反流性食管炎中医证型分布及其相关因素分析  

TCM syndrome type distribution and correlation of reflux esophagitis

作　　者：占新辉 王微[1] 符思[1] 张喆[1] 王影[1] 刘瑜[1] 

机构地区：[1]中日友好医院中医消化科,北京100029 [2]北京中医药大学,北京100029

出　　处：《吉林中医药》2015年第1期16-19,共4页Jilin Journal of Chinese Medicine

基　　金：国家中医药管理局"十二五"重点专科建设项目(2012)

摘　　要：反流性食管炎的中医证型分布,各医家主张不同,证型分类也不同。文献分析结果显示,反流性食管炎主要证型有9个,分别为肝胃郁热证、脾胃虚弱证、痰气交阻证、肝胃不和证、脾胃湿热证、肝郁脾虚证、气滞血瘀证、胃阴不足证、脾虚痰湿证。其中4个证型在临床上较常见,分别是肝胃郁热证、脾胃虚弱证、痰气交阻证及肝胃不和证。反流性食管炎的证型中实证居多,其发生与肝脾胃三脏密切相关。且中医证型与性别、Hp感染、体质类型等因素均有相关性。As for TCM syndrome type distribution of reflux esophagitis,the doctors held different views. Analysis of the literature result shows,drawn reflux esophagitis has nine major syndromes. These syndromes were stagnated heat of liver and stomach syndrome,spleen stomach deficiency syndrome,gas exchange resistance syndrome,syndrome of incoordination between liver and stomach,syndrome of dampness-heat of spleen and stomach,syndrome of stagnation of liver Qi and spleen deficiency,syndrome of Qi stagnation and blood stasis,stomach Yin deficiency syndrome,syndrome of phlegm-dampness due to spleen deficiency. 4 types of syndromes are common in clinic. They are the stagnated heat of liver and stomach syndrome,spleen stomach deficiency syndrome,gas exchange resistance syndrome and syndrome of incoordination between liver and stomach. At the same time,most types of syndromes of reflux esophagitis are empirical and their occurrences are closely related to the liver,spleen and stomach. And TCM syndromes have correlation with gender,Hp infection,physical type and other factors.

关 键 词：反流性食管炎 肝胃郁热 脾胃虚弱 痰气交阻 肝胃不和 

分 类 号：R571[医药卫生—消化系统]