基于临床流调的慢性胃炎(CG)中医症状及证候与胃镜象的关联研究  

Research on Relationship between Syndromes( Signs) of Chronic Gastritis and Gastroscopy Based on Clinical Epidemiology

作　　者：陆施婷 蔡文君[1] 陈茜蕾 胡冠宇[1] 冯文涛[1] 刘国萍[1] 

机构地区：[1]上海中医药大学基础医学院,上海201203

出　　处：《中华中医药学刊》2015年第4期783-788,共6页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81270050;30901897);国家基础科学人才培养基金项目(J1103607);上海中医药大学大学生科创基金项目(13SX02)

摘　　要：目的:探讨慢性胃炎(CG)中医症状及证候与胃镜象的关联性,建立CG中西医辨证和辨病的联系,提高诊断水平,指导临床用药。方法:通过临床流行病学调查,应用皮尔森(Pearson)相关性分析方法,对CG中医症状、体征和证候与胃镜象的相关性进行研究。结果:本研究对CG患者的胃镜象进行Pearson相关性分析,共提取23个胃镜指标进行分析,镜下改变包括浅表性胃炎(CSG)、萎缩性胃炎(CAG)、溃疡等;病位有贲门、胃窦、胃体等;病理改变有幽门螺旋杆菌(Hp)、活动度、慢性炎症等得出CG患者胃镜象与症状、面色、舌象、脉象、证候有相关性。结论:CG中医症状、体征和证候与胃镜象指标有一定的联系,为以后研究提供参考。Objective： To explore the relationship between the syndromes（ signs） of chronic gastritis and gastroscopy and establish the association between the differentiation of syndrome and disease in order to improve the level of diagnosis and guide the clinical medication. Methods： Based on the clinical epidemiological investigation,we researched the relationship between the syndromes（ signs） of chronic gastritis and gastroscopy through the application of Pearson（ Pearson） correlation analysis method. Results： The study analyzed 23 gastroscopy factors including pathological changes and pathological changes and concluded that CG patients＇ gastroscopies had some relationship with symptoms,complexion,tongue,pulse and syndromes（ signs）. Conclusion： There is a certain contact between the syndrome（ signs） of chronic gastritis and gastroscopy and it can provide the reference for the later research.

关 键 词：慢性胃炎 症状 体征 因子分析 胃镜象 

分 类 号：R573.3[医药卫生—消化系统]