慢性胃炎胃镜病理与中医证型相关研究

Chronic Gastritis TCM Research Briefing

[目的]观察慢性胃炎胃镜病理与中医证型相关性。[方法]使用前瞻性设计方法,将132例门诊患者按中医辨证分型,脾胃虚弱,脾虚气滞,脾胃湿热,胃阴不足,肝胃不和。内镜与活检检查,观察胃黏膜是否存在平坦或隆起糜烂、胆汁反流或出血等现象,在炎症部位取4块胃黏膜组织检测样本,浸泡10%甲醛,石蜡包埋,连续厚5μm切片,常规染色观察。[结果]慢性胃炎中医证型与病理类型有一定相关性,浅表性胃炎中脾虚气滞>萎缩性胃炎中胃阴不足>肠上皮化生中脾胃湿热。[结论]慢性胃炎中医证型与病理改变具有较大关联。

[ Objective ] Gastric pathology of chronic gastritis five kinds of common syndromes patients. [ Method ] Type of spleen and stomach, spleen qi stagnation, stomach yin deficiency type, type spleen, liver and stomach without chronic gastritis and Type 5 kinds of different syndromes underwent gastric endoscopy and biopsy to pathology than analysis of five different syndromes. [ Results ] chronic gastritis TCM and Pathology certain types of relevance, superficial gastritis Spleen Qi stagnation highest percentage （82.61%）, atrophic gastritis, stomach yin deficiency type highest percentage （ 16.6＂7% ）, intestinal epithelium students in the highest proportion of spleen-type （ 20.69% ） . [ Conclusion ] TCM syndrome of chronic gastritis and pathological changes associated with larger, traditional Chinese medicine for the treatment of patients with chronic gastritis has a good effect, with good compliance, recurrent low, side effects characteristic of worth in the clinical application and promotion.