摘要
目的:探讨慢性萎缩性胃炎伴糜烂中医证型与治疗后胃黏膜变化的相关性。方法:选取慢性萎缩性胃炎伴糜烂患者70例,按照中医辨证分型,分为脾胃虚弱证19例、脾胃湿热证11例、肝胃气滞证9例、肝胃郁热证15例、胃阴不足证10例、胃络瘀血证6例,对所有患者采用中医辨证治疗,比较治疗前后胃黏膜的变化情况,分析不同中医证型与胃黏膜变化的关系。结果:中医辨证治疗后,脾胃虚弱证患者胃黏膜萎缩缩小程度最大,与其他各组比较,差异均有统计学意义(P﹤0.05);胃络瘀血证患者胃黏膜肠上皮化生程度最大,与其他各组比较,差异均有统计学意义(P﹤0.05);脾胃湿热证患者胃黏膜糜烂变化程度最明显,与其他各组比较,差异均有统计学意义(P﹤0.05)。结论:慢性萎缩性胃炎伴糜烂患者中医证型与其治疗后胃黏膜变化情况密切相关,临床可根据辨证分型为患者制定合理的治疗方案,以提高疗效。
Objective:To analyze the correlativity between TCM syndrome types and gastric mucosa changes after the patients with chronic atrophic gastritis complicated with erosion were treated.Methods:According to TCM syndrome differentiation-typing,70 cases of selected patients with chronic atrophic gastritis complicated with erosion were divided into 19 cases of spleen-stomach deficiency syndrome,11 cases of spleen-stomach dampheat syndrome,9 cases of liver-stomach qi stagnation syndrome,15 cases of liver-stomach stagnation-heat syndrome,10 cases of stomach-yang deficiency syndrome and 6 cases of stomach collaterals static blood syndrome.All patients were treated by TCM syndrome differentiation.The changes of gastric mucosa before and after treatment were compared.The relationships between different TCM syndrome types and gastric mucosal changes were analyzed.Results:After treatment by TCM syndrome differentiation,the degree of gastric mucosa atrophy of patients with spleen-stomach deficiency syndrome was the most severe;compared with other groups,the difference was statistically significant(P﹤0.05).The degree of gastric mucosa intestinal metaplasia of patients with stomach collaterals static blood syndrome was the most severe;compared with other groups,the difference was statistically significant(P﹤0.05).The change-degree of gastric mucosal erosion of patients with spleen-stomach damp-heat syndrome was the most obvious;compared with other groups,the difference was statistically significant(P﹤0.05).Conclusion:TCM syndrome types of patients with chronic atrophic gastritis complicated with erosion are closely related to changes of gastric mucosa after treatment.TCM syndrome differentiation-typing can provide reference and basis for clinically developing reasonable therapeutic schemes.
作者
房汉南
江晓波
蔡东林
FANG Han-nan;JIANG Xiao-bo;CAI Dong-lin(Chaoyang District Dafeng Hospital of Shantou City,Guangdong Province,shantou515154,China)
出处
《山西中医》
2019年第12期12-14,共3页
Shanxi Journal of Traditional Chinese Medicine
关键词
慢性萎缩性胃炎
中医证型
胃黏膜
糜烂
chronic atrophic gastritis
TCM syndrome types
gastric mucosa
erosion
