胃溃疡患者中医证型与胃镜分期的关系研究  

Study on the Relationship Between Traditional Chinese Medicine Syndrome and Gastroscopy Staging in Patients with Gastric Ulcer

作　　者：陈丽平 林薇 黄炜平 陈雅香 郑丽敏 黄会 余雪英 CHEN Liping;LIN Wei;HUANG Weiping;CHEN Yaxiang;ZHENG Limin;HUANG Hui;YU Xueying(Department of Medical Health,Meizhouwan Vocational Technology College,Putian 351119,Fujian,China;Precision Medicine Laboratory,Wuhan Children's Hospital,Wuhan 430019,Hubei,China;Department of Gastroenterology,Xianyou General Hospital,Xianyou 351299,Fujian,China)

机构地区：[1]湄洲湾职业技术学院医学健康系,福建莆田351119 [2]武汉儿童医院精准医学实验室,湖北武汉430019 [3]仙游县总医院消化内科,福建仙游351299

出　　处：《医学信息》2025年第9期101-104,共4页Journal of Medical Information

基　　金：莆田市科技计划项目(编号:2020GM003)。

摘　　要：目的探究不同胃溃疡患者中医证型与胃镜下分期的关系,为中医辨证治疗胃溃疡提供新的依据。方法选取2019年5月-2023年8月仙游县总医院、莆田市第一医院消化内科门诊及住院的已被确诊为胃溃疡的患者215例,收集研究对象一般资料、中医证型及胃镜分期,比较不同性别、年龄段(18岁以下、18~40岁、41~65岁、65岁以上),以及不同胃镜分期中医证型的关系。结果不同性别、胃镜分期中医证型比较,差异有统计学意义(P<0.05),男性以脾胃湿热、肝胃不和、胃阴亏虚3种类型为主,女性以脾胃湿热、肝胃不和、胃络淤阻为主。活动期以脾胃湿热和肝胃不和居多,愈合期及瘢痕期均以胃阴亏虚居多。不同年龄中医证型比较,差异无统计学意义(P>0.05)。18~40岁、41~65岁、65岁以上均以脾胃湿热为主。结论中医证型与胃镜分期具有一定关系,能够反映特定的胃溃疡患者在胃镜下的不同分期。Objective To explore the relationship between traditional Chinese medicine syndrome patterns and endoscopic staging in patients with different gastric ulcer,and to provide a new basis for traditional Chinese medicine syndrome differentiation and treatment of gastric ulcer.Methods From May 2019 to August 2023,215 patients who had been diagnosed with gastric ulcer in the Department of Gastroenterology of Xianyou General Hospital and Putian First Hospital were selected.The general data,TCM syndromes and gastroscopy stages of the subjects were collected.The relationship between TCM syndromes in different genders,age groups(under 18 years old,18-40 years old,41-65 years old,and over 65 years old)and different gastroscopy stages was compared.Results There were statistically significant differences in TCM syndromes between different genders and gastroscopy staging(P<0.05).The main types of male were wetness-heat accumulated in the spleen and stomach,liver-stomach disharmony and stomach yin deficiency.The main types of female were wetness-heat accumulated in the spleen and stomach,liver-stomach disharmony and stomach collateral obstruction.In the active stage,the wetness-heat accumulated in the spleen and stomach and liver-stomach disharmony were the most common,and the stomach yin deficiency was the most common in the healing stage and scar stage.There was no significant difference in TCM syndromes between different ages(P>0.05).The traditional Chinese medicine syndrome of 18-40 years old,41-65 years old,65 years old and above was mainly wetness-heat accumulated in the spleen and stomach.Conclusion There is a certain relationship between traditional Chinese medicine syndrome and gastroscopy staging,which can reflect the different stages of specific gastric ulcer patients under gastroscopy.

关 键 词：胃溃疡 舌象 中医证型 

分 类 号：R259[医药卫生—中西医结合] R573.1[医药卫生—中医内科学]