中国中医药信息杂志
中國中醫藥信息雜誌
중국중의약신식잡지
CHINESE JOURNAL OF INFORMATION ON TRADITIONAL CHINESE MEDICINE
2013年
9期
13-15
,共3页
慢性萎缩性胃炎%骨质疏松症%中医证型%回顾性调查研究
慢性萎縮性胃炎%骨質疏鬆癥%中醫證型%迴顧性調查研究
만성위축성위염%골질소송증%중의증형%회고성조사연구
chronic atrophic gastritis%osteoporosis%TCM syndrome%retrospective study
目的分析慢性萎缩性胃炎伴骨质疏松症的中医证型及证候要素分布规律，为中医药防治该病提供依据。方法对符合要求的127例慢性萎缩性胃炎伴骨质疏松症患者中医症状、中医证型和证素分布情况进行回顾性调查研究及统计分析。结果慢性萎缩性胃炎伴骨质疏松症主要中医证型分布为气阴两亏证51例(40.16%)，脾肾阳虚证28例(22.05%)，气虚血瘀证21例(16.54%)；中医证素分布情况为气虚者82例(64.57%)，阴虚者61例(48.03%)，阳虚者28例(22.05%)，血瘀者21例(16.54%)，气郁者12例(9.45%)，湿热者6例(4.72%)。结论慢性萎缩性胃炎伴骨质疏松症基本病因病机为脾肾亏虚，肾虚以气虚、阴虚、阳虚，甚或阴阳两虚为主，脾肾双补是治疗该病的重要法则。
目的分析慢性萎縮性胃炎伴骨質疏鬆癥的中醫證型及證候要素分佈規律，為中醫藥防治該病提供依據。方法對符閤要求的127例慢性萎縮性胃炎伴骨質疏鬆癥患者中醫癥狀、中醫證型和證素分佈情況進行迴顧性調查研究及統計分析。結果慢性萎縮性胃炎伴骨質疏鬆癥主要中醫證型分佈為氣陰兩虧證51例(40.16%)，脾腎暘虛證28例(22.05%)，氣虛血瘀證21例(16.54%)；中醫證素分佈情況為氣虛者82例(64.57%)，陰虛者61例(48.03%)，暘虛者28例(22.05%)，血瘀者21例(16.54%)，氣鬱者12例(9.45%)，濕熱者6例(4.72%)。結論慢性萎縮性胃炎伴骨質疏鬆癥基本病因病機為脾腎虧虛，腎虛以氣虛、陰虛、暘虛，甚或陰暘兩虛為主，脾腎雙補是治療該病的重要法則。
목적분석만성위축성위염반골질소송증적중의증형급증후요소분포규률，위중의약방치해병제공의거。방법대부합요구적127례만성위축성위염반골질소송증환자중의증상、중의증형화증소분포정황진행회고성조사연구급통계분석。결과만성위축성위염반골질소송증주요중의증형분포위기음량우증51례(40.16%)，비신양허증28례(22.05%)，기허혈어증21례(16.54%)；중의증소분포정황위기허자82례(64.57%)，음허자61례(48.03%)，양허자28례(22.05%)，혈어자21례(16.54%)，기욱자12례(9.45%)，습열자6례(4.72%)。결론만성위축성위염반골질소송증기본병인병궤위비신우허，신허이기허、음허、양허，심혹음양량허위주，비신쌍보시치료해병적중요법칙。
Objective To analyze the distribution rule of TCM syndromes and syndrome elements in chronic atrophic gastritis with osteoporosis by retrospective study method, and provide evidence for TCM treatment. Methods TCM symptoms, syndromes and syndrome elements of 127 cases of chronic atrophic gastritis with osteoporosis were retrospectively investigated and statistically analyzed. Results The distribution of TCM syndromes in chronic atrophic gastritis with osteoporosis was as follows:there were 51 cases of asthenia syndrome of both qi and yin, accounted for 40.16%;28 cases of yang deficiency syndrome of spleen and kidney, accounted for 22.05%;21 cases of syndrome of qi deficiency and blood stasis, accounted for 16.54%. The distribution of syndrome elements was:there were 82 cases of qi deficiency, accounted for 64.57%;61 cases of yin deficiency, accounted for 48.03%;28 cases of yang deficiency, accounted for 22.05%;21 cases of blood stasis, accounted for 16.54%;12 cases of qi stagnation, accounted for 9.54%;6 cases of dampness-heat, accounted for 4.72%. Conclusion The basic pathogenesis of chronic atrophic gastritis with osteoporosis is deficiency of both spleen and kidney. Deficiency of kidney is mainly qi deficiency, yin deficiency, yang deficiency, or even deficiency of both yin and yang. Reinforcing spleen and kidney is the important principle of treatment.
