Distribution Of TCM Syndrome And Spirit Of Gastroesophageal Reflux Disease Study On The Relation Of Psychological Factors

Objective:Gastroesophageal reflux disease(GERD)is a common digestive system disease at home and abroad.With the acceleration of the pace of life,the incidence of the disease is increasing,and patients' physical and mental health are greatly affected.The causative factors and pathogenesis of abortion have not yet been clarified.This study mainly analyzes the distribution of TCM syndromes in patients with gastroesophageal reflux disease,the mental and psychological status of patients with different syndromes,and the correlation between TCM syndromes and patients' anxiety and depression,providing ideas and basis for clinical diagnosis and treatment.Methods:this study included 110 patients who met the diagnostic criteriafor gastroesophageal reflux disease.by filling out questionnaire adjustment forms,including basic data,Gerd-Q scale,primary and secondary symptom severity scale,SAS and SDS self-assessment scale.After filling out,the patients were classified into syndrome differentiation,which was divided into gallbladder heat invading stomach syndrome,liver and stomach stagnation heat syndrome,qi stagnation phlegm blocking syndrome,blood stasis blocking collaterals syndrome,and middle deficiency qi inverse syndrome.The results of the questionnaire were analyzed by SPSS 22.0,and the count data were analyzed by chi-square test.If the measurement data are normally distributed,the two groups are compared using independent sample t-tests,the multiple groups are compared using analysis of variance,the variances are uniformly tested using LSD-T tests,and the non-uniformity tests are non-parametric tests.Non-normal distributions are tested by rank sum.Results:In this study,110 questionnaires were retrieved and 102 valid questionnaires were analyzed.After analyzing the relevant results,the following results were obtained:1 Among the 102 patients,55 were male and 47 were female.The age range was 26-74 years.The average age of onset was 44.5 ± 9.5years.The incidence increased with the increase of the age group.The crowd peaked.More than half of the GERD patients affected work intensity,with 61 cases accounting for 59.8%.Statistics on the educational level of GERD patients found that the number of people with high school education was the largest,accounting for 26.5%.2 Gerd-Q points,SAS points,and SDS points of GERD patients were not statistically different based on "gender","age group",and "education level"(P<0.05).3 17 patients with GERD had anxiety state,accounting for 16.7%,and had the least depression state,with 4 cases.There was a significant correlation between Gerd-Q points,SAS points,and SDS points(P<0.01).4 Induction of 102 cases of TCM syndromes,49 cases of liver and stomach stagnation and heat syndrome in 5 groups of syndromes,accounting for 48.0%,22 cases of insufficiency of qi deficiency syndrome,13 cases of qi stagnation and stagnation syndrome,and12 cases of bile fever and stomach syndrome,6 cases of blood stasis and obstruction.5 Gerd-Q scores are statistically different between patients with different syndrome types(P=0.022<0.05,).Gerd-Q is the highest in patients with blood stasis and obstruction syndrome,and symptoms are more obvious.Patients with stagnation of phlegm obstruction are the lowest.6 There is no significant difference in SAS scores among patients with different syndrome types(P=0.163> 0.05),and SDS has statistical differences among patients with different syndrome types(P=0.028<0.05).Both the SAS score and the SDS score are the highest,the lowest SAS score is the Zhongxu Qi inverse syndrome,and the lowest SDS score is the Qi inverse stagnation syndrome.7 Analysis and comparison of the symptoms and different syndrome types of patients with GERD shows that patients with liver-stomach stagnation and fever syndromes often have symptoms of "acid regurgitation","belching gas","abdominal distension" and "sternal burning pain"."Red" and "yellow moss",the pulse pattern is "slipping pulse string";the syndrome of insufficiency of qi includes "reverse acid" and "appetite difference",and the pulse pattern of tongue is "light tongue" and "white tongue";"Pharynx discomfort","acid regurgitation","belching breath",tongue like "light tongue","white tongue";patients with gastrointestinal symptoms of bile fever are "reverse acid","dry mouth and bitter mouth".Conclusion:The distribution of TCM syndrome types is mainly liver and stomach heat stagnation type,followed by middle deficiency Qi inverse type,qi stagnation phlegm obstruction type,gallbladderheat invading stomach syndrome,blood stasis blocking collaterals syndrome is the least.Gerd-q scores are different among syndrome types,especially blood stasis syndrome.Anxiety and depression are more likely to induce gastroesophageal reflux disease.The SDS scores of patients are different among syndrome types.The syndrome of blood stasis and blood stasis,and the syndrome of bile heat invading stomach are more likely to cause depression.