Relationship between distribution of Traditional Chinese Medicine syndrome types of chronic atrophic gastritis and precancerous lesions of gastric cancer and gastroscopic findings and pathological changes
Objective:To study the distribution of Traditional Chinese Medicine(TCM)syndromes of chronic atrophic gastritis(CAG)and precancerous lesions of CAG,and to explore the correlation between syndromes and gastroscopic findings and pathological changes,so as to provide objective basis for the diagnosis and treatment of precancerous lesions of CAG and CAG.Methods:Through a retrospective study of the medical records of 271 pa-tients in Professor NIU Xingdong's expert clinic,a CAG database of NIU Xingdong Studio was established.The data were statistically analyzed using SPSS 22.0 statistical software to analyze the incidence and distribution of the syndrome of the disease.Logistic regression was used to analyze the correlation between different TCM syndromes and gastroscopic findings and pathological findings.Results:Two hundred and seventy-one cases of TCM syn-drome distribution ratio from high to low were spleen and stomach weakness type,liver and stomach Qi stagnation type,spleen and stomach damp-heat type,stomach collateral stasis type,liver and stomach stagnation heat type,stomach yin deficiency type.In the correlation between syndrome types and pathological changes,esophageal re-flux was more common in liver-stomach Qi stagnation syndrome,erosion was more common in spleen-stomach damp-heat syndrome,and dysplasia was more common in stomach-collateral stasis syndrome.The remaining syn-dromes were not correlated with gastroscopic findings and pathological changes.Conclusion:CAG TCM syndrome types are mainly spleen and stomach weakness type,liver and stomach Qi stagnation type,etc.,of which liver and stomach Qi stagnation syndrome,spleen and stomach damp-heat syndrome,stomach collateral blood stasis syn-drome and gastroscopic performance and pathological performance are correlated,which can provide a reference for TCM syndrome differentiation.Through the combination of macroscopic syndrome differentiation and micro-scopic syndrome differentiation of TCM for accurate syndrome differentiation,combined with the pathogenesis of TCM,the application of"regulating Qi,activating blood circulation and detoxifying method"treatment is of positive sig-nificance for improving the clinical quality of life of patients and truncating the disease,delaying deterioration.
chronic atrophic gastritisprecancerous lesions of gastric cancerTraditional Chinese Medicine syndrome
万方数据
维普
