国人脑血管病与胃肠道疾病相关性探讨

Correlation between Cerebrovascular Disease and Gastrointestinal Disease in Chinese

目的根据中医望诊相关理论,观察脑血管病患者面部、舌部与胃肠道相关的投射部位色泽及纹理变化,分析脑血管病与胃肠道疾病的相关性并用现代医学方法进行检测,以证实中医望诊的客观性与准确性,从而探讨国人脑血管病新的可能的危险因素,为临床提供治疗依据。方法通过对脑血管病患者面部及舌象的望诊,对唇周有皱褶或/和舌中有裂纹(沟)并疑为存在胃肠道疾病者,嘱其做胃镜及幽门螺杆菌检测,观察望诊所见与胃镜检查结果的符合率。结果脑血管病患者经望诊筛选后其胃镜检查阳性率为100.0%,幽门螺杆菌测定阳性率50.6%(39/77)。结论唇周有皱褶或/和舌中有裂纹(沟)与胃肠道疾病有密切相关性,脾胃功能紊乱、胃肠道疾病及幽门螺杆菌感染可能为中国人脑血管病重要的危险因素之一。

Objective To observe the color and texture changes of the face and tongue project - related parts of the gastrointestinal tract in the patients with cerebrovascular disease according to the inspection theory of Traditional Chinese Medicine（TCM）. To investigate the relation between color and texture of face and tongue related gastrointestinal tract and cerebrovascular disease in patients with heart disease. Methods The line of dependency on lips or cracks （furrow） in tongue was studied in pts with cerebrovascular disease. Signs of gastrointestinal tract disease were examined by gastroscrope and helicobacter pylori（HP） was detected. Results The positive rate of gastrointestinal tract disease in pts with heart disease was 100.0 ~/0 confirmed by gastroscrope,and the positive rate of HP was 50.6% （39/77）. Conclusion The wrinkled lip and/or tongue cracks （furrow） were closely related to gastrointestinal tract and cerebrovascular disease. Gastrointestinal diseases and HP infection could be one of the important risk factors of cerebrovascular disease in Chinese.