慢性萎缩性胃炎证候分布规律研究现状与思考  

On current situation of TCM syndrome distribution of chronic atrophic gastritis

作　　者：苏泽琦[1] 陈润花[2] 李培彩[1] 张寅[1] 刘福生[1] 刘婷[1] 朱辰辰 王晓迪[1] 丁霞[3] 

机构地区：[1]北京中医药大学东直门医院北京100700 [2]北京中医药大学东方医院 [3]北京中医药大学医院管理处

出　　处：《北京中医药大学学报》2015年第1期42-45,62,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(No.81270466);北京中医药大学自主选题资助项目(No.2013-JYBZZ-XS-126)

摘　　要：目的把握现阶段慢性萎缩性胃炎证候分布规律研究现状,为进一步开展该病的证候规范化、标准化研究提供有益指导。方法全面检索中国期刊全文数据库(CNKI)、重庆维普(VIP)及万方数据库自建库至2013年12月31日关于慢性萎缩性胃炎证候分布规律相关研究,纳入相关文献31篇进行分析。结果现阶段慢性萎缩性胃炎在流行病学资料、主要症状、常见证候类型及不同证候间微观辨证相关性方面取得了一定的成果。然而仍存在病例采集纳入排除标准不统一、病例来源地局限、样本量偏小、缺少相应的专家调研以及数据挖掘方法较单一的问题。结论慢性萎缩性胃炎证候分布规律当进行多中心、大样本、以大课题为支撑的研究,多学会联合形成统一的证候诊断标准更是该病中医规范化研究得以顺利进行的关键。Objective To summarize the current situation of studies on TCM syndrome distribution of chronic atrophic gastritis （ CAG）, so as to guide the normalization and standardization of TCM syndrome of CAG. Methods Searching literatures of studies on TCM syndrome of CAG in CNKI, CQVIP and Wangfang data up to Dec. 31, 2013, altogether 31 literatures were eligible to be analyzed. Results In recent years, with more and more achievements have been made in epidemiolog^cal data, main symptoms, common syndrome types and the microcosmic syndrome differentiation correlation among different syndromes, it is indispensable for researchers to solve the problems such as non-uniform inclusive and exclusive criteria, fewer origins of case, smaller sample size, lack of experts investigation and the simple method applied to data mining. Conclusion It is essential to carry out the studies with muhicenter, large sample and large projects, furthermore, uniform diagnostic standard put forward together by authoritative associations is the key to standardization of TCM syndrome of CAG.

关 键 词：慢性萎缩性胃炎 证候分布规律 证候规范化 

分 类 号：R256.3[医药卫生—中医内科学]