慢性萎缩性胃炎的证型分布规律探析
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摘要
目的:分析慢性萎缩性胃炎(CAG)的中医证型分布规律。方法:统计170例CAG患者的性别、年龄、病程、主要症状及中医证型的分布情况,并分析证型分布与性别、年龄、病程之间的相关性。结果:170例CAG患者中,男女比例约1.2∶1;以45岁以上中老年为主;主要症状为胃脘胀满、胃脘痛、纳呆、泛酸、烧心等;中医证型分布由多到少依次为脾胃虚弱证、肝胃不和证、胃阴不足证、脾胃湿热证、胃络瘀血证;各证型中,性别分布差异无统计学意义(P> 0.05),年龄分布及病程范围差异有统计学意义(P<0.05)。结论:CAG以脾胃虚弱证最为常见,其证型分布与年龄、病程范围有相关性。
To analyze the distribution Law of traditional Chinese medicine(TCM) syndromes in chronic atrophic gastritis(CAG). Methods:The gender,age,disease duratim,main symptoms and distribution of TCM syndromes in 170 patients with CAG were statistically analyzed,and the correlation among syndrome distribution,gender,age and disease duration was analyzed. Results:Among the 170 patients with CAG,the ratio of male to female was about 1.2∶1. The majority of middle-aged and older people were over 45 years old.The main symptoms were distension and fullness of the stomach,stomachache,poor appetite,acid reflux and heartburn. The distribution frequency from high to low was listed as follows:spleen-stomach weakness syndrome,liver-stomach disharmony syndrome,stomach yin deficiency syndrome,spleen-stomach damp heat syndrome and stomach collateral blood stasis syndrome. There was no significant difference in gender distribution among the syndrome types(P> 0.05). There were difference on the age distribution and the disease duration,with statistical significance(P<0.05). Conclusion:Spleen-stomach weakness syndrome is the most common syndrome in CAG,and the syndrome distribution is related to the age and disease duration.
To analyze the distribution Law of traditional Chinese medicine(TCM) syndromes in chronic atrophic gastritis(CAG). Methods:The gender,age,disease duratim,main symptoms and distribution of TCM syndromes in 170 patients with CAG were statistically analyzed,and the correlation among syndrome distribution,gender,age and disease duration was analyzed. Results:Among the 170 patients with CAG,the ratio of male to female was about 1.2∶1. The majority of middle-aged and older people were over 45 years old.The main symptoms were distension and fullness of the stomach,stomachache,poor appetite,acid reflux and heartburn. The distribution frequency from high to low was listed as follows:spleen-stomach weakness syndrome,liver-stomach disharmony syndrome,stomach yin deficiency syndrome,spleen-stomach damp heat syndrome and stomach collateral blood stasis syndrome. There was no significant difference in gender distribution among the syndrome types(P> 0.05). There were difference on the age distribution and the disease duration,with statistical significance(P<0.05). Conclusion:Spleen-stomach weakness syndrome is the most common syndrome in CAG,and the syndrome distribution is related to the age and disease duration.
引文
[1]中华医学会消化病学分会.中国慢性胃炎共识意见(2012年上海)[J].中华消化杂志,2013,33(1):5-10.
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[2]中华中医药学会脾胃病分会.慢性萎缩性胃炎中医诊疗共识意见(2009,深圳)[J].中国中西医结合消化杂志,2010,10(18):345-349.
[3]苏泽琦,陈润花,李培彩,等.慢性萎缩性胃炎证候分布规律研究现状与思考[J].北京中医药大学学报,2015,38(1):42-45,62.
[4]PILOTTO A,SALLES N.Helicobacter pylori infection in geriatrics[J].Helicobacter,2002,7(Suppl 1):56-62.
[5]REDEEN S,PETERSSON F,JONSSON KA,et al.Relationship of gastroscopic features to histological findings in gastritis and Helicobacter pylori infection in a general population sample[J].Endoscopy,2003,35:946-950.
[6]唐昭荣.单兆伟治疗慢性萎缩性胃炎经验[J].山东中医杂志,2013,32(5):355-356.
[7]王彦峰.张煜治疗慢性萎缩性胃炎经验拾萃[J].实用中医内科杂志,2008,22(10):41-42.