幽门螺杆菌相关性胃炎内镜下胃黏膜表现与中医辨证分型的相关性研究

目的探讨幽门螺杆菌相关性胃炎内镜下胃黏膜表现与中医辨证分型之间的相关性,为临床中医辨证论治提供理论依据。方法收集我院治疗且符合纳入标准的幽门螺杆菌相关性胃炎患者212例,记录患者临床资料并进行中医辨证分型,结合内镜下胃黏膜征象,对数据进行统计分析。结果 212例患者内镜下胃黏膜征象与中医辨证分型之间的相关性具有统计学意义(P0.01);所收集的病例中肝胃气滞证(21.7%)脾胃湿热证(20.1%)脾胃气虚证(18.4%)肝胃郁热证(13.7%)胃阴不足证(11.3%)脾胃虚寒证(7.5%)胃络瘀阻证(6.6%),各中医证型的发病率比较差异具有统计学意义(P0.01)。内镜下各胃黏膜征象之间,红斑渗出型以肝胃气滞证居多,隆起糜烂型以脾胃湿热证居多,胆汁反流型以肝胃气滞证居多,皱襞萎缩型以胃阴不足证居多,出血型以胃络瘀阻证居多,均具有统计学意义(P0.05)。结论幽门螺杆菌相关性胃炎内镜下胃黏膜表现与中医辨证分型之间存在一定的相关性和规律性。

Clinical Study of Endoscopic Mucosal Changes and TCM Syndrome Differentiation of Helicobacter Pylori-Associated Gastritis

Objective To explore the association between endoscopic manifestations and TCM syndrome types of helicobacter pylori‐associated gastritis ,so as to provide the evidence for the clinical pattern differentiation and treat‐ment determination . Methods 212 patients with helicobacter pylori‐associated gastritis who met the inclusive criteria ,we recorded the clinical data of patients with endoscopic gastric mucosal manifestations ,classified TCM syndrome ,the data statistical analysis . Results The mucosal changes under endoscopy endoscopic of 212 pa‐tients with helicobacter pylori‐associated gastritis showed significant difference between the TCM syndrome types (P<0.01) .In the selected patients ,stagnation of liver‐Qi and stomach‐Qi (21.7% ) >damp heat in the spleen and stomach (20.1% ) > insufficiency of spleen‐Qi and stomach‐Qi (18.4% ) > stagnated heat of liver and stomach (13.7% )>deficiency of stomach yin(11.3% )> deficiency cold of spleen and stomach(7.5% )> blood stagnation of the stomach(6.6% ) ,the study show that the incidence of the different TCM syndrome types had significant difference(P<0.01) .In the endoscopic signs between the gastric mucosa in patients with erythema‐exudative gas‐tritis ,the most common is stagnation of liver‐Qi and stomach‐Qi;in patients with protuberant erosive gastritis ,the most common is damp heat in the spleen and stomach ;in patients with bile reflux gastritis ,the most common is stagnation of liver‐Qi and stomach‐Qi;in patients with atrophic gastritis ,the most common is deficiency of stomach yin;in patients with hemorrhagic gastritis ,the most common is blood stagnation of the stomach ;the above‐men‐tioned group ,the differences are statistically significant(P<0.05) . Conclusion The results of this study showed that endoscopic mucosal changes and TCM syndrome types of helicobacter pylori‐associated gastritis have some rel‐evance .