胆汁返流性胃炎患者82例中医体质与胃镜表现相关性研究

Study of correlation between TCM constitution and gastroscopic performance in patients with bile reflux gastritis

目的:观察胆汁返流性胃炎患者中医体质和胃镜下表现的相关性。方法:选取82例经胃镜确诊的胆汁返流性胃炎患者,予中医体质分类和中医辨证分型,观察中医体质与中医证型是否存在相关性、中医证型与胃镜表现是否存在相关性。观察胆汁返流性胃炎患者中医体质和胃镜下表现的相关性。结果:82例胆汁返流性胃炎患者中医体质和中医证型以气郁质(肝气犯胃型)、湿热质(胆胃湿热型)为主,而胃镜微观辨证主要以肝胃不和、胃肠郁热为主,由此可见中医的宏观辨证和胃镜下的微观辨证相一致。结论:胆汁返流性胃炎患者中医体质与胃镜下表现有高度的相关性。

Objective： To observe the correlation between TCM constitution and gastroscopic performance in patients with bile reflux gastritis. Methods： 82 cases of patients diagnosed by gastroscope with bile reflux gastritis were selected,and were observed,based on the constitution classification of traditional Chinese medicine and TCM syndrome differentiation,about the correlation between constitution of traditional Chinese medicine and TCM syndrome type,and the correlation between the constitution of traditional Chinese medicine and gastroscopic performance. Results： The 82 cases of patients with bile reflux gastritis were mainly of Qi stagnation（ Qi stomach）and damp heat（ gallbladder and stomach damp heat） in view of TCM syndrome type and TCM constitution. On the other hand,they were mainly of gastrointestinal heat and in disharmony of liver and stomach by gastroscope from the view of microcosmic syndrome differentiation. It can be seen that the macroscopic differentiation of TCM is consistent with the microscopic syndrome differentiation under gastroscope. Conclusion： There is a high correlation between TCM constitution of patients with bile reflux gastritis and the mucosa under gastroscope.