河内市与广州市慢性胃炎临床特点比较研究

Comparative study on clinical characteristics of chronic gastritis in Hanoi and Guangzhou

[目的]在中国广州市及越南河内市分析慢性胃炎人群的中医证型分布及患者表现症状、证候与疾病影响因素之间的相关性,探讨慢性胃炎特点的影响因素。[方法]采用流行病学方法设计调查问卷对慢性胃炎患者进行证候归类并作统计分析。[结果]分为广州组和河内组两组,广州组患病率男女之比约为1∶1,河内组约为1.5∶1,河内组男性患者比例高于广州组(P<0.05)。患者的年龄两组均集中在26~45岁年龄段,广州组平均年龄为(42.2±13.3)岁,河内组为(36.8±9.6)岁,两组年龄差异有统计学意义(P<0.001)。中医证候诊断方面,341例广州患者及345例河内患者中,均有肝胃不和证出现,频率明显高于其他证型(广州组占41.3%、河内组占42.0%),其次由多到少依次为肝郁脾虚证、脾胃虚弱证、脾胃湿热证、胃阴不足证、胃络瘀血证。[结论]广州组脾胃湿热证患者(12.5%)比例高于河内组(5.5%);河内组的脾胃虚弱证患者多于广州组,两组中医证型分布差异有统计学意义(P<0.01)。

[Objective] This project in Guangzhou China and Hanoi Vietnam uses epidemiological methods for analyzing the distribution of TCM constitution types in patient with Chronic Gastritis（CG）, and the relationship between TCM constitution and TCM syndrome type, laboratory tests and syndrome differentiation. [Methods] With a method of combining literature and clinical research, 686 patients of CG are chosen to take a questionnaire. All the data is recorded in Excel table, statistical research including the patient＇s sex, age, TCM syndrome and TCM constitution. [Results] In Guangzhou＇s and Hanoi＇s chronic gastritis patients symptom have different characteristics： Guangzhou group＇s prevalence of male to female ratio is about 1 ∶1, Hanoi group＇s is about 1.5 ∶1.Hanoi group＇s male patients prevalence more than Guangzhou group＇s（P 0.05）. Both groups were 26 to 45 age patients are mostly, the number of cases distributed gradually increasing trend. In Guangzhou group,the average age was（42.2±13.3）years;in Hanoi group, the average age of（36.8±9.6）years, more significant differences between two groups of age（P0.001）. TCM syndrome diagnosis, 341 cases and 345 cases of Guangzhou and Hanoi patients, both groups had liver and stomach syndrome was significantly higher than the frequency of other syndromes（41.3% of Guangzhou, Hanoi is 42.0%）. Followed in descending order of liver spleen syndrome, spleen and stomach, spleen,stomach yin deficiency syndrome, stomach meridian stasis syndrome. Guangzhou group spleen patients（12.5%） more than Hanoi group（5.5%）, but Hanoi group spleen and stomach patients more than Guangzhou group, this difference was statistically significant（P0.01）.