Research On The Relationship Between The Syndrome Differentiation Of TCM Type Of Hp Associated Chronic Gastritis And Gastroscopic Presentation

Objective:Chronic gastritis (CG) is a common disease and frequently occurring disease in clinic, while the Helicobacter pylori (Hp) infection is one of the common complications of CGThe purpose of this study was to investigate that under the guidance of Chinese medicine theory, through the review of TCM and gastroscopy in patients with Hp related CG as features, to investigate the distribution of the two, and through comprehensive analysis, find the correlation of the TCM syndrome and the gastroscopic presentation.In order to make Hp associated CG of macroscopic differentiation of traditional Chinese medicine (TCM) and Western medicine of digestive endoscopic micro morphological observation together, make the clinical diagnosis and treatment of more pertinence.At the same time, I hope that through this research make up for lack of intuitive in the process of TCM syndrome differentiation and the objective index of the defects, and to provide evidence for the cause of TCM treatment.In addition, this study can also base a relationship between TCM syndrome type and Hp infection in patients with CG, and provide reference for TCM treatment of Hp infection.Method:Through the study and analysis of Hp associated CG in TCM and Western medicine disease related knowledge and gastroscopic diagnosis technology, summarizes the diagnosis standard of western medicine diagnosis and syndrome differentiation of TCM type (6 types) of CG with Hp infection and, and induce the characteristics of the gastroscopic presentation of the patients with Hp related CG the (5 types).On this basis, a total of 438 cases of patients was collected from October 2011 to April 2012 in our hospital, the patients were diagnosised as CG with Hp infection by gastroscopy.At the same time, the selected cases according to TCM Syndrome Types and characteristics of gastroscopic presentation classification.Then, using the statistical methods of classification results, to explore the correlation between TCM syndrome type and g gastroscopic presentation in patients with Hp related CG.Results:1 In epidemiological statistics, Hp associated CG patients were male and female ratio is 1.066:1, gender difference is not significant(.P>0.05).2 The average age of 438 patients with Hp related CG is 49.155±17.742 years old, the age incidence rate had significant difference (P<0.01), the peak age of onset ranged from 50 to 59 years old, then followed by 20 to 29 years old.3 In the selected patients, according to TCM. syndrome, there are 127(29%) people of Syndrome of hepatic qi stagnation(SHQS),35(8%) people of Stagnated heat of liver and stomach (SHLS),109 (25%) people of Spleen stomach damp heat syndrome (SSDH),22 (5%) people of Stomach and blood stasis (SBS),92 (21%) people of Spleen stomach deficiency (SSD),53 (12%) people of Stomach yin deficiency (SYD). The study show that the incidence of the different TCM syndrome type had significant difference (P<0.01), SHQS and SSDH were significantly higher than other syndromes.4 438 patients with Hp related CG were inspected by gastroscopy, the reselt show that:119(27.17%) people have fundus ventriculi Point or flake congestion, 131(29.91%) people have a lot Frothy mucus,126(28.77%) people have Gastric erosion,96(11.19%) people have diffuse granular patterns,49(11.19%) people have duodenitis.This shouws a lot Frothy mucus and Gastric erosion have high incidence than others.5 Through the Hp associated with CG gastroscope image characteristics of correlation found in the liver and stomach, liver qi stagnation, spleen stomach damp heat, Yu Re, spleen deficiency syndrome cases,the incidence rate of gastric mirror the differences were statistically significant (P<0.05); while in the SBS, deficiency of stomach yin cases the stomach, mirror differences were not significant(P>0.05).6 Gastric bottom flake congestion has a high incidence in the patients of SHQS, Gastric erosion is more comm in the patients of SHLS, the patients of SSDH and SSD have more opportunity to be a lot Frothy mucus in a lot Frothy mucus.Conclusion:There are correlation between TCM syndrome type and gastroscopic presentation feature in patients with Hp associated CGThrough the research, we can draw a conclusion as follows.1 The incidence of Hp associated CG was no difference between men and women.2 The morbidity of Hp associated CG is high in population of 50～59 years old and 20～29 year old.3 The TCM syndrome type morbidity of Hp associated CG is different, the SHQS and SSDH are the most common.4 In patients with Hp related CG.A lot of frothy mucus was more common gastroscopic presentation, followed by erosive lesions appeared in the stomach.5 Analysis TCM syndromes and gastroscopic presentation features, we know that there are corresponding relationships between TCM syndrome type and gastroscopic presentation in patients with Hp associated CG.Specific performance for the following two aspects:(1)In the patients with SHQS, SHLS, SSDH, SSD, the gastroscopic presentation incidence is different; while in the patients with SBS, SYD, the incidence of gastric presentation is the same.(2)In patients with SHQS, gastric bottom flake congestion is most common; in patients with SHLS, the gastric erosion is most common; patients with SSDH or SSD, the frothy mucus is most common.