幽门螺杆菌相关性慢性非萎缩性胃炎的证素分布特点
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

国家自然科学基金项目(编号:81373552);福建省自然科学基金项目(编号:2014J01362);福建省发改委产业技术开发专项;福建省中医药科研项目(编号:wzpw201313)


Study on the Symptom Distribution of Helicobacter Pylori Related Chronic Non-atrophic Gastritis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨幽门螺杆菌(Helicobacter pylori,Hp)相关性慢性非萎缩性胃炎的证素分布特点,为本病的临床辨证提供参考依据。方法:选择408例慢性非萎缩性胃炎患者作为观察对象,其中Hp阳性组161例,Hp阴性组247例,采用证素辨证法对其证候进行分析,比较2组中常见的病位病性,探讨Hp相关性慢性非萎缩性胃炎的证素特点。结果:1)Hp阳性组的证素特点:病位证素主要为胃、脾、肝;病性证素常涉及气滞、热、湿、阴虚、痰、阳虚、气虚。Hp阴性组的证素特点:病位证素主要为胃、脾、肝;病性证素常涉及热、气滞、湿、阴虚、痰、气虚、阳虚。2)2组证素频数比较无统计学意义(P>0.05),Hp阴性组湿证素积分高于Hp阳性组(P=0.036<0.05),其余各证素积分差异无统计学意义(P>0.05)。结论:1)慢性非萎缩性胃炎的病位主要在胃、脾、肝;病性上以虚实夹杂、寒热错杂为主,病性气滞与湿热是慢性非萎缩性胃炎的重要病理因素。2)Hp阳性慢性非萎缩性胃炎与Hp阴性慢性非萎缩性胃炎的证素分布特点无明显差异,证素分布与Hp感染无明显关系。

    Abstract:

    To investigate syndrome distribution characteristics of Helicobacter pylori (Hp) related chronic non-atrophic gastritis and establish theoretical basis for TCM syndrome differentiation.Methods:To select 408 cases of chronic non-atrophic gastritis patients including Hp positive patients 161 and Hp negative patients 247. Analyze their syndrome scores by TCM syndrome factor differentiation and compare the common lesion location of the two groups as to study the syndrome distribution characteristic of Hp related chronic non-atrophic gastritis.Results:1)The symptom characteristics of Hp positive group shows that the lesion site are mainly the stomach, spleen, and liver, and the basic symptoms are mainly qi stagnation, heat, dampness, yin deficiency, phlegm, yang deficiency, qi deficiency related. However, the lesion sites of the Hp negative group are mainly the stomach, spleen, and liver and the basic symptoms are heat, qi stagnation, dampness, yin deficiency, phlegm, qi deficiency, and yang deficiency related. 2)The occurance frequencies of syndrome elements of the two groups have no significant difference(P>0.05). However, dampness syndrome in Hp negative group is higher than that of the Hp positive group(P=0.036<0.05), but other symptoms has no statistically difference(P>0.05).Conclusion:1)Stomach, spleen and liver are the primary lesion locations of chronic non-atrophic gastritis. The main symptoms are a mixture of deficiency and excess or mixture of cold and heat. Besides, Qi stagnation, dampness and heat are important pathological factors of chronic non-atrophic gastritis. 2)The syndrome distribution characteristics of Hp positive patients has no obvious difference with Hp negative group, and the syndrome distribution has no obvious correlation with Hp infection.

    参考文献
    相似文献
    引证文献
引用本文

万信,梁丽丽,郭森仁,林雪娟.幽门螺杆菌相关性慢性非萎缩性胃炎的证素分布特点[J].世界中医药,2016,(07).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2015-06-04
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2016-08-10
  • 出版日期:
文章二维码