慢性胃炎中医证型分布及幽门螺杆菌感染情况分析

Analysis on the distribution of chronic gastritis in TCM syndromes and Helicobacter pylori infection

目的调查分析慢性胃炎的中医证型分布及幽门螺杆菌感染情况。方法收集412例慢性胃炎患者的相关资料,统计分析中医证型分布情况及幽门螺杆菌感染情况。结果 (1)412例慢性胃炎患者中,幽门螺杆菌阳性者321例(77.9%),幽门螺杆菌阴性者91例(22.1%)。(2)慢性胃炎患者证型以脾胃湿热(30.1%)和脾胃气虚(29.4%)最为常见,约占60%;其余依次为湿浊中阻(16.3%)、肝胃不和(8.7%)、肝胃郁热(8.5%)、胃阴虚(4.3%)、胃络瘀血(2.7%)。(3)在幽门螺杆菌阳性患者中,中医证型占比最高者为脾胃湿热型(32.7%),而阴性患者中医证型占比最高者为脾胃气虚型(45.1%)。结论慢性胃炎患者最常见的中医证型是脾胃湿热和脾胃气虚;慢性胃炎的发病与幽门螺杆菌感染密切相关。

Objective To investigate and analyze the distribution of chronic gastritis in TCM syndromes and Helicobacter pylori （HP）infection. Methods The related data on 412 patients with chronic gastritis were collected, and the distribution of chrnnic gastritis in TCM syndrome and HP infection were performed the statistical analysis. Results （1）In 412 cases of chronic gastritis, there were 321 HP positive patients who account for 77.9% and 91 HP negative patients who account for 22. 1%. （2）The syndrome of dampness-heat of spleen and stomach （ 30.1% ） and the syndrome of deficiency of spleen qi and stomach qi （29.4%） were most common in patients with chronic gastritis, about 60%. The other syndromes were damp-turbidity retention in middle-jiao （ 16.3% ）, incoordination between liver and stomach （ 8.7 % ）, stagnated heat of liver and stomach （ 8.5 % ）, deficiency of stomach yin （4.3 % ） and blood stasis in stomach collateral （ 2.7% ）. （3）In HP positive patients, the syndrome of dampness-heat of spleen and stomach accounts for the highest proportion （32.7%）. In negative positive patients, the syndrome of deficiency of spleen qi and stomach qi accounts for the highest proportion （45. ! % ）. Conclusion The syndrome of dampness-heat of spleen and stomach and the syndrome of deficiency of spleen qi and stomach qi are the most common TCM syndromes in patients with chronic gastritis. Its incidence is closely related to Helicobacter pylori infection.