiency of stomach-yin. Heat accumulation in both liver and stomach、disharmony between liver and stomach and obstruction of phlegm and qi have short disease course.The gastroscopic manifestation of heat accumulation in both heat accumulation in both liver and stomach and obstruction of phlegm and qi is better than spleen-stomach deficiency type and deficiency of stomach-yin.Conclusion:It is advisable to classify GERD into six syndromes which may cover a vast majority of clinical cases. Heat accumulation in both liver and stomach type is at the most GERD manifest frequently with excess syndrome in clinical.