胃炎中医证型与胃镜HP感染及舌苔炎细胞关系的观察

Observation of relationship between TCM syndromes of gastritis and HP infection of gastroscope,inflammatory cells of tongue coating

目的:观察52例胃炎中医证型与胃镜HP感染及舌苔炎细胞的关系。方法:选取来我院接受诊疗胃炎患者52例,脾胃湿热证患者26例为观察组,脾胃虚寒证患者26例为对照组,比较两组患者的HP阳性率、舌苔炎细胞数量、上皮细胞数量。结果:在胃黏膜糜烂、出血点、血管透见、HP感染等方面,观察组多于对照组(P<0.05);观察组的舌苔炎细胞、上皮细胞数量多于对照组(P<0.05)。结论:在对胃炎进行临床诊断时,可参考胃镜望诊的诊断结果。在胃镜望诊结果中,可见胃黏膜糜烂、黏液混浊、出血点,在胃热辨证中可能具有意义。

Objective： To observe the relationship between TCM syndrome types of gastritis and HP infection of gastroscope,inflammatory cells of tongue coating. Methods： 52 cases of treated patients with gastritis were selected in our hospital. Among them,26 cases of patients with spleen-stomach damp-heat syndrome were taken as observation group,while 26 cases of patients with spleen-stomach deficiency-cold syndrome were taken as control group. HP positive rate,volume of inflammatory cells of tongue coating and volume of epithelial cells were compared in patients of two groups. Results： The gastric mucosa erosions,bleeding pionts,vascular permeability,HP infection etc. of observation group were more than those of control group（ P〈0. 05）; the volumes of inflammatory cells of tongue coating and epithelial cells in observation group were more than those in control group（ P〈0. 05）.Conclusions： When the gastritis is diagnosed clinically,the diagnostic results of gastroscope inspection can be used for reference. The gastric mucosa erosions,turbid mucus and bleeding pionts seen in the diagnostic results of gastroscope inspection may have the significance in syndrome differentiation of stomach-heat.