| Objective:The purpose of this study is to explore the links betwwen a number of symptoms of HP related gastritis characterized by dampness-heat of spleen and stomach and disharmony of liver and stomach and summarize the distribution characteristics of gender,age,hobby,mood,body mass index etc.in two syndrome types,In order to integrate objective data into TCM syndrome differentiation and serve clinical practice.Methods:In this study,49 patients with hP-related gastritis with dampness-heat syndrome of spleen and stomach and 42 patients with disharmony between liver and stomach are collected from Dongzhimen Hospital of Beijing University of Chinese Medicine,and the symptoms and related factors of the two syndrome types are studied.The patient's general information,including gender,age,body mass index,dietary preference,and DOB value,symptoms and degree of symptoms are input into the database.The DOB values are divided into three groups,according to DOB value<16,16?DOB?35,DOB value>35,analyze and conclude the correlation between DOB value and third-level DOB value group and related variables with the help of SPSS25.0.Research results:? A total of 49 patients with dampness-heat syndrome of spleen and stomach are collected,including 27 males(55.10%)and 22 females(44.90%).A total of 42 patients with disharmony between liver and stomach are collected,including 15males(35.71%).and 27 females(64.29%)?In spleen-stomach dampness-heat syndrome,the minimum age is 21 years old,the maximum age is 75 years old,and the average age is 44.18±13.417 years old.With the increase of age,the incidence of the patients increases and then decreases gradually,and the peak of the onset existes in between 30 and 49 years old.The incidence of the disease mainly in young and middle-aged people,up to 85.70%.In the syndrome of disharmony between liver and stomach,the minimum age is 20 years old,the maximum is 66 years old,and the average age is 39.86±11.634 years old.With the increase of age,the incidence of the patients first increases and then decreases,and the peak of the onset existed in 30?39 years old.Young people are the high incidence of hP-related gastritis syndrome of liver and stomach,up to more than half.?In the two syndrome types,the proportion of people with diet,tobacco and alcohol addiction is large.In dampness-heat syndrome of spleen and stomach,People who prefer to eat meat have the largest proportion,significantly higher than that of other groups except drinking alcohol,The difference was statistically significant(P<0.05),There is no significant difference in liking spicy food,frying and drinking(P>0.05).There is no significant difference in liking hot food,liking cold food,liking sour food,liking sweet food,liking salty food,liking partial element,liking coffee and liking strong tea(P>0.05).In the disharmony between liver and stomach,The number of people who prefer spicy food occupies the largest proportion,The difference is statistically significant(P<0.05),There is no statistically significant difference in preference to hot food,cold food,sour food,sweet food,salty food,vegetable,meat,Fried food,coffee and strong tea(P>0.05).There is no significant difference between drinkers and smokers(P>0.05)?In the two syndromes,There are more mental workers than physical workers,and most of them are normal and overweight.In dampness-heat syndrome of spleen and stomach,the number of people with moderate working intensity is more than half.The number of people who often go out to eat is the largest,more than half;The proportion of people with mild personality is larger.In the syndrome of disharmony between liver and stomach,the working intensity of the patients is mainly mild;The number of diners reached up to 90.48%,the number of people who eat occasionallyand frequently is equal.those with abnormal emotions such as anxiety,depression and impatience is more than half.?In the two syndromes,There are no statistically significant differences in the overall mean of DOB values among gender,age group and body mass index(P>0.05).In spleen-stomach dampness-heat syndrome,the overall mean DOB values of all age groups are different,with statistical significance(P<0.05).Among them,the mean DOB values of groups 50-59 are the highest,indicating that the bacterial load might be the highest,which first increases and then decreases with the increase of age.In the syndrome of disharmony between liver and stomach,there is no statistically significant difference in the overall mean number among all age groups(P>0.05).?In the DOB value group at three levels of spleen and stomach dampness-heat syndrome,the number of people in the middle group was the largest,followed by the number in the low group and the number in the high group was the least.There was no significant difference in the distribution of DOB value at three levels in gender(P>0.05).In the DOB value group at three levels of disharmony between liver and stomach,the number of people in the low group was the largest,the number in the middle group was the second,and the number in the high group was the least.The distribution of DOB value at three levels in the gender group was different,with statistical significance(P<0.05).The number of male patients mainly concentrated in the low and middle group,while the number of female patients in the three groups was relatively average,indicating that the male bacterial load was relatively low.in the two syndrome types,There was no statistically significant difference in the distribution of DOB values in the age groups and body mass index(P>0.05).?For the incidence of symptoms in the syndrome of dampness-heat of spleen and stomach,there are no statistically significant differences in the DOB value at three levels about the distribution of the epigastric pain rejection,bitter and sticky mouth,unpleasant bowel movement,thirst but not to drink(P>0.05).while that of abdominal distension and fullness is statistically significant,with the highest probability in the high group.For the incidence of symptoms in the syndrome of disharmony between liver and stomach,there are no statistically significant differences in the DOB value at three levels about the distribution of having a stomachache and side rib pain,belching,abdominal noisy;while that of abdominal distension is statistically significant,with the highest probability in the high group,that of spiting acid statistically significant,with the lowest probability in the high group? The distribution about different degrees of unpleasant bowel movement in the syndrome of dampness-heat of spleen and stomach and distension and fullness of epigastric abdomen in the syndrome of disharmony between liver and stomach in the DOB value at three levels is statistically significant(P<0.05),and the symptoms become more and more severe with the increase of the group.that of abdominal distension and fullness in the syndrome of dampness-heat of spleen and stomach is statistically significant(P<0.05),the low and middle group was mainly mild,while the high group was mainly severe.Others are not statistically significant(P>0.05).?In spleen-stomach dampness-heat syndrome,symptoms integral of the DOB value<16 was 4.76±1.786,symptoms integral ofl6<DOB value<35was 4.76±1.786,symptoms integral of the DOB value>35 was 4.76±1.786,the difference of symptom score in the DOB group at three levels was statistically significant(P=0.03<0.05),the symptom score increased successively with the increase of groups.In the syndrome of disharmony between liver and stomach,symptoms integral of the DOB value<16 was 4.41±1.906,symptoms integral of 16<DOB value<35was 4.06±1.526,symptoms integral of the DOB value>35 was 3.78 ± 0.972,the difference of symptom score in the DOB group at three levels is not statistically significant(P>0.05).Conclusion:1.In the spleen-stomach dampness-heat syndrome,the DOB value is related to the overall severity of the patients.with the increase of DOB value and the symptoms of unpleasant bowel movement become more and more severe,For abdominal distension and fullness,the low and middle group is mainly mild,while the high group is mainly severe.In the syndrome of disharmony between liver and stomach,the DOB value is not related to the overall severity of the patients,with the increase of DOB value and the symptoms of distension and fullness of epigastric abdomen become more and more severe.2.The onset of both syndromes is related to gender,age,nature of work,mood,diet,etc.3.In the syndrome of dampness-heat of spleen and stomach,the bacterial load is related to age,but has nothing to do with gender.DOB value>35 indicates that the bacterial load is relatively large,the symptom of abdominal distension and fullness is easy to occur.In the syndrome of disharmony between liver and stomach,the bacterial load may be unrelated to age and related to gender.DOB value>35 indicates that the bacterial load is large,the symptoms of abdominal distension and fullness are more likely to occur,and the symptoms of acid vomiting are less likely to occur. |
PDF Full Text Request