新疆昌吉地区Hp相关性慢性胃炎中医证型与Hp感染相关研究

The Related Research of Xinjiang Changji Area Hp Correlation Between TCM Syndromes in Chronic Gastritis with Hp Infection

[目的]观察新疆昌吉地区Hp相关性慢性胃炎中医证型与Hp感染相关性。[方法]使用回顾性分析方法,选取2010年1月至2012年12月昌吉州中医医院消化内科住院Hp相关性慢性胃炎病历。均检测幽门螺旋杆菌,14C呼气试验。阳性:≥100dpm/mmol。阴性:<100dpm/mmol。采用SPSS17.0统计软件,总体差异用Kruskal-Wallis,证型间比较用MannWhitney。使用Excel2013软件建立数据库,统计中医证型与Hp感染例数、频率。[结果]总体差异(H=7.686,P=0.006<0.01),脾胃湿热与肝郁脾虚(U=5502.000,P=0.006<0.01),脾胃湿热与脾胃虚寒(U=7944.000,P=0.003<0.01)。慢性胃炎中医证型Hp阳性率:脾胃湿热(54.55%)>脾胃气虚(48.15%)>胃阴亏虚(44.19%)>脾胃虚寒(36.99%)>肝郁脾虚(36.27%)。[结论]湿、热邪实证幽门螺杆菌感染率高于脾胃虚证。湿热型胃镜病理表现与Hp致病特点高度符合。不同地域、不同生活饮食习惯会造成证型分布差异。

[Objective] To observe the correlation between the Xinjiang Changjiarea Hp correlatio n between TCM syndromes in chronic gastritis with Hp infection. [Method] using the retrospective analysis method, from 2010 01 to 2012 December in Changji Hospital of tr-aditional Chinese medicine digestion Department of internal medicine hospital Hp associated chronic gastritis medical records. Are H-elicobacter pylori detection, 14 C breath test. Positive： =100dpm/mmol. Negative：100dpm/mmol. Using SPSS17.0 statistical software,the overall difference between syndrome type with Kruskal-Wallis, compared with Mann-Whitney. Database is set up using Excel201-3 software, the Hp related chronic gastritis patients with TCM syndrome type of Hp infection were the number of cases of statistics, c-alculation of frequency. [Results] the overall difference（H=7.686, P=0.0060.01）, damp heat in the spleen and liver stagnation and spleen deficiency（U=5502.000, P=0.0060.01）, damp heat in the spleen and stomach deficiency（U=7944.000, P=0.0030.01）. Th-e positive rate of chronic gastritis of spleen stomach damp heat syndrome type in TCM of Hp：（54.55%） spleen stomach Qi deficie-ncy（48.15%） stomach yin deficiency（44.19%） spleen deficiency（36.99%） liver stagnation and spleen deficiency（36.27%）. [Co nclusion] the wet, heat evil positive Helicobacter pylori infectionrate is higher than that of the spleen and stomach deficiency syndrome-e. Damp heat type endoscopic and pathological manifestations and pathogenic characteristics with a high degree of Hp. Regional diff-erences, different regions,different living habits will cause the syndrome distribution difference; people on Helicobacter pylori attaches i-mportance to increase the active treatment, Hp infection rate decreased.