慢性胃炎与微观辨证分型的相关性及临床意义  

Correlation of Typing Based on Differentiation of Symptoms and Signs in Chronic Gastritis and Its Significance

作　　者：郑嘉岗[1] 卢林耿[2] 段艳霞[2] 郑昱[1] 武和平[1] 

机构地区：[1]上海中医药大学附属龙华医院,上海宛平南路725号200032 [2]上海中医药大学

出　　处：《中医杂志》2000年第8期490-491,493,共3页Journal of Traditional Chinese Medicine

摘　　要：通过电子胃镜技术,着重观察分析慢性胃炎与胃粘膜微观辨证分型的相关性、结果:(1)GLM分析和DUNCAN法两两比较,脾胃虚弱型年龄明显大于脾胃湿热型(P<0.05),后者又明显小于胃络瘀血型(P<O.05)。提示慢性胃炎微观辨证分型与年龄增长有明显相关性。(2)慢性胃炎HP感染与中医微观辨证无关。(3)对应分析及散点图显示,慢性浅表性胃炎与微观辨证脾胃湿热型、肝胃不和型有关;慢性萎缩性胃炎伴不典型增生或肠化生与脾胃虚弱型、胃络瘀血型或胃阴不足型有关。符合中医对疾病转归的一般认识,即初病多实证、热证,而“久病必虚”,“久病入络”或热久伤阴。Correlation between TCM typing of chronic gastritis and the findings about the mucosa in gastroscopic examination was analyzed. In GLM and DUNCAN analyses, the sufferers of insufficiency of both the spleen and stomach were much older than of the damp - heat in the spleen and the stomach (P< 0. 05), while the latter were much younger than blood stasis in stomach - collaterals (P<0. 05). Chronic gastritis caused by Helicobacter pylori was irrelevant with its types in TCM. Correspondence and scatter diagram analyses showed that chronic superficial gastritis was in correspondence with the types of damp - heat in the spleen and the stomach and that of incoordination between the liver and the spleen, while atrophic gastritis with proliferation and intestinal metaplasia were in correspondence with the types of insufficiency of both the spleen and stomach, blood stasis in stomach - collaterals and insufficiency of stomach yin. Findings in gastroscopy support the nature of chronic gastritis in TCM that the initial stage is often manifested in excess or heat syndromes. Lingering of the disease is bound to be of deficiency or invasion of heat into the collaterals, or impairment of yin.

关 键 词：慢性胃炎 微观辨证分型 中医诊断 

分 类 号：R259.7[医药卫生—中西医结合]