胃食管反流病的内镜、食管动力学检查与中医证型的关系

STUDY ON SYNDROME-TYPE IN TCM AND ITS CORRELATION WITH THE RESULTS CHECKED BY ENDOSCOPY AND ESOPHAGEAL MANOMETRY IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE

通过对64不同中医证型的胃食管反流病（GERD）患者进行内镜、食管动力学检查，探讨胃食管反流病的内镜、食管动力学与中医证型之间的关系。结果显示：GERD患者脾胃虚寒型比肝胃不和型和肝郁化热型的食管粘膜炎症分级增高（P＜0.05）；食管动力学检查显示：脾胃虚寒型投肝胃不和型和肝部化热型的LESP、GEBP、APP降低（P＜0．01或P＜0．05），技肝胃不和型的LESRT延长（P＜0．01），PCS减任（P＜0．05）。提示：GERD康证型较实证型的食管粘膜炎症损害程度重且食管运动功能差。

64 patients with gastroesophgeal renux disease (GERD) were examed by endoscopy,esophageal manometry and typed by differentiationsyndrome in TCM,to explore the possible relationship between the two former and the later. The results showed that the degree of esophagitis of thetype of deficiency-cold of spleen and stomach wasmore serious (type D) than the type of incorporatedin liver and stomach (type I ) and the type of hotsyndrome caused by liver stagnation (type H) (P <0. 05 ) I LESP, GEBP, APP of type D were significantly lower than type I and type HILESRT,PCS oftype D were significantly higher than that of type IP <0. of or P <0. 05). The sesults indicated thatthe type of deficiency in patients with GERD had aserious esophagitis and more dysfunctional esophageal motility than the type of indeficiency.