慢性浅表性胃炎辨证分型与胃肠排空功能关系探讨

Discussion on the Relationship between Chronic Superficial Gastritis Differentiation Types and Gastro-intestinal Evacuation

[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.