胃脘痛患者胃镜诊断与中医辨证分型关系探讨

Gastroscopic diagnosis and TCM syndrome differentiation in stomachache patients

通过总结有完整中医资料的４５００例胃皖痛患者胃镜检查资料，对中医辨证分型和胃 镜诊断的内在联系和规律性进行探讨。发现同一胃镜诊断在不同中医证型中的发生率有显著的差 异。其中，胃镜诊为慢性浅表性胃炎、慢性浅表一萎缩性胃炎、慢性十二指肠炎者，中医辨证以实证多 见，慢性萎缩性胃炎、胃溃疡以虚证多见，上消化道肿瘤患者以痰湿交阻及淤血停滞型发病率较高。

The article concluded the gastrosopic test results from which have complete TCM meterials in 4500 cases with stomachache,and analysized the internal relationship and regutarity between gastroscopic diagnosis and syndrome differentiation. It was found that CSG,CSG-CAG,DI mostly fall into TCM sthenia-syndrome,CAG, GU are mostly TCM asthenia-syndrome, while tunors of upper alimentary canal have higher incidence with phlegm-damp syndrome and blood stasis syndrone. This chnos a obvious diversity of different TCM syndranls under the gastroscopic diagnosis.