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[1]赵晓丹,孙静晶,周斌.慢性萎缩性胃炎中医证型分布规律[J].环球中医药,2015,8(01):18-21.[doi:10.3969/j.issn.1674-1749.2015.01.005]
　ZHAO Xiao-dan,SUN Jing-jing,ZHOU Bin..Distribution of traditional Chinese medicine syndromes of chronic atrophic gastritis[J].,2015,8(01):18-21.[doi:10.3969/j.issn.1674-1749.2015.01.005]
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慢性萎缩性胃炎中医证型分布规律()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第8卷
期数:
2015年01期
页码:
18-21
栏目:
论著
出版日期:
2015-01-06

文章信息/Info

Title:
Distribution of traditional Chinese medicine syndromes of chronic atrophic gastritis
作者:
赵晓丹; 孙静晶; 周斌
100053 北京,中国中医科学院广安门医院脾胃科[赵晓丹(硕士研究生)、孙静晶(硕士研究生)、周斌]; 北京中医药大学针灸推拿学院[赵晓丹(硕士研究生)]
Author(s):
ZHAO Xiao-dan;  SUN Jing-jing;  ZHOU Bin.
Guang'anmen Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing 100053, China Corresponding author: ZHOU Bin, E-mail: zbpd518@163.com
关键词:
慢性萎缩性胃炎;  中医证型;  分布
Keywords:
Chronic atrophic gastritis;  Traditional Chinese medicine syndromes;  Distribution
分类号:
R256.3
DOI:
10.3969/j.issn.1674-1749.2015.01.005
文献标志码:
A
摘要:
目的 探讨慢性萎缩性胃炎的中医证型分布与胃黏膜病理改变程度、幽门螺杆菌(H.pylori)感染的相关性。方法 将431例慢性萎缩性胃炎患者辨证分为6个证型:肝胃气滞证59例,肝胃郁热证35例,脾胃虚弱证168例,脾胃湿热证52例,胃阴不足证24例,胃络瘀血证93例。分析各证型与胃黏膜病理改变程度、幽门螺杆菌感染的关系。结果(1)各中医证型在不同程度胃粘膜萎缩分布上存在显著性差异(P<0.05),其中肝胃气滞证与脾胃虚弱证、胃络瘀血证比较差异均有统计学意义(P<0.0033);(2)各中医证型在不同程度肠化生分布上存在显著性差异(P<0.05),其中,肝胃气滞证与胃络瘀血证比较存在显著性差异(P<0.0033);(3)各中医证型在不同程度异型增生分布上差异无显著性意义(P>0.05)。结论 中医证型分布与胃黏膜病理改变程度、H.pylori感染有一定的相关性。
Abstract:
Objective To discuss the relationship among different TCM syndrome of CAG, relevant pathological changes and Helicobacter pylori infection.Methods 431 CAG patients were divided into 6 kinds of TCM syndromes, i.e. 59 cases of liver and stomach qi stagnation syndrome, 35 cases of stagnated heat of liver and stomach syndrome, 168 cases of spleen-stomach deficiency syndrome, 52 cases of spleen-stomach damp heat syndrome, 24 cases of stomach yin deficiency syndrome and 93 cases of stomach meridian of blood stasis syndrome. To analysis the relationship among different syndrome, relevant pathological changes and Helicobacter pylori infection.Results(1)In the distribution of different degrees of atrophy, there were statistically significant differences among the six syndromes(P<0.05). Differences were statistically significant when Liver and stomach qi stagnation syndrome compared with spleen-stomach deficiency syndrome and stomach meridian of blood stasis syndrome(P<0.0033).(2)In the distribution of different degrees of intestinal metaplasia, there were statistically significant differences among the six syndromes(P<0.05). Difference was statistically significant when Liver and stomach qi stagnation syndrome compared with stomach meridian of blood stasis syndrome(P<0.0033).(3)In the distribution of different degrees of dysplasia, there were no statistically significant differences among the six syndromes(P>0.05). Conclusion There were correlation among TCM syndromes, pathological changes and Helicobacter pylori infection.

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备注/Memo

备注/Memo:
作者简介:赵晓丹(1988- ),女,2007级七年制硕士研究生。研究方向:中医内科消化病学。E-mail: zhao_xiaod@yeah.net 通讯作者:周斌(1967- ),博士,主任医师,硕士生导师。研究方向:中医内科消化病学。E-mail: zbpd518@163.com
更新日期/Last Update: 2015-01-05