福州大学城地区胃食管反流病中西医诊断及证素分析研究

Research on Chinese and western medicine diagnosis and syndrome facters of gastroe-sophageal reflux disease in Fuzhou university town

目的探讨福州大学城地区胃食管反流病的症状特点、中医分型及中医证素特点,为临床诊疗提供参考。方法选取2019年1~12月本院收治的120例胃食管反流病患者作为研究对象,分析患者的症状、胃食管反流病问卷(GerdQ)积分、中医证型及中医证素等方面进行分析研究。结果胃食管反流病患者的GerdQ积分为(10.48±1.22)分;患者以反酸、烧心、胃脘痛、腹胀、嗳气、胸骨后疼痛为主要症状,其中夜寐不安、恶心、便秘、咽喉不适、口干、口苦等为主要伴随症状;中医证型以肝胃郁热、脾虚湿热、中虚气逆为主;病位主要为肝、脾、胃、胆;病性主要有湿、热、气滞、食积、气虚以及痰等。结论福州大学城地区胃食管反流病患者主要以轻症为主,临床表现繁杂,中医辨证论治应以肝脾胃胆为病位,同时注意多湿热、气滞、气虚以及食积的病性特点。

Objective To explore the symptoms and characteristics of gastroe-sophageal reflux disease in the university town of Fuzhou,the types of traditional Chinese medicine(TCM)and the characteristics of TCM syndromes,so as to provide references for clinical diagnosis and treatment.Methods A total of 120 gastroe-sophageal reflux disease patients admitted to our hospital from January to December of 2019 were selected as the research objects.The patient′s symptoms,gastroesophageal reflux disease questionnaire(GerdQ)points,TCM syndrome types,and TCM syndrome elements were analyzed and studied.Results The average score of GerdQ was(10.48±1.22)points;acid reflux,heartburn,epigastric pain,abdominal distension,belching,and retrosternal pain were the main symptoms,and restless night sleep,nausea,constipation,throat discomfort,dry mouth,bitter mouth,etc.were the main accompanying symptoms;stagnation of heat in the liver and stomach,damp-heat of spleen deficiency,and deficiency of Qi and Ni were the main TCM syndrome types;liver,spleen,stomach and gallbladder were the main diseases of this disease;dampness,heat,qi stagnation,food accumulation,qi deficiency and phlegm were the main diseases.Conclusion The patients with GRED in Fuzhou university town are mainly mild and have complicated clinical manifestations.TCM syndrome differentiation and treatment should take liver,spleen,stomach and gallbladder as the disease location,and pay attention to the pathological characteristics of multiple dampness and heat,stagnation of qi,deficiency of qi,and food accumulation.