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慢性浅表性胃炎辨证分型与胃肠排空功能关系探讨 被引量:3

Discussion on the Relationship between Chronic Superficial Gastritis Differentiation Types and Gastro-intestinal Evacuation
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摘要 [目的]探讨慢性浅表性胃炎中医辨证分型与胃肠排空功能的关系,为中医辨证分型客观化提供参考。[方法]将52例患者按中医辨证分型分为肝胃不和型、脾胃虚弱型、脾胃湿热型、胃阴不足型4个证型。全部患者均行胃肠排空功能检查,用X线钡条透视法。[结果]脾胃虚弱型的0.5h胃钡餐残留量(%)、1h胃钡餐残留量(%)、胃全排空时间(min)、到达回盲部时间(min)与肝胃不和型、脾胃湿热型、胃阴不足型3个证型比较,均有明显性差异(P<0.05),说明脾胃虚弱可导致胃肠排空功能减弱。[结论]采用X线钡条透视法进行胃肠排空功能检查,能为慢性浅表性胃炎的中医辨证分型提供诊断依据,可帮助慢性浅表性胃炎患者的准确辨证。 [Objective ]To discuss the relationship the differentiation types of chronic superficial gastritis and gastro-intestinal evacuation,offering conference for objective TCM differentiation types.[Method] Divide 52 such cases into 4 TCM differentiation types: disharmony of liver and stomach,deficient spleen and stomach,damp and hot spleen and stomach,deficient gastric Yin.Make test to them on gastrointestinal evacuation,as well as X-ray Barium perspective.[Result] The 0.5h and 1h gastric barium meal remains,full gastric evacuation time,time of returning to ileocecus in the type of deficient spleen and stomach had marked difference from other 3 types,showing deficient spleen and stomach could cause weak gastrointestinal evacuation.[Conclusion] Taking X-ray barium perspective to test gastrointestinal evacuation can provide foundation for TCM differentiation types of chronic superficial gastritis and help the correct differentiation of the disease.
作者 骆唯
出处 《浙江中医药大学学报》 CAS 2013年第5期574-574,582,共2页 Journal of Zhejiang Chinese Medical University
关键词 浅表性胃炎 慢性 辨证分型 胃肠排空功能 X线钡条透视法 superficial gastritis chronic differentiation types gastrointestinal evacuation X-ray barium perspective
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参考文献3

  • 1郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2005.99—104.
  • 2全国慢性胃炎研讨会共识意见[J].中华消化杂志,2000,20(3):199-201. 被引量:1124
  • 3中国中西医结合学会消化系统疾病专业委员会.慢性胃炎的中西医结合诊治方案[J].现代消化及介人诊疗杂志,2005.10(3):81.

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