慢性浅表性胃炎的中医证型分布规律研究

Study on Distribution Disciplines of Syndromes in Chronic Gastritis

目的:探讨慢性浅表性胃炎的中医证型及各证型相关症状分布规律。方法:采用流行病学的调查方法,先根据文献研究及临床实际确定观察的中医证型及其相关症状,然后设计统一表格进行观察。结果:640例慢性浅表性胃炎中医证型的分布情况分别为肝胃不和证324例(50.63%)、肝郁脾虚证168例(26.25%)、脾胃湿热证129例(20.16%)、脾虚夹湿证13例(2.03%)、脾胃虚弱证4例(0.63%)、胃阴不足证2例(0.31%);不同的证型症状出现频次也各不相同。结论:慢性浅表性胃炎的中医证型以肝郁相关证型最为常见;各证型的相关症状与肝脾关系最为密切;各证型分布与Hp感染无相关性,脾虚肝郁型胃黏膜糜烂多见;脾胃湿热型与嗜好吸烟或饮酒的相关性较大。

Objective：To discuss the distribution disciplines of TCM syndromes and their classified symptoms of chronic super- ficial gastritis. Methods ：By epidemiology ascertainment methods ,we first determined the syndromes and symptoms to be observed based on literature, and then designed a unified form for execution. Results：Among 640 cases of chronic superficial gastritis, the frequencies of occurrence of different TCM syndromes were 50.63% in coordination between liver and stomach ,26.25% stagna- tion of liver - qi with deficiency of spleen, 20.16% dampness - heat of spleen and stomach, 2.03 % deficiency of spleen with dampness,0.63% deficiency of spleen and stomach and 0.31% fluid deficiency in stomach. And frequencies of occurrence of symptoms in different syndromes varied. Conclusion ： The distribution disciplines of chronic superficial gastritis syndromes are most related with liver stagnation syndromes. And the relationship between liver and spleen was most intimate with the symptoms. There is no difference of Hp infection in different syndromes. Gastric mucosal erosion is more often in stagnation of liver - qi with defi- ciency of spleen. The syndrome of dampness - heat of spleen and stomach is more related with smoking and drinking.