Chronic Gastritis Stomach Mucosa Of Gastroscopy And Syndromes Correlation Studies

1BackgroundChronic gastritis is a high incidence of digestive diseases, and the stomach pain is one of the more common clinical symptoms of the disease, they are often with bloating、acid reflux、 belching、hypochondriac performance. The characteristics of this disease are chronic persistent and the high recurrence rate, it is closely related to diet、emotions and climate.This study through the two parts of theoretical discussion and the clinical study analyses the clinical features of chronic gastritis stomach pain, explores the relevance between the gastroscopy mucosa and traditional Chinese medicine syndrome, and tries to provide a basis for clinical diagnosis and treatment.2Literature studyReview section is divided into three parts to prove the point:The first section summarizes the understanding of ancient Chinese literature related syndromes of chronic gastritis, the second part is the research progress in the understanding of modern Chinese medicine for chronic gastritis and pharmacology, the third part is western studies on chronic gastritis profiles.3Clinical researchObjective:Our subject focuses on the observation of the clinical features and gastroscopy mucosa, analyses the distribution of syndrome and relevance, tries to provide an objective basis for the clinical diagnosis and treatment of this disease.Methods:60cases are all from Department of Gastroenterology in Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Our subject takes the questionnaire, analyses the features of the epidemiology data、clinical manifestations and gastroscopy mucosa and explores the distribution of syndrome and relevance.Results:1In the epidemiological data, the sex ratio is0.875:1; average age is41.1554±17.37624;50-59age group has the highest prevalence;60%of patients are with well-nourished; Undergraduate and postgraduate are58.3%; The mental workers are68.3%; The main induced factors are diet (46.7%)、emotional (33.3%)、climate (13.3%).2In clinical characteristics, the average duration is111.3±87.4months, patients with more than5years duration are90.0%. The patients with26points-50points pain scores are45%. the patients with51points-75points pain scores are35%; Within two weeks, the patients with stomach pain in8-11days are46.6%, the patients with stomach pain in4-7days are30%. Expansion pain is30%, faint pain is23%, burning pain is17%, tingling is13%, cramps is10%;43.3%of stomach pain occurs before a meal,36.7%of stomach pain occurs after a meal, time is unfixed (13.3%). The patients with full and stuffy sense are56.7%, with belching are36.7%, with hypochondriac pain are26.7%, with acid reflux are25%, with big fat tongue or teeth marks are46.7%, with the dark red tongue are30%, with greasy moss of tongue are38.3%.3On gastroscopy mucosa pattern, there are congestive gastroscopy mucosa (61.67%)、 erosion (48.33%)、submucosa with blood vessels revealed (31.67%) and blood vessels revealed with erosion (23.33%). There are the inflammatory activity patients (55%) and non-inflammatory activity patients (45%). There are the HP positive patients (61.67%) and the HP-negative patients (38.33%); There are the patients without bile reflux (86.67%) and the patients with bile reflux (13.33%). Patients with faint pain are mostly congestive mucosa, patients with burning pain are mostly erosion. Patients with26points-50points pain score are mainly congestive mucosa, the second most ones are submucosa with blood vessels revealed. The patients with moderate or severe pain are mainly erosions; Patients with faint pain are mostly non-inflammatory activity, patients with burning pain or tingling pain are mostly inflammation. Patients with Opoints-25points pain score are all non-inflammatory activity. Patients with moderate or severe pain are mainly the active stage of inflammation; Patients with faint pain are mostly HP negative ones and patients with burning, tingling or cramps are mostly HP-positive ones. Patients with0points-25points pain score are mainly HP-negative ones, patients with moderate or severe pain are mainly HP-positive ones; Patients with bile reflux are mostly with burning pain,patients without bile reflux are mostly expansion pain, the second most one is faint pain; The patients without bile reflux are mainly with26points-50points pain, the patients with bile reflux are mainly with moderate or severe pain.4In the relationship of gastroscopy mucosa and traditional Chinese medicine syndrome. Liver and Stomach Qi stagnation and Spleen stomach damp heat syndrome are significantly more than the other syndromes. The patients with congestive mucosa are mostly liver and stomach qi stagnation. The patients with erosion mucosa are mostly Spleen stomach damp heat syndrome; Inflammatory activity of patients are mostly liver and stomach qi stagnation, inflammatory activity of patients are mostly Spleen stomach damp heat syndrome; The patients with Spleen stomach damp heat syndrome are mostly HP positive ones. The patients with Spleen stomach deficiency are all HP negative ones. The patients without bile reflux are mainly Liver and Stomach qi stagnation; The patients with bile reflux are mainly Spleen stomach damp heat syndrome.Conclusions:1In the epidemiological data, chronic gastritis stomach pain has nothing to do with sex, related to age、educational level and the nature of work.50-59age group has the highest prevalence, sick people are mostly concentrated in the higher education of the mental..The main predisposing factors are the diet、emotions and the climate;2In the clinical features, The general course of the disease is long. Chronic gastritis stomach pain is mostly moderate, within two weeks there are8-11days stomach pain attacks, pain mostly occurred before or after the meal, chiefly with full stuffiness, the tongue bodies are mostly fat or have scalloped;3On gastroscopy mucosa pattern, congestive and erosion are most, the second most ones are submucosa with blood vessels revealed and blood vessels revealed with erosion. Inflammatory activity and HP-positive are more. Patients with faint pain are mostly non-inflammatory activity and HP-negative. Patients with burning pain or tingling pain are mostly with erosive mucosa、inflammation and HP-positive, some accompanied by bile reflux and the pain is mostly moderate or severe;4In the relationship of gastroscopy mucosa and traditional Chinese medicine syndrome, Liver and Stomach Qi stagnation and Spleen stomach damp heat syndrome are significantly more than the other syndromes. Gastroscopy mucosa and traditional Chinese medicine syndrome has a certain relevance, gastric erosions、inflammation、HP infection、bile reflux and Spleen stomach damp heat syndrome are closely related, other types are mostly stagnation.