胆汁反流性胃炎中医证型与HP感染及胃粘膜病理变化的关系

Correlation During TCM Syndromes,HP Infection and PathologicChange of Gastric Mucosa in Bile-regurgitational Gastritis

对15 5例经胃镜诊断为胆汁反流性胃炎(BRG)的胃脘痛患者进行中医辨证分型,观察中医证型与幽门螺杆菌(HP)感染及胃粘膜病理变化之间的关系。结果表明:BRG中医证型以实证为主,虚证较少;胃粘膜病理改变中医各证型均以慢性萎缩性炎症较多见(P <0 0 1) ;HP感染以脾胃湿热型及肝胃不和型明显高于脾胃虚寒型(P <0 0 1) ,HP检出率较高,不同于文献报道。

To observe correlation during TCM syndromes, HP infection and pathologic change of gastric mucosa, 155 cases with bile-regurgitational gastritis（BRG） were diagnosed by gastroscope, and typed by TCM syndrome differentiation. Conclusion： There are more excess syndrome, and less deficiency syndrome in BRG. There are more chronic atrophic gastritis in pathologic change of gastric mucosa（P 〈 0.01）. HP infection in syndromes of spleen-stomach damp-heat, and disorder of liver and stomach is higher than that in deficient cold syndrome of spleen and stomach. Our detectable rate of PIP is higher than other reporter.