251例胆汁反流性胃炎病因分析及证候分布规律探讨

Etiology and Syndrome Distribution Characteristics of Bile Reflux Gastritis:A Study of 251 Patients

目的 探讨胆汁反流性胃炎患者的病因和证候分布规律。方法 采用统一的临床观察表收集所有患者的病例资料,对其年龄、症状、病因和证型进行频数分析。结果 胆汁反流性胃炎患者以女性居多;发病年龄为16-80岁,以51-70岁年龄段为主;临床症状以上腹痛和上腹饱胀为主;病因以胆道系统病变和焦虑抑郁障碍为主;常见中医证型为脾胃虚弱证。结论 胆汁反流性胃炎的病因多样化,主症繁多,应注重治疗胆道病变和抗焦虑治疗,中医治疗应注重健脾调胃。

Objective To investigate the etiology and syndrome distribution characteristics of bile reflux gastritis. Methods The information of all patients were collected using the clinical observation table. Frequency analyses of age, symptoms, etiology, and syndrome types were performed in all patients. Results The majority of the patients with bile reflux gastritis were female. Age of onset of bile reflux gastritis varied from 16 to 80 years in all patients and ranged between 51 and 70 years for most of the patients . Upper abdominal pain and distension were the main clinical symptoms. The disease was mainly caused by biliary system diseases or anxiety and depression. The common type of traditional Chinese medicine （TCM） syndrome was deficiency of spleen and stomach. Conclusion Bile reflux gastritis presents a diverse etiology and various symptoms. For the treatment of bile reflux gastritis, it is important to eliminate biliary diseases and anxiety. The TCM treatment of bile reflux gastritis should focus on strengthening the spleen and regulating the stomach.