222例慢性胃炎患者中医证型分析研究

Study on the TCM Syndrome of 222 Chronic Gastritis Patients

目的:探讨慢性胃炎中医证型分布特点。方法:对消化内科门诊222例慢性胃炎患者进行辨证分型,确定各中医证型,并作统计学分析。结果:222例慢性胃炎患者的中医证型分布肝胃不和型占46.85%、脾胃湿热型占16.22%、脾虚气滞型占15.32%、脾胃虚弱型占12.61%、胃阴不足型占5.41%、胃络瘀阻型占3.60%,差异有显著性意义(P<0.05),其中男性患者以肝胃不和型与脾胃湿热型的出现率为最多,女性患者则以肝胃不和型的出现率为最多;各中医证型的发病平均年龄和病程差异均有显著性意义(P<0.01或P<0.05)。结论:慢性胃炎患者中医证型分布与性别、年龄、病程密切相关。

Objective： To investigate the syndrome distribution characteristics of chronic gastritis.Methods： We differentiated the TCM syndrome for 222 patients with chronic gastritis in gastroenterology clinic and analyzed by using some statistical methods.Results： The TCM syndrome distribution of 222 patients with chronic gastritis are as follows：syndrome of disharmony of liver and stomach（46.85%）,syndrome of damp-heat of spleen and stomach（16.22%）,syndrome of deficiency of spleen and qi stagnation（15.32%）,syndrome of deficiency of spleen and stomach（12.61%）,syndrome of stomach yin deficiency（5.41%）,syndrome of blood stasis in stomach channel（3.60%）.The differences of these syndromes were statically significant（P0.05）.Syndrome of disharmony of liver and stomach and damp-heat of spleen and stomach were more common in male patients,while most women suffered from syndrome of disharmony of liver and stomach.The differences of average age of onset and disease duration among each syndrome were statically significant（P0.01 or P0.05）.Conclusion： The TCM syndrome distribution of chronic gastritis was closely related to gender,age and duration.