幽门螺杆菌相关性胃炎的微观证素研究

Microcosmic Elements Study of H pylori-related Gastritis

[目的]探讨幽门螺杆菌相关性胃炎的微观证素及证型分布。[方法]选择100例符合诊断标准的幽门螺杆菌相关性胃炎患者,根据胃镜报告,统计病性、病位证素出现的频数、频率,病性与病位相结合,得出常见证型。[结果]幽门螺杆菌相关性胃炎的病位证素以胃窦最为多见;病性证素主要涉及热、湿、痰瘀、虚、瘀血;常见证型有:胃热证、痰瘀阻胃证、湿热蕴胃证、胃虚证、湿困胃证、瘀阻胃络证。[结论]鉴于目前幽门螺杆菌相关性胃炎的临床证候分型不一,微观证素辨证能够进一步规范证型,进而指导治疗。

[Objective] To discuss the microcosmic elements and syndromes distribution of H pylori-related gastritis. [Method] Choose 100 cases, under gastroscope report, make statistics of frequency of disease nature elements and location elements, combine the nature and location for common syndromes.[Result] The H pylori-related gastritis has main disease location elements in stomach, esp. the sinuses ventriculi; the disease nature elements mainly concern hot, wet, sputum stasis, deficiency and blood stasis; the common syndromes： hot stomach, sputum and stasis blocking stomach, wet-hot accumulated in stomach, deficient stomach, wet stranding stomach and stasis blocking gastric collaterals. [Conclusion] Over the inconsistent syndromes in clinical H pylorirelated gastritis, the microcosmic elements differentiation can further standardize syndromes and guide the treatment.