胃食管反流病中医证型与胃镜表现的相关性研究  

Relationship Between TCM Syndromes in Gastro-esophageal Reflux Disease with Endoscopic Manifestation

作　　者：曹婷婷[1] 

机构地区：[1]南京中医药大学,江苏南京210046

出　　处：《辽宁中医药大学学报》2010年第12期111-112,共2页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:通过观察胃食管反流病(Gastro-Esophageal Reflux Disease,GERD)中医证型的临床表现及胃镜特点,借助现代统计学方法,分析各中医证型与病程、年龄段及胃镜表现等的相关性,为GERD的辨证论治和科研提供依据。方法:在文献研究的基础上,采用流行病学的调查方法,收集胃食管反流病(GERD)患者的中医证候四诊资料,运用卡方检验进行统计分析,找出并分析各GERD证型与性别、年龄、病程、胃镜表现等的相关性。结果:在此研究收集的180例病例中,性别与中医证型无明显相关性。而年龄、病程、胃镜表现均与证型存在一定相关性。结论:GERD病程短者以实证、热证表现为主,病程长者则以虚证为多;在内镜阳性的病例中,病情较轻者以实证较为多见,而病情重者则以虚实夹杂证多见,可见随着病情发展,人体正气逐渐亏虚,病机也更为复杂。Objective：The research aims to,through observation of clinical manifestations of different syndromes of Traditional Chinese Medicine in Gastro-Esophageal Reflux Disease（GERD）,by means of modern statistics,explore the regularity of syndrome distribution,analyze the correlation of GERD syndromes with disease course,age group,and gastroscopic manifestations,thus providing a foundation for syndrome differentiation and scientific research.Methods：On the basis of literature study,the data of patients＇ symptoms and signs are got through four diagnostic methods and data base is established by applying epidemiologic methods.Cluster analysis,descriptive statistics and chi-square test are used for statistic purpose,the relationship of syndromes with gender,age,disease course and gastroscopic presentation was summed up.Results：Among gathered 180 cases,the syndromes of GERD have a bearing on age,disease course and gastroscopic manifestation,while the sex of patients has no obvious relationship with syndromes.Conclusion：Patients with short-term course mainly present in excess and heat syndrome,while deficiency syndrome is more occur in long-lasting course.In patients with positive endoscopic outcome,mild cases most likely present with excess syndrome,and severe ones with syndrome of mixed excess and deficiency in high frequency.

关 键 词：胃食管反流病 中医证型 胃镜表现 相关性 

分 类 号：R573[医药卫生—消化系统]