The Study Of Reflux Esophagitis, TCM Syndrome Types, Physical Correlation With Gastroscope Classification Research

ObjectiveThrough the 150 patients of RE doing questionnaires, Summing up main constitution types of TCM syndrome types and distribution of results, And to investigate the correlation between the syndrome type of TCM, Chinese medicine physique and endoscopic classification etc. Syndrome differentiation of traditional Chinese medicine and distinguishes the constitution of TCM combined with western medicine,it will provided basis for syndrome differentiation and usually physical conditioning of the RE patients.MethodsThis research was based on a survey of about 150 reflux esophagitis patients, who is under the gastroscope diagnosis, and then data entry statistics. SPSS17.0 statistical software for statistical analysis calculators information is chi-square、Fisher’s exact probability test and Pearson correlation test.Results1.This study of 150 RE patients,92 men (61.3%),58 are women (38.7%).Age distribution in middle age 35 to 55 years old group distribution on most (45.3%). Course with<1 year for most patients (44%); Incentive to the irregular of diet (44.7%) and emotional factors (29.3%) is given priority to, diet mainly with addicted to sweets;Hp infection cases,96 cases (64%), positive negative 54 cases (36%);2.This study of distribution of TCM syndromes, the most is damp heat in the spleen and the stomach(28%), according to the proportion of other syndromes is the liver stomach wind-cold(22%), disharmony between liver and stomach (20%), vital energy and phlegm stagnation(12%), deficiency of spleen and stomach(10.7%), lack of stomach yin type(7.3%).3.150 cases of patients with RE physical distribution is as follows:Hot and humid constitution>phlegm wet physical>Qi depression constitution> deficiency of body constitution>Yang deficiency constitution>blood stasis constitution>Yin deficiency constitution>special talents and physical>peace constitution;4. The research of TCM syndrome type and endoscopic classification endoscopic grade A, B is more taste hot and damp card, Class C for liver-stomach disharmony is given priority to, D for weak spleen and stomach and lack of stomach yin type. Different gastroscope classification of TCM syndrome type distribution difference was statistically significant (P<0.05), and both have a certain correlation (P<0.05);5. Gastroscope classification and course of correlation study, grade A, grade B to<1 year,1-3 years more, C, D in 3 to 5 years,>5 years more, different upper grade in the course of distribution differences statistically significant (P<0.05);6. In the study of gastroscope grading correlation with TCM constitution, Grade A in damp-heat constitution and Phlegm-dampness constitution is more, B in damp-heat constitution and Qiyu physique more, class C in damp-heat constitution, deficiency of body constitution is more, D to Yin deficiency is more, Different gastroscope classification of traditional Chinese medicine physique distribution difference was statistically significant(P<0.05), and both have a certain correlation(P<0.05);7. By means of reseaching RE common constitution damp-heat constitution, Phlegm-dampness constitution and Qiyu physique with the syndrome differentiation of TCM syndrome research, the three constitution of the common TCM syndrome is the damp heat in the spleen and the stomach, vital energy and phlegm stagnation and liver-stomach disharmony. Three different constitution of TCM syndrome type distribution difference was statistically significant (P<0.05).ConclusionThe main constitution of the RE patients are the Dampness-heat constitution, Qiyu physique, Phlegm-dampness constitution;This study of TCM syndrome type distribution the most is spleen and stomach wet;The patient who is the Dampness-heat constitution easy performances damp heat in the spleen and the stomach, Phlegm-dampness constitution patients easy performances vital energy and phlegm stagnation, Qiyu physique patients easy performances liver-stomach disharmony;Gastroscope classification and TCM syndrome type and the course of the distribution has some relevance, Long duration of esophageal mucosa injury is more serious;Chinese medicine physique and gastroscope grading correlation study, grade A Hot and humid constitution, phlegm wet physical is more, class B in hot and humid, Qi depression constitution more, C to Hot and humid constitution, blood stasis is more, D to Yin deficiency is more. Of reflux esophagitis gastroscope classification of traditional Chinese medicine, identify the constitution has the certain reference value.