慢性萎缩性胃炎的中医证候分布规律研究

Study on TCM Syndrome Distribution Rules of Chronic Atrophic Gastritis

目的探讨慢性萎缩性胃炎中医证候分布规律,为本病证候规范化的进一步研究提供依据。方法对近20年来以中医药为主诊治慢性萎缩性胃炎的文献进行整理,并运用SPSS18.0软件对该病的证候分布规律进行频次统计分析、归纳。结果 131篇文献中慢性萎缩性胃炎病机以脾胃气虚所占比例最大,其次分别为胃阴亏虛、脾胃湿热、肝胃不和、脾胃虛寒、瘀阻胃络、肝郁脾虛、气阴两虛;主要病性、病因类证候要素为气虛、血瘀、气滞、内热、阴虚;病位类证候要素为胃、脾、肝。结论通过对慢性萎缩性胃炎中医证候分布规律的研究,为本病的证候规范化奠定了基础。

Objective By studying the TCM syndrome distribution rules of chronic atrophic gastritis to provide basis for the further re- search on syndrome normalization of chronic atrophic gastritis. Methods On the basis of collecting and analyzing the literature of chronic a- trophic gastritis treated by TCM in recent 20 years, the SPASS18.0 was used to analyze the TCM syndrome distribution rules of chronic atroph- ic gastritis. Results For the pathogenesis, weakness of the spleen and stomach was the main factor, then were respectively yin deficiency of stomach, splenogastric hygropyrexia, incoordination between the liver and stomach, spleen deficiency, gastric blood stasis, liver stagnation and spleen deficiency, deficiency of both qi and yin ; the main cause of disease, syndrome elements were qi deficiency, blood stasis, qi stagnation, heat, yin deficiency;the syndrome elements of disease location were stomach, spleen, liver. Conclusion The study on TCM syndrome distri- bution rules of chronic atrophic gastritis provided the basis for the further research on syndrome normalization of it.