328例胆汁反流性胃炎中医证型与内镜下表现分析

Analysis on Pathological Feature of Gastric Endoscopy and TCM Syndrome Differentiation in 328 Cases of Bile Reflux Gastritis

目的:分析胆汁反流性胃炎中医证型与内镜下的表现。方法:通过328例胆汁反流性胃炎的中医证型分析,观察胆汁反流与Hp感染;中医证型与发病年龄、胃镜下黏膜损害程度、病理改变之间的关系。结果:胆汁反流与Hp感染呈负相关;青年人群证型以肝胃不和、脾胃虚弱为主,病理以浅表性胃炎为主;中年人群证型以湿热中阻为主,病理以萎缩性胃炎伴肠化为主;老年人群证型以胃阴不足为主,病理以萎缩性胃炎伴肠化为主;湿热中阻证型中黏膜损伤明显,病理改变较重,以胃黏膜萎缩及肠化为主。结论:湿热是胆汁反流性胃炎的主要病理产物。

Objective：To analyze corrlations between pathological feature of gastric endoscopy and TCM syndrome differentiation of bile reflux gastritis.Method：The results were concluded through analyzing TCM syndromes of 328 cases of bile reflux gastritis as correlation between bile reflux and Hp infection,age and TCM syndrome differentiation,mucosal lesion and pathological changes as well.Result：The results proved as following as negative correlation between bile reflux and Hp infection;young aged featured superficial gastritis and TCM syndrome of liver-stomach disharmony,weakness of spleen-stomach;middle aged featured TCM syndrome of heat-wetness stagnation at mid-energizer and atrophic gastritis mainly accompanied by intestinal metaplasia;old aged featured insufficiency of stomach Yin and atrophic gastritis mainly accompanied by intestinal metaplasia.As mentioned above,type with TCM syndrome of heat-wetness stagnation at mid-energizer was worst among them in mucosal lesion and pathological change.Conclusion：TCM syndrome of heat-wetness stagnation was main pathogen of bile reflux gastritis.