慢性平坦糜烂性胃炎中医分型及同幽门螺杆菌感染的关系

TCM Determination Syndrome Type Based of Chronic Plainness Erosive Gastritis——Relationship of TCM Syndrome Type and Helicobater Pylori Infection

目的:研究慢性平坦糜烂性胃炎中医分型及其与幽门螺杆菌感染的关系。方法:94例慢性平坦糜烂性胃炎患者按悉尼慢性胃炎分类法经胃镜诊断;作快速尿激酶试验以判断是否有幽门螺杆菌感染;参考南昌标准辨证分型。结果:①94例慢性平坦糜烂性胃炎分型为肝胃不和型40例,脾胃虚弱型(包括虚寒型)48例,脾胃湿热型3例、胃络瘀血型2例、胃阴不足型1例。肝胃不和型中老年患病率明显较脾胃虚弱型高,而肝胃不和型青年患病率明显较脾胃虚弱型低(P<0.0 1)。②94例慢性平坦糜烂性胃炎幽门螺杆菌感染率为66%(62例/94例),其中肝胃不和型幽门螺杆菌感染率为70%(28例/40例),脾胃虚弱型幽门螺杆菌感染率为66.7%(32例/48例)结论:①慢性平坦糜烂性胃炎临床中医分型以肝胃不和型和脾胃虚弱型最常见;②幽门螺杆菌感染对慢性平坦糜烂性胃炎辨证分型没有意义;③慢性平坦糜烂性胃炎病机以本虚标实、虚实夹杂为主。

Objective ：To study the rule of TCM determination syndrome type of chronic plainness erosive gastritis（CPEG） and the relationship between TCM syndrome type and Helicobater pylori（ H. pylori or Hp） infection. Methods ： All 94 patient of CPEG diagnosed by endoscopy were determined whether H. qylori infection by test of pykno - urokinase. According to Nanchang Standard judged TCM syndrome types of these patients. Evaluated relationship of the TCM syndrome types with H. pylori infection ratio. Results ：①There were 40 cases of incoordinatlon between the liver and the stomach,and 48 eases of deficiency of the spleen and the stomach（ including deficiency -cold syndrome）. Attack rate of young man and midlle - aged man of the two types had high signifcant difference（χ^2 = 7.23, P〈0.01 ） ②The total infection ratio of H. pylori of 94 CPEG patients was 66% （62/ 94）. Of the total, the ratio of the type of incoordination between the liver and the stomach was 70% （ 28/40）, the ratio of the type of deficiency of the spleen and the stomach was 66,7% （32/48）, the two ratios were not significant difference （χ^2 = 0.112 P〉0.05 ）. Conclusion ：①The type of incoordination between the liver and the stomach and deficiency of the spleen and the stomach are frequency in the patients of CPEG. ②Whether being inleered with H. pylori is not important to determine TCM syndrome type of CPEG. ③The main pathogensis of CPEG was deficiency intertwined with sthenia syndrome and deficiency mixed with sthenia syndrome.