127例反流性食管炎患者中医证候特征分析

Analysis of Characteristics of Traditional Chinese Medicine Syndrome in 127 Patients with Reflux Esophagitis

目的：探讨反流性食管炎患者中医证候分布特征,为反流性食管炎中医治疗提供辨证施治依据。方法：对127例反流性食管炎患者进行问卷调查,采集患者的中医症状、体征、舌、脉等四诊信息,并进行中医辨证分析。结果：反流性食管炎患者常见的症状依次为烧心（59.8%）、嗳气（55.1%）、咽部异物感（52%）、反酸（51.2%）。中医证候分布依次为肝胃郁热证（37.8%）、肝胃不和证（28.3%）、痰气交阻证（18.1%）、脾胃虚寒证（18.1%）、痰湿中阻证（15.0%）、中虚气逆证（8.7%）、胃阴不足证（7.1%）、瘀血阻络证（5.5%）,同一患者常有几个证候重叠。结论：反流性食管炎患者最常出现烧心、嗳气、咽部异物感、反酸等症状,中医证候分布以肝胃郁热证和肝胃不和证为最多见。

Objective：To explore the distribution characteristics of traditional Chinese medicine（TCM） syndromes of reflux esophagitis,and to provide basis for TCM syndrome differentiation and treatment of reflux esophagitis. Methods：There were 127 patients with reflux esophagitis investigated with questionnaires. The TCM symptoms,signs,four diagnosis information like tongue and pulse were recorded and the patients were treated with TCM syndrome differentiation. Results：The common symptoms of reflux esophagitis patients were heartburn（59.8%）,belching（55.1%）,pharyngeal foreign body sensation（52%）,acid reflux（51.2%）. TCM syndrome type were as follow：stagnated-heat in liver and stomach（37.8%）,disharmony between liver and stomach（28.3%）,blockage of phlegm and qi（18.1%）,deficiency cold of spleen and stomach（18.1%）,phlegm dampness obstructing the middle（15.0%）,deficiency in the middle and qi rebellion（8.7%）,stomach yin deficiency（7.1%）,blood stasis blocking collaterals（5.5%）. It is very common that several syndromes appeared in one patients. Conclusion：The common symptoms of reflux esophagitis are heartburn,belching,pharyngeal foreign body sensation,acid regurgitation,and stagnated-heat in liver and stomach and disharmony between liver and stomach are the most common TCM syndrome types.