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小儿胃脘痛中医辨证与胃镜表现之关系的探讨 被引量:10

Study on the Relationship between TCM Syndrome and Gastroscopic Feature in Children with Stomachache
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摘要 目的探索小儿胃脘痛中医辨证特点及与胃镜表现的关系。方法借助胃镜检测手段,分析300例胃脘痛患儿中医宏观辨证与胃镜下微观辨证的相互关系。结果所选病例中胃镜疾病检出率为98·3%,中医宏观辨证及电镜微观辨证均以湿热中阻和脾胃虚寒检出率最高;在浅表胃炎中两种辨证方法的一致性较好。结论通过中西医结合手段对小儿胃脘痛的研究,总结辨证规律,指导临床辨证论治,以提高临床疗效。 Objective To explore the characteristic of TCM syndrome in children with stomachache and its relationship with the gastroscopic feature. Methods The relationship between macroscopic syndrome differentiation and microscopic syndrome differentiation in 300 children with stomachache was analyzed by means of clinical syndrome differentiation and gastroscopic examination. Results The total disease detectable rate of gastroscopic examination was 98.3%. Dampness-heat syndrome and deficiency-cold syndrome were the syndromes that most commonly he detected by either macroscopic or microscopic syndrome differentiation. And the two methods of differentiation showed better coherence in superficial gastritis. Conclusion The clinical effect of TCM therapy on children stomachache could he improved through integrative Chinese and Western medical approach, by conducting syndrome differentiation referring to the gastroscopic features, which could conduct microscopic guidance to the clinical macroscopic syndrome differentiation.
作者 闫慧敏 杨燕
出处 《中国中西医结合杂志》 CAS CSCD 北大核心 2006年第7期617-619,共3页 Chinese Journal of Integrated Traditional and Western Medicine
关键词 小儿胃脘痛 宏观辨证 微观辨证 胃镜检查 children with stomachache macroscopic syndrome differentiation microscopic syndrome differentiation gastroscopic examination
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  • 1团体著者,胃及十二指肠粘膜活检病理,1981年
  • 2郑芝田,中华内科杂志,1978年,2期,138页

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