幽门螺杆菌相关性胃炎患者中医病、证规律研究

Study of TCM Disease and Syndrome Relation of Helicobacter Pylori-associated Gastritis

目的:探讨幽门螺杆菌(helicopter pylori,Hp)相关性胃炎1 000例患者中医病、证分布规律。方法:依据Hp相关性胃炎诊断标准及痞满、胃痛、嗳气、吐酸、呕吐等诊断要点,将由赵文霞教授诊断的Hp相关性胃炎患者1 000例进行分析,观察其中医病种归属,探讨其病种分布规律。参照中医相关诊疗共识意见,确定相应的中医证型,观察痞满证型分布规律。结果:1 000例Hp相关性胃炎患者中,痞满556例,占55.6%;胃痛218例,占21.8%;嗳气81例,占8.1%;吐酸107例,占10.7%;呕吐38例,占3.8%。在556例痞满患者中,肝气犯胃兼湿热证共280例,占50.36%;脾虚气滞证93例,占16.73%;脾胃虚寒证52例,占9.35%;寒热错杂证131例,占23.56%。结论:Hp相关性胃炎以痞满最为常见,而在中医证型分布上,以肝气犯胃兼湿热证最为多见。

Objective： To explore the distribution rule of TCM disease and syndromes of 1000 cases of Helicopter Pylori（Hp）-associated gastritis treated by Professor Zhao Wenxia. Methods： According to diagnostic criteria of TCM Hp associated with gastritis,diagnosis keys of Piman disease,stomachache,belching,vomiting and spit acid,data of 1000 cases of outpatients with Helicobacter Pylori-associated Gastritis treated by Professor Zhao Wenxia were analyzed to observe the traditional Chinese medicine disease distribution rules. Referring to the consensus opinion of TCM diagnosis and treatment,the TCM syndrome type was determined,and the distribution pattern of syndrome of TCM Piman disease was observed. Results： Among 1000 cases of patients with Hp-associated gastritis,Piman disease cases were 556,which accounts for 55. 6%; stomachache cases were 218,which accounts for 21. 8%; belching cases were 81,which accounts for 8. 1%; and vomiting cases were 38,which accounts for 3. 8%. In 226 cases of Chinese medicine Piman disease,liver-Qi there were a total of 280 cases of Liver Qi attacking Stomach Syndrome and Damp-heat Syndrome,which accounts for 50. 36%; there were 93 cases of Spleen Deficiency and Qi Stagnation Syndrome,which accounts for16. 73%; There were 52 cases of Spleen and Stomach Deficiency and Coldness Syndrome,which accounts for 9. 35%; There were131 cases of Cold and Heat Mixing Syndrome,which accounts for 23. 56%. Conclusion： Professor Zhao Wenxia thinks that Piman disease is the most common disease in traditional Chinese medicine in terms of of Hp-related gastritis,and the most common TCM syndrome type distribution is Liver-Qi Attacking Stomach Syndrome and Damp-heat Syndrome.