现代中西医结合杂志
現代中西醫結閤雜誌
현대중서의결합잡지
MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2015年
5期
466-468,570
,共4页
慢性胃炎%辨证%胃黏膜像%流程图
慢性胃炎%辨證%胃黏膜像%流程圖
만성위염%변증%위점막상%류정도
chronic gastritis%syndrome differentiation%gastric mucosa image%flowchart
目的：研究慢性胃炎的胃黏膜像表现与中医辨证之间的关系，进一步探寻简明实用的微观辨证方法。方法通过调查表收集396例慢性胃炎患者的胃镜下胃黏膜像表现，同时行中医辨证分型，行数据统计分析得出结论。结果脾胃湿热型较其他型易出现胆汁反流，黏液池呈黄绿色；全胃炎多发生于脾胃虚弱（含虚寒）型；胃络瘀阻型在黏膜以白相为主、镜下诊断为萎缩性胃炎等方面较其他型多见，出现黏膜糜烂者也明显多于其他证型；胃络瘀阻型及胃阴不足型黏膜血管网改变的比例较高。据此可建立据胃黏膜像辨证流程图。结论部分胃黏膜像与慢性胃炎的中医辨证之间存在一定程度的关联，据此建立的胃黏膜像辨证流程图简明实用，可为临床中医诊治提供参考帮助。
目的：研究慢性胃炎的胃黏膜像錶現與中醫辨證之間的關繫，進一步探尋簡明實用的微觀辨證方法。方法通過調查錶收集396例慢性胃炎患者的胃鏡下胃黏膜像錶現，同時行中醫辨證分型，行數據統計分析得齣結論。結果脾胃濕熱型較其他型易齣現膽汁反流，黏液池呈黃綠色；全胃炎多髮生于脾胃虛弱（含虛寒）型；胃絡瘀阻型在黏膜以白相為主、鏡下診斷為萎縮性胃炎等方麵較其他型多見，齣現黏膜糜爛者也明顯多于其他證型；胃絡瘀阻型及胃陰不足型黏膜血管網改變的比例較高。據此可建立據胃黏膜像辨證流程圖。結論部分胃黏膜像與慢性胃炎的中醫辨證之間存在一定程度的關聯，據此建立的胃黏膜像辨證流程圖簡明實用，可為臨床中醫診治提供參攷幫助。
목적：연구만성위염적위점막상표현여중의변증지간적관계，진일보탐심간명실용적미관변증방법。방법통과조사표수집396례만성위염환자적위경하위점막상표현，동시행중의변증분형，행수거통계분석득출결론。결과비위습열형교기타형역출현담즙반류，점액지정황록색；전위염다발생우비위허약（함허한）형；위락어조형재점막이백상위주、경하진단위위축성위염등방면교기타형다견，출현점막미란자야명현다우기타증형；위락어조형급위음불족형점막혈관망개변적비례교고。거차가건립거위점막상변증류정도。결론부분위점막상여만성위염적중의변증지간존재일정정도적관련，거차건립적위점막상변증류정도간명실용，가위림상중의진치제공삼고방조。
Objective It is to study the relationship between the gastric mucosa image and TCM syndrome differentiation of chronic gastritis patients, to further explore a practical and concise approach of microscopic differentiation.Methods TCM syndrome differentiations were performed on in 396 gastritis patients who were collected by schedule of survey, and their gastric mucosa images were analyze.Then the relationship between the syndrome differentiation and image was analyzed.Results The patients of dampness-heat of spleen and stomach syndrome were more easily get bile reflux and yellow-green mucus pool( P<0.05).The patients of weakness of the spleen and the stomach syndrome (including asthenia-cold) were more easily get the full stomach inflammation(P<0.05).The patients of gastric blood stasis syndrome were more easily get a pale mucosa and be diagnosed as atrophic gastritis than other syndromes(P<0.05).Gastric blood stasis syndrome showed significant association with mucosalerosion and such patients always get a higher risk of mucosalerosion than the ones of other syndromes(P<0.01). Gastric blood stasis type and stomach yin deficiency syndromes showed significant association with mucosa vascular network change.Thus a kind of chronic gastritis TCM syndrome differentiation flowchart based on gastric mucosa image could be estab-lished.Conclusion On the basis of the certain relationship between part gastric mucosa images and chronic gastritis in TCM differentiation, the establishment of gastritis TCM syndrome differentiation flowchart which is concise and practical, can pro-vide a reference for TCM clinical diagnosis and treatment.
