广州地区慢性胃炎中医证型分析  

Study on the TCM syndrome types of patients with chronic gastritis in Guangzhou province

作　　者：李玉玲[1] 胡学军[2,1] 钟子劭 吴庆和[2,1] 黄穗平[2,1] 

机构地区：[1]广州中医药大学第二临床医学院,广州510405 [2]广东省中医院

出　　处：《中华中医药杂志》2015年第3期821-823,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中央财政支持地方高校发展专项资金项目“重大难治性脾胃病防治协同创新平台”(No.财教[2013]338号)~~

摘　　要：目的:探讨广州地区慢性胃炎中医证候类型分布特点。方法:对消化内科门诊342例广州地区慢性胃炎患者进行辨证分型,确定各中医证型,并作统计学分析。结果:342例广州地区慢性胃炎患者的中医证型分布为脾胃气虚占51.5%,肝胃不和占19.3%,脾虚湿阻占14.9%,脾胃虚寒占7.6%,脾胃湿热占6.1%,胃阴不足占0.6%,差异有统计学意义(P<0.05);发病人群具有性别差异,女性患者发病率多于男性,脾胃虚寒型女性显著高于男性,而脾胃湿热型男性高于女性;各中医证型的发病平均年龄和在广州居住差异均有统计学意义(P<0.05)。慢性胃炎HP感染与否及西医病理诊断与中医证候分布无统计学差异。结论:广州地区慢性胃炎中医证候分布具有地域性,与居住广州年限及性别、年龄具有相关性,故治疗上要遵循"三因制宜"即因人制宜、因地制宜、因时制宜的原则。Objective： To investigate the syndrome distribution characteristics of chronic gastritis in Guangzhou province. Methods： 342 outpatients with chronic gastritis from department of gastroenterology in Guangzhou were collected to differentiate their syndrome types, which were analyzed with some statistical methods. Results： The TCM syndrome distribution of outpatients with chronic gastritis from department of gastroenterology in Guangzhou province were as following, deficiency of spleen and stomach syndrome disharmony of liver and stomach syndrome, deficiency of spleen and dampness stagnation syndrome, deficiency of spleen and stomach yang syndrome, dampness-heat of spleen and stomach syndrome, deficiency of stomach yin syndrome, accounting for 51.5%, 19.3%, 14.9%, 7.6%, 6.1% and 0.6% respectively. There were significant differences in TCM syndrome distributions among each syndrome type （P〈0.05）. The morbidity in female patients was higher than that in male patients. The deficiency of spleen and stomach yang syndrome in female patients was more than that in male patients, while dampness-heat of spleen and stomach syndrome in female patients was less than that in male patients. There were significant differences in average age of onset and period of resident in Guangzhou province among each syndrome type （P〈0.05）. There was no significant difference in HP infection and pathological diagnosis among each syndrome type. Conclusion： The TCM syndrome distribution of chronic gastritis in Guangzhou province is different in different regions, which may be closely related to gender, age and period of resident in Guangzhou province. So, it should adjust measures to climate, locality and individual in clinical practice.

关 键 词：慢性胃炎 中医证型 分布特点 广州 

分 类 号：R259[医药卫生—中西医结合]