反流性食管炎的中医证候分类研究

Study on TCM syndromes of reflux esophagitis

目的:探讨反流性食管炎的中医临床证候分类,为临床证候规范化研究奠定基础。方法:对100例反流性食管炎患者的临床资料进行问卷调查,应用频数和因子分析方法分析中医证候分布特点。结果:反流性食管炎中医临床证候常见3个类型,分布特点为:类肝胃不和证(65例)>类肝郁脾虚证(25例)>类脾虚气滞证(20例),以实证为主,虚实夹杂证亦多见。结论:通过建立反流性食管炎的因子分析模型,揭示了反流性食管炎的中医证候特点,为本病的临床辨证规范化的建立打下了一定基础,并丰富了证候分类研究的方法。

Objective： To study the Chinese clinical syndrome differentiation classification method of reflux esophagitis and establish foundation for the standardization of clinical syndrome research.Methods： 100 patients with reflux esophagitis were investigated,and frequencies and factor analysis were used to study the distribution of Chinese syndromes.Results： There were 3 common syndromes and their distribution features were： disharmony between the liver and the stomach（65 cases）liver depression and spleen deficiency（25 cases）spleen deficiency and qi stagnation（20 cases）,which mainly was the excessive syndrome with excess and deficiency syndrome.Conclusion： The factor analytical model of syndrome distribution unveiled the Chinese syndrome characteristics of reflux esophagitis,established some basis of standardization of Chinese syndrome differentiation diagnosis,and enriched methods of syndrome classification.